PARAcompre
PARAcompre
36. Which among of the following organisms is 44. Which of the schistosome eggs may be recovered
related to occurrence of rectal prolapse: in rectal biopsy?
a. Ascaris lumbricoides a. S. masoni c. Both
b. Trichuris trichiura b. S. japonicum d. Neither
c. Necator americanus
d. Strongyloides stercoralis 45. The infective form of Schistosoma mansoni is
which of the following?
37. Which of the following microfilariae is a. Metacercaria encysted on water chestnuts or
unsheathed? vegetables
a. Brugia malayi c. Wuchereria bancrofti b. Metacercaria on or in fish
b. Onchocerca volvulus d. Loa loa c. Cercaria on water chestnuts, bamboo shoots,
or vegetables
d. Cercaria swimming in water a. Acanthamoeba spp.
b. Naegleria fowleri
46. In the life cycle of hermaphroditic flukes, the c. Toxoplasma gondi
infective stage for the snail is which of the d. Entamoeba histolytica
following? 55. All of the following larva migrate through the
a. Miracidium c. Redia lungs except one:
b. Cercaria d. Metacercaria a. Pinworm Strongyloides
47. A 4-year old female and her pet dog were b. Hookworm Ascaris
diagnosed with Pumpkin seen tapeworm. How was
the infection acquired by the patient? 56. A 7-year-old presented with intermittent
a. Skin penetration of cysticercoid larva abdominal cramps, loose stool and on stool
b. Ingestion of adult worm examination eggs of size 100 μm are seen, which is
c. Vector bite not the cause:
d. Ingestion of dog flea a. Fasciola gigantica
48. A 2-year-old girl and her pet dog were diagnosed b. Echinostoma iliocanum
with D. caninum infection. This infection was c. Gastrodiscoides hominis
acquired by which of the following? d. Opisthorchis viverini
a. Consumption of poorly cooked beef
b. Penetration of soil larva 57. The preferred stain for malaria or trypanosome in
c. Ingestion of the parasite’s egg thin blood smears is:
d. Ingestion of a flea a. Giemsa c. Carbol-
Fuchsin
49. The most common cause of human coenurosis?
b. Lugol's iodine d. H& E stain
a. T. brauna c. T. serialis
b. T. asiatica d. Multiceps
58. A larva is seen in a fresh stool sample. This is
most likely:
50. Collar of spine is found in:
a. Enterobius vermicularis
a. Schistosoma japonicum
b. Ancylostoma duodenale
b. Echinostoma ilocanum
c. Trichiuris trichiura
c. Heterophyes heterophyes
d. Strongyloides stercoralis
d. Fasciola hepatica
59. Found in the oral cavity of man:
51. Adult flukes occur in man in:
a. Trichomonas tenax c. Neither A nor B
1. lung 3. Blood vessel
b. Entamoeba gingivalis d. Both A & B
2. liver 4. intestine
a. 1 and 2 c. All of the above 60. Patient with classical malaria suffer from:
b. 2 and 4 d. None of the above a. Chills/fever c. Both
52. What is a schistosomule? b. Sweating d. Both A & B
a. cercaria
b. cercaria minus tail 61. A 60-year-old Brazilian patient with cardiac
c. free-swimming cercaria irregularities ang congestive heart failure suddenly
d. Metacercaria dies. Examination of the myocardium revealed
numerous amastigotes, an indication that the cause of
53. The primary means of developing an intestinal death was most likely:
infection with Taenia spp. is via which of the
following? a. Trypanosomiasis with Trypanosoma cruzi
a. Skin penetration of larvae b. Leishmaniasis with Leishmania donovani
b. Ingestion of raw or poorly cooked meat c. Trypanosomiasis with Trypanosoma
c. Egg consumption gambiense
d. Drinking contaminated water d. Leishmaniasis with Leishmania braziliense
54. Plunging into a natural hot spring is possible
mode of transmission for:
62. If a stool specimen is allowed to stand at a a. 1, 2, 3, and 4 c. 2 and 4
room temperature too long, eggs may hatch and b. 1, 2, and 3 d. 1 and 3
only larvae will be found for:
a. Trichinella spiralis 70. The trophozoite of G. duodenalis may have?
b. Strogyloides stercoralis 1. Axostyle 4. Sucking disc
c. Ancylostoma duodenale 2. 4 flagella 5. 8 flagella
d. Ascaris lumbricoides 3. 1 nucleus 6. 2 nuclei
a. 1, 2, 4, and 6 c. 1, 4, 5, and 6
63. What procedures must be done to recover the
b. 1, 2, 3, and 4 d. 3, 4, 5, and 6
adult form of Clonorchis sinensis?
a. Direct examination of stool and after autopsy
71. A traveler presents with conjugated with
b. Direct and concentration examinations of
hyperbilirubinemia. On investigations, an egg was
stool
found in his biliary tract. Likely organism is:
c. Following surgery and after autopsy
a. Clonorchis sinensis c. P. westermani
d. Following surgery and duodenal aspiration b. Fasciola buski d. Schistosoma
mansoni
64. Xenodiagnosis using reduvid bugs can be done
for: 72. In the Philippines, the dominant liver fluke
a. Espundia c. Chaga’s disease affecting cattle and buffaloes. There are only a few
b. Oriental sore d. Sleeping sickness human cases reported locally.
65. Many parasite have different stages of growth a. Fasciola hepatica c. Opisthorchis viverrini
within different hosts. The host where the sexual b. Fasciola gigantica d. Echinostoma ilocanum
reproductive stage of the parasites exist is called the:
a. Commensal c. Definitive host 73. In some individuals, this worm causes a
b. Intermediate host d. Vector megaloblastic anemia:
66. Which of the following preventive measure is a. Taenia saginata c. Diphyllobothrium latum
specific for Strongyloidiasis and hookworm b. Taenia solium d. Hymenolepis
infection? diminuta
a. Avoidance of eating insufficiently cooked
pork or beef 74. A 32-year-old Peace Corps volunteer recently
b. Use of water purifiers returned from 1-year period working in a war zone in
c. Observance of hygiene practices in eating & the southern Sudan in central Africa. He presents
drinking with marked splenic enlargement, nonspecific
d. Use of protective shoes & gloves when hypergammaglobulinemia and a negative Leishmanin
handling soil Skin Test (Montenegro Reaction). Mild fevers occur
irregularly. All the information is consistent with:
67. Migration of larva through the skin can a. Malaria c. Visceral
sometimes produce allergic reactions called larva leishmaniasis
migrans; this is associated with: b. Cutaneous leishmaniasis d. Trypanosomiasis
a. Onchocerca volvulus c. Hookworm 75. Tapeworm which can grown up to 25 meters
b. Loa loa d. Dracunculus long:
medinensis a.. Taenia solium c. Echinococcus
granulosus
68. Which tapeworm is acquired by eating infected b. Hymenolepis diminuta d. Taenia
beef? saginata
a. Taenia solium c. Dipylidium caninum
b. Taenia saginata d. Hymenolepis 76. The type of proglottid that contains the
nana reproductive organs such as testes and ovaries?
69. Which of the following cestodes have armed a. Immature c Gravid
rostellum? b. Mature d. Strobila
1. Beef tapeworm 3. Rat tapeworm
2. Dwarf tapeworm 4. Pork tapeworm
77. Which among the following is an example of 84. The procedure for hepatic hydatid cysts involves
contact transmitted nematode which do not develop four sequential steps as defined in the alphabets of
any further because they happen to be really infective the title PAIR which stands for:
few hours after deposition? a. Percutaneous Aspiration Injection and
a. Ascaris lumbricoides c. Trichuris Reaspiration
trichiura b. Pervenous Aspiration Injection and
b. Strongyloides stercoralis d.Enterobius Respiration
vermicularis c. Per subcutaneous Aspiration Injection and
Reaspiration
78. In infection with Taenia solium, humans can d. Puncture Aspiration Injection and
serve as the: Reaspiration
a. Definitive host 85. What inherited condition confers resistence to
b. Intermediate host plasmodium falciparum infection?
c. Either the definitive or the intermediate host a. Hashimoto's thyroiditis
d. None of these options b. Sickle cell trait
c. Beta-thalassemia
79. Visceral larva migrans is caused by? d. Reynaud's phenomenon
a. Ascaris suum c. A. lumbricoides
b. E. vermicularis d. T. trichiura 86. Produces a medical condition similar to
pulmonary tuberculosis:
80. An outbreak of mild intestinal distress, a. Paragonimus westermani
sleeplessness, perianal itching and anxiety has b. Echinostoma ilocanum
broken out among preschool children in private c. Heterophyes heterophyes
homes. The most likely cause of this condition is: d. Clonorchis sinensis
a. Trichuris trichiura c. Enterobius vermicularis 87. Which amoeba has a quadrinucleated cyst with
b. Ascaris lumbricoides d. Necator americanus eccentric karyosome?
a. I. butschlii c. E. histolytica
81. Examination of 24-hour unpreserved urine b. E. nana d. E. coli
specimen is sometimes helpful in the recovery of:
a. Heterophyes heterophyes 88. Xenodiagnosis is usually performed for the
b. Schistosoma haematobium eggs diagnosis of:
c. Clonorchis sinensis a. L. donovani c. T.
d. Paragonimus westermani gambiense
82. Most reported cases have been acquired by eating b. T. cruzi d. S. japonicum
raw pig liver, although consumption of cattle and
goat has also been implicated. Morphologically, this 89. Highly fatal disease associated with Plasmodium
tapeworm contains a sunken rostellum and two rows falciparum in which hemoglobin is lost rapidly
of hooklets. Identify this tapeworm. through the urine.
a. Taenia asiatica a. Black water fever c. Yellow fever
b. Taenia saginata b. Chaga’s disease d.Kala-azar
c. Taenia aegagrus fever
d. Taenia solium 90. The following apply to Diphyllobothrium latum,
EXCEPT:
83. Characteristics of the cestodes include all the a. Referred to as the fish tapeworm
following except: b. Largest tapeworm of man
a. They are hermaphroditic. c. Produces more than 1 million eggs per day
b. They generally require intermediate host(s). d. Proglottids commonly discharged in feces
c. Their laboratory diagnosis consists of finding and aid in the diagnosis
larvae in feces.
d. Their anatomic regions include the scolex,
neck, and strobila.
91. Embryonated spherical ova with striations and 99. Direct stool specimens stained with iodine make
presence of 3 pairs hooklets are consistent to which the trophozoite of protozoa:
of the following cestodes? a. A brown color
1. Pork tapeworm 3. Beef tapeworm b. Remains the same
2. Rat tapeworm 4. Hydatid worm c. A yellow color
a. 1, 2, 3, and 4 c. 1 and 3 d. Disappear as they are destroyed by iodine
b. 1, 3, and 4 d. None o the choices
92. The third specie of Taenia? 100. Which of the following is characteristic of an H.
a. T. brauna c. T. serialis diminuta egg?
b. T. asiatica d. T. multiceps a. Spherical, with radial striations
93. Which microfilariae are usually NOT found b. Ellipsoid, with terminal polar plugs
circulating in the peripheral blood? c. Oval, with thin shell and polar filaments
a. Onchocerca volvulus c. Brugia malayi d. Oval, with polar thickenings and no filaments
b. Wuchereria bancrofti d. Loa loa
101. The dwarf tapeworm is:
94. The asults of this species of Schistosoma dwell in a. Hymenolepis nana c. both
the veins surrounding the urinary bladder: b. Hymenolepis diminuta d. Neither
a. S. haematobium c. S. japonicum 102. The largest fluke found in man is:
b. S. mansoni d. All of the above a. Paragonimus westermani c. Fasciolopsis buski
95. Cysticercosis is caused by the disseminated b. Clonorchis sinensis d. Schistosoma
larvae of: haematobium
a. Taenia solium c. Echinococcus
granulosus 103. Which of the following eggs has no operculum?
b. Taenia saginata d. Diphyllobothrium latum a. Paragonimus westermani c. Fasciolopsis buski
b. Clonorchis sinensis d. Schistosoma
96. Modified TRUE OR FALSE: R. rattus var rattus haematobium
is one of the definitive host of theTrichina worm.
Definitive hosts harbor the asexual stage of the 104. Which Schistosoma species has a large terminal
parasite. spine?
a. First Statement is True; Second statement is a. S. haematobium c. S. mansoni
False b. S.japonicum d. S. mekongi
b. First Statement is False; Second statement is
True 105. Paragonimus eggs can be recovered through the
c. Both Statements are True examination of:
d. Both statements are False a. Sputum c. Both
e. Other:__________ b. Stool d. Neither
97. Oocyst of Cryptosporidium spp. Can be detected 106. An operculated cestode egg that can be
in stool specimens using: recovered from human feces is:
a. Trichrome stain a. Clonorchis sinensis
b. Methenamine silver stain b. Diphyllobothrium latum
c. Gram stain c. Paragonimus westermani
d. Modified Ziehl–Neelsen acid-fast stain d. Dipylidium caninum
98. Presence of siderophil granules is observed in: 107. Which stage of Taenia saginata is usually
a. Chilomastix mesnilii infective for humans?
b. None of the above a. Cysticercus larva c. Filariform larva
c. Trichomonas vaginalis b. Embryonated egg d. Rhabditiform larva
d. Trichinella spiralis
108. Which of the following tapeworms has the
largest adult form found in the human intestine?
a. Echinococcus granulosus c. Hymenolepis nana
b. Diphyllobothrium latum d. Dipylidium 116. Mature and gravid proglottids are typically
caninum shaped like melon seeds:
a. Hymenolepis nana c. Taenia saginata
109. Examination of 24-hour unpreserved urine b. Hymenolepis diminuta d. Dipylidium
specimen is sometimes helpful in the recovery of: caninum
a. Heterophyes heterophyes
b. Schistosoma haematobium eggs 117. Which of the following are key distinguishing
c. Clonorchis sinensis factors in differentiating an infection between T.
d. Paragonimus westermani saginata and T. solium?
a. Egg morphology and number of uterine branches
110. The larvae of Strongyloides stercoralis is most in proglottid
likely to be confused with larvae of which one of the b. Presence of hooklets on scolex and egg
following parasites? morphology
a. Wuchereria bancrofti c. Trichinella c. Presence of hooklets and number of uterine
spiralis branches in proglottid
b. Ascaris lumbricoides d. Necator d. Egg morphology and presence of suckers on
americanus Scolex
111. Inoperculate egg with prominent lateral spine is 118. Characteristic feature of male Schistosomes:
found in: a. Sheathed spicule c. Genital primordium
a. Fasciola hepatica c. b. Spermatheca d. Gynecophoral
Diphyllobothrium latum canal
b. Paragonimus westermanni d. Schistosoma
mansoni 119. Smallest tapeworm parasitizing the small
intestines of man:
112. In humans, Echinococcus granulosus infection a. Hymenolepis nana c. Taenia solium
results in which of the following? b. Hymenolepis diminuta d. Taenia
a. Eggs similar to those of H. nana saginata
b. A nutritional deficiency
c. A hydatid cyst 120. Which of the following is a mercury containing
d. Filariform larva fixative used to preserve parasites in stool
specimens?
113. A tapeworm having small, pumpkin-seed a. Formalin c. Sodium acetate
segments with one genital pore on each margin is: b. Buffered glycerol d. Polyvinyl alcohol
a. Dipylidium caninum c.
Hymenolepis nana 121. Infective stage of the Schistosomes to their final
b. Taenia saginata d. Taenia solium host:
a. Miracidium c. Cercaria
b. Coracidium d. Metacercaria
114. Capillaria philippinensis ova are confused with
ova of: 122. The typical transmission route of Paragonimus
a. Trichuris trichiura c. Enterobius vermicularis to humans consists of which of the following?
b. Ascaris lumbricoides d. Hookworm a. Consumption of contaminated crayfish or crabs
b. Walking barefoot on contaminated sandy soil
115. The preferred stain for malaria or trypanosomes c. Swimming in contaminated water
in thin blood smears is: d. Hand-to-mouth contamination
a. Giemsa
b. H& E stain 123. The ideal temperature at which to hold a fecal
c. Lugol's iodine specimen for any length of time is:
d. Carbol-Fuchsin a. Freezer c. Room Temperature
b. Refrigerator d. Incubator 132. Bachman Intradermal test is highly specific test
to diagnose:
124. The rhabditiform larvae of Strongyloides a. Dracunculus medinensis c. Trichuris trichiura
stercoralis. b. Trichinella spiralis d. Wuchereria
a. Mate and produce ova bancrofti
b. Are found in the blood of infected humans
c. Are infective for humans 133. Tapeworms are:
d. Are the diagnostic form found in feces a. Provided with separate sexes c. All are non-
operculated
125. Which of the following associations is correct b. Generally hermaphroditic d. None of the above
for D. latum?
a. Snail-coracidium c. Fish-cysticercus 134. The most important part of the tapeworm body,
b. Copepod-procercoid d. Beetle- non-recovery of which means treatment is not
pleurocercoid successful:
a. Scolex c. Neck
126. The stage of parasite found in the feces in b. Proglottids d. Immature segments
Strongyloidiasis of man is:
a. Embryonated egg c. Rhabditiform larvae 135. Stage in the life cycle of a blood fluke,
b. Unfertilized egg d. Filariform larvae Schistosoma sp. able to penetrate skin and cause
infection.
127. Characteristics of the rhabditiform a. Metacercaria c. Cercaria
(noninfective) larvae of Strongyloides stercoralis b. Cyst d. Cysticercoid
include a: 137. Which species of malaria parasite usually has
a. Short buccal capsule and large genital ameboid trophozoites and produces small reddish
primordium dots in the red blood cell cytoplasm?
b. Long buccal capsule and pointed tail a. Plasmodium knowlesi c. Plasmodium
c. Short buccal capsule and small genital falciparum
primordium b. Plasmodium malariae d. Plasmodium vivax
d. Small genital primordium and notch in tail
139. A helminth egg is described as having terminal
128. One of these is NOT a characteristic of human
polar plugs The most likely helminth is:
blood flukes:
a. Cylindrical in shape c. Portal of entry is the a. Hookworm c. Trichuris trichiura
skin b. Enterobius vermicularis d.
b. Hermaphroditic d. Non operculated Strongyloides stercoralis
162. Which statement is not correct concerning 171. A unique characteristic of Dipylidium caninum
Strongyloides stercoralis? is which of the following?
a. It causes a marked eosinophilia a. Lack of suckers on the scolex
b. It produces filariform larvae b. Alternation of female and male proglottids
c. It is acquired by ingestion of eggs c. Proglottid resemblance to Taenia solium
d. It undergoes a free living life cycle in soil d. Formation of egg packets
163. Oocysts of Cryptosporidium spp. can be 172. One of the differential characteristics of the
detected in stool specimens using: microfilariae is:
a. Modified Ziehl–Neelsen acid-fast stain a. Number of somatic nuclei
b. Methenamine silver stain
b. Presence or absence of sheath
c. Gram stain
c. Presence or absence of dorsal curvature and
d. Trichrome stain
posterior end
164. Human tapeworm that does not require an
d. Presence or absence of a hexacanth embryo
intermediate host to complete its natural life cycle:
a. Hymenolepis nana c. Taenia 173. Smaller cyst within a hydatid
saginata cyst
b. Hymenolepis diminuta d. Dipylidium caninum 174. Series of proglottids
175. Contains both male and female
165. The diagnosis of Filariasis is usually made by organs
the presence of microfilariae in: 176. Develops from a procercoid larva
177. Segment of a tapeworm
a. Blood c. Lymph
178. Free-swimming larva of D. latum
b. Tissue d. Urine
179. Acquired from Animals
180. Hexacanth embryo
166. Which stage of Trichuris trichiura is infective
181. Head of a tapeworm
for humans? 182. Larval form of Taenia spp.
a. Unembryonated ovum c. Filariform larva
b. Rhabditiform larva d. Embryonated 183-188. Match the host for metacercariae with
ovum the parasite. Answers can be used more than
167. Differentiation between Taenia solium and once.
Taenia saginata can be done through examination of:
A. Fish B. Water plants
a. Ova c. Scolex C. Crawfish
b. Gravid segments d. B & C only
168. Known as the blood flukes: _____183. Fasciolopsis buski