Wednesday, 4 June 2014

PARACITOLGY MCQ`S BY PAUL FREDRICK





FREDRICK`S PARASITOLOGY MCQs FIRST BATCH.

MEDICAL PARASITOLOGY

 QUESTIONS



MULTIPLE CHOICE QUESTIONS: CHOOSE THE BEST ANSWER.



(0.5)        1. The habitat is the large intestine.

  A] Entamoeba gingivalis                                                 C] Giardia lamblia                                                                              

                                *B] Entamoeba histolytica                                                               D] Naegleria fowleri

(0.5)        2. The stool is the specimen for the diagnosis of the infection cause by

                                  A] Acanthamoeba polyphaga                                         C] Naegleria fowleri         

                                *B] Balantidium coli                                                          D] A & B

(0.5)        3. The infective stage of Entamoeba histolytica to man has

                                A] pseudopodia                                                            *C] bull’s eye karyosome                        

B] ingested red blood cells                                                 D] A & B

(0.5)        4. The pathogenic stage of Entamoeba histolytica to man has

                                A] pseudopodia                                                                   C] cigar-shaped chromatoidal body

                                B] ingested RBC                                                           *D] A & B

(1)           5. The stool of the patient infected with what parasite is described as steatorrheic or gruelly?

                                A] Balantidium coli                                                                            C] Entamoeba histolytica                                                                  B] Chilomastix mesnili                                                *D] Giardia lamblia

(0.5)        6. The most commonly involved area in Amoebiasis is the

                                A] brain                                                                                 C] liver                                                  

                    *B] cecum                                                                                        D] recto-sigmoid region

(0.5)        7. Typically flask-shaped lesion of Amoebiasis is usually seen in

                    *A] Amoebic colitis                                                                         C] Amoebic liver abscess                  

                                B] Amoebiasis cutis                                                                            D] Pulmonary amoebiasis

(0.5)        8. Frank dysentery in Amoebiasis is frequently present with the involvement of the

                                A] brain                                                                                 C] liver                                                  

                                B] cecum                                                                                        *D] recto-sigmoid region

(0.5)        9. Anchovy sauce-like materials is associated with

                                A] Amoebic colitis                                                                        *C] Amoebic liver abscess                       

                                B] Amoebiasis cutis                                                                            D] Pulmonary amoebiasis

(0.5)        10. There is no increase in the number of nuclei of

                    *A] Balantidium coli                                                                      C] Entamoeba histolytica                                                                  B] Entamoeba coli                                                                              D] Giardia lamblia

(0.5)        11. Associated with uveitis or ulceration of the cornea.

                    *A] Acanthamoeba culbertsoni                                   C] Entamoeba histolytica 

                                B] Balantidium coli                                                                            D] Naegleria fowleri

(0.33)     12. Tissue invasion is relatively slow and tends to stimulate granuloma formation.

                    *A] Acanthamoeba castellanii                                     C] Entamoeba histolytica 

                                B] Balantidium coli                                                                            D] Naegleria fowleri

(0.5)        13. Produces a big lesion with a wide opening and a rounded base in the large intestine.

                    *A] Balantidium coli                                                                      C] Giardia lamblia                                            

                                B] Entamoeba histolytica                                                  D] A & B

(0.5)        14. There are indurations of the irregular margins of the spreading ulcer.

                                A] Amoebic granuloma                                                      C] Amoeboma                                    

                    *B] Amoebiasis cutis                                                                      D] Amoebic colitis

(1)           15. Associated with Entamoeba gingivalis.

                                A] Trichomonas hominis                                                    C] Trichomonas vaginalis                

                    *B] Trichomonas tenax                                                  D] B & C

                                                                                                                                                                                                                                2

MULTIPLE CHOICE QUESTIONS: CHOOSE THE BEST ANSWER.



(1)           16. The specimen for the diagnosis of Trichomonas vaginalis infection in female.             

                                A] Prostatic secretions                                                        C] Vaginal discharges                                                                         B] Urine                                                                         *D] B & C

(0.5)        17. The usual infective stage of Malaria to man is the

                                A] gametocytes                                                             *C] sporozoites                                          

                                B] schizonts                                                                                          D] merozoites

(1)           18. Mosquito vector of Malaria in the Philippines is

                                A] Aedes aegypti                                                                 C] Culex quinquefasciatus                               

                    *B] Anopheles flavirostris                                                            D] Mansonia annulata

(0.5)        19. There is secondary exo-erythrocytic phase in

                    *A] Benign tertian malaria                                                            C] Quartan malaria                                            

                                B] Malignant tertian malaria                                            D] Sub-tertian malaria

(1)           20. Produces the more severe type of Malaria.

                    *A] Plasmodium falciparum                                                         C] Plasmodium ovale                        

                                B] Plasmodium malariae                                                   D] Plasmodium vivax

(0.5)        21. Usually produces recrudescence.

                                A] Plasmodium falciparum                                                               C] Plasmodium vivax                         

                                B] Plasmodium malariae                                            *D] A & B

(0.5)        22. The duration of the Erythrocytic-Schizogonic Cycle is 72 hours.

                                A] Benign tertian malaria                                           *C] Quartan malaria                                                                                 B] Malignant tertian malaria                                            D] A & B

(1)           23. Sub-tertian Malaria is cause by.

                    *A] Plasmodium falciparum                                                         C] Plasmodium ovale                        

                                B] Plasmodium malariae                                                   D] Plasmodium vivax

(1)           24. The most common Malaria in the Philippines is

                    *A] Plasmodium falciparum                                                         C] Plasmodium ovale                        

                                B] Plasmodium malariae                                                   D] Plasmodium vivax

(1)           25. Produces Ziemann’s dot.

                                A] Plasmodium falciparum                                                               C] Plasmodium ovale                        

                    *B] Plasmodium malariae                                                             D] Plasmodium vivax

(0.5)        26. Stage/s of Malaria usually found in man.

                                A] Gametes                                                                                           C] Trophozoites                                  

                                B] Schizonts                                                                                  *D] B & C

(0.5)        27. Malaria with the highest degree of parasitemia in man.

                         *A] Plasmodium falciparum                                                    C] Plasmodium vivax                         

                                B] Plasmodium malariae                                                   D] A & B

(1)           28. The gametocytes of the organism are described as banana or crescent-shaped.

                    *A] Plasmodium falciparum                                                         C] Plasmodium ovale                        

                                B] Plasmodium malariae                                                   D] Plasmodium vivax

(0.5)        29. Some strains are resistance to Chloroquine or Amodiaquine.

                    *A] Plasmodium falciparum                                                         C] Plasmodium vivax                         

                                B] Plasmodium malariae                                                   D] A & B

(0.5)        30. Opportunistic Protozoa in the stomach and intestine.

                    *A] Cryptosporidium parvum                                       C] Toxoplasma gondii                       

                                B] Pneumocystis carinii                                                     D] A & C

(0.5)        31. Produces congenital infection in man.

                                A] Cryptosporidium parvum                                      *C] Toxoplasma gondii                           

                                B] Pneumocystis carinii                                                     D] A & C

                                                                                                                                                                                                                                3

MULTIPLE CHOICE QUESTIONS: CHOOSE THE BEST ANSWER.



(0.5)        32. Produces massive diarrhea in patient with low resistance.

                    *A] Cryptosporidium parvum                                       C] Toxoplasma gondii                       

                                B] Pneumocystis carinii                                                     D] A & C

(1)           33. Associated with hypogammaglobulinemia and respiratory distress.

                                A] Cryptosporidium parvum                                             C] Toxoplasma gondii                       

                    *B] Pneumocystis carinii                                                              D] A & C

(0.33)     34. The encysted larva of the organism is the infective stage to man.

                                A] Capillaria philippinensis                                            C] Trichuris trichiura                        

                    *B] Trichinella spiralis                                                 D] B & C

(0.5)        35. Produces rectal prolapse in heavy infection especially among children.

                                A] Capillaria philippinensis                                     *C] Trichuris trichiura                            

                                B] Trichinella spiralis                                                        D] B & C

(0.33)     36. Produces malabsorption and cachexia in man.

                    *A] Capillaria philippinensis                                      C] Trichuris trichiura                        

                                B] Trichinella spiralis                                                        D] A & C

(0.33)     37. The habitat is the small intestine.

                                A] Capillaria philippinensis                                            C] Trichuris trichiura                        

                                B] Trichinella spiralis                                                 *D] A & B

(0.33)     38. The female parasites may be larviparous.

                                A] Capillaria philippinensis                                            C] Trichuris trichiura                        

                                B] Trichinella spiralis                                                 *D] A & B

(0.5)        39. The infective stage to man is the embryonated egg.

                                A] Capillaria philippinensis                                     *C] Trichuris trichiura                            

                                B] Trichinella spiralis                                                        D] A & C

(0.5)        40. The parasite/s that is/are associated with fish.

                    *A] Capillaria philippinensis                                      C] Trichuris trichiura                        

                                B] Trichinella spiralis                                                        D] A & C

(0.5)        41. There is a dead-end cycle in man.

                                A] Capillaria philippinensis                                            C] Trichuris trichiura                        

                     *B] Trichinella spiralis                                                D] A & C

(0.5)        42. The stool is the specimen for the diagnosis of the infection cause by

                                A] Capillaria philippinensis                                            C] Trichuris trichiura                        

                                B] Trichinella spiralis                                                 *D] A & C

(1)           43. Bachman intradermal test & Xenodiagnosis are use for the diagnosis of infection cause by

                                A] Capillaria philippinensis                                            C] Trichuris trichiura                        

                    *B] Trichinella spiralis                                                 D] A & B

(0.5)        44. The habitat is the small intestine.

                                A] Ascaris lumbricoides                                                     C] Trichuris trichiura                        

                                B] Necator americanus                                               *D] A & B

(0.5)        45. Geophagia or Pica may be seen in heavy infection with

                                A] Ascaris lumbricoides                                              *C] Necator americanus                          

B] Enterobius vermicularis                                                               D] Strongyloides stercoralis  

(0.33)     46. The most common cause of Creeping Eruption or Cutaneous Larva Migran.

                    *A] Ancylostoma braziliense                                                        C] Strongyloides stercoralis            

                                B] Enterobius vermicularis                                                               D] Toxocara canis

(0.25)     47. Most frequent finding in the infection cause by the parasite is a persistent hypereosinophilia.

                                A] Ancylostoma braziliense                                              C] Strongyloides stercoralis            

                                B] Enterobius vermicularis                                                        *D] Toxocara canis









                                                                                                                                                                                                                                4

MULTIPLE CHOICE QUESTIONS: CHOOSE THE BEST ANSWER.



(0.33)     48. The most common cause of Visceral Larva Migran.

                                A] Ancylostoma braziliense                                              C] Strongyloides stercoralis            

                                B] Enterobius vermicularis                                                        *D] Toxocara canis

(0.33)     49. Produces autoinfection to man.

                                A] Ancylostoma duodenale                                                               C] Necator americanus     

                                B] Ascaris lumbricoides                                              *D] Strongyloides stercoralis

(0.5)        50. What parasite/s has a blood-lung phase in the life cycle?

                                A] Ascaris lumbricoides                                                     C] Strongyloides stercoralis                                                             B] Enterobius vermicularis                                                        *D] A &C

(0.5)        51. The adults and migrating larvae are the pathogenic stages of

                                A] Ascaris lumbricoides                                                     C] Strongyloides stercoralis                                                             B] Enterobius vermicularis                                                        *D] A &C

(0.33)     52. What parasite/s may produce Loeffler’s syndrome to man?

                    *A] Ascaris lumbricoides                                                              C] Gnathostoma spinigerum

                                B] Enterobius vermicularis                                                               D] Trichuris trichiura

(0.33)     53. Stage/s of the parasite that may produce Loeffler’s syndrome to man.

                                A] Adult                                                                          *C] Larva                                                   

                                B] Egg                                                                                    D] A & C

(0.33)     54. The usual manner of transmission by the parasite is by skin penetration.

                                A] Ascaris lumbricoides                                                     C] Strongyloides stercoralis            

                                B] Necator americanus                                               *D] B & C

(1)           55. What parasite produces Iron deficiency anemia to man?

                                A] Ascaris lumbricoides                                                     C] Strongyloides stercoralis            

                    *B] Necator americanus                                                                D] Trichuris trichiura

(0.33)     56. Produces Ground itch to man.

                                A] Ascaris lumbricoides                                              *C] Necator americanus          

                                B] Enterobius vermicularis                                                               D] Trichuris trichiura

(1)           57. Associated with Nocturnal Pruritus Ani.

                                A] Ascaris lumbricoides                                                     C] Necator americanus

                    *B] Enterobius vermicularis                                                         D] Trichuris trichiura

 (0.5)       58. The manner of transmission of the parasite is by ingestion of the embryonated egg.

                                A] Ascaris lumbricoides                                                     C] Trichuris trichiura        

                                B] Strongyloides stercoralis                                      *D] A & C

(1)           59. Graham Scotch tape technique is used for the diagnosis of the infection cause by

                                A] Ascaris lumbricoides                                                     C] Necator americanus

                    *B] Enterobius vermicularis                                                         D] Trichuris trichiura

(1)           60. What parasite has an egg that is plano-convex and is readily infective after discharged?   

                                A] Ancylostoma duodenale                                                        *C] Enterobius vermicularis                   

                                B] Ascaris lumbricoides                                                     D] Trichuris trichiura

(0.33)     61. The parasite has cephalic alae.

                                A] Ancylostoma caninum                                                   C] Necator americanus                     

                    *B] Enterobius vermicularis                                                         D] Toxocara canis              

(0.5)        62. Produces group infection.

                    *A] Enterobius vermicularis                                                         C] Toxocara cati                                

                                B] Toxocara canis                                                                               D] B & C

(0.5)        63. What parasite sucks and ingests blood?

                    *A] Ancylostoma duodenale                                                         C] Enterobius vermicularis                              

                                B] Ascaris lumbricoides                                                     D] Trichuris trichiura

                                                                                                                                                                                5

MULTIPLE CHOICE QUESTIONS: CHOOSE THE BEST ANSWER.



(0.25)     64. What parasite shows Tramway sign in the X-ray?

                    *A] Ascaris lumbricoides                                                              C] Necator americanus

                                B] Enterobius vermicularis                                                               D] Trichuris trichiura

(0.25)     65. What parasite whose migrating larvae break the pulmonary capillaries of man?

                                A] Ancylostoma braziliense                                              C] Enterobius vermicularis                              

                    *B] Ascaris lumbricoides                                                              D] Trichuris trichiura

(0.5)        66. Associated with mosquito.

                                A] Brugia malayi                                                                 C] Wuchereria bancrofti                  

                                B] Loa loa                                                                                      *D] A & C

(0.5)        67. Knott’s method is use to demonstrate the microfilariae of 

                                A] Brugia malayi                                                                 C] Wuchereria bancrofti                  

                                B] Onchocerca volvulus                                             *D] A & C

(0.5)        68. The usual infective stage of Trematodes to man is the

                                A] cercariae                                                                                   *C] metacercariae                                     

                                B] egg                                                                                                     D] miracidium

(1)           69. The infective stage of the parasite is found in crabs or crayfishes.

                                A] Clonorchis sinensis                                                       C] Fasciola hepatica                         

                                B] Echinostoma ilocanum                                          *D] Paragonimus westermani

(0.25)     70. What parasite is associated with neoplasm of the biliary duct or cancer of the liver?

                         *A] Clonorchis sinensis                                                            C] Opisthorchis felineus   

B] Fasciola hepatica                                                          D] Paragonimus westermani

(1)           71. What parasite produces infection that simulates tuberculosis?

                                A] Clonorchis sinensis                                                       C] Opisthorchis felineus   

B] Fasciola hepatica                                                   *D] Paragonimus westermani

(0.33)     72. The infective stage of what parasite is encysted in aquatic vegetations?

                                A] Clonorchis sinensis                                                       C] Echinostoma ilocanum                

                    *B] Fasciolopsis buski                                                   D] Paragonimus westermani

(0.33)     73. Snails are both the first and second intermediate hosts of

                    *A] Echinostoma ilocanum                                                           C] Fasciola hepatica                         

                                B] Fasciola hepatica                                                          D] Paragonimus westermani

(0.5)        74. The eggs of Paragonimus westermani may be demonstrated from the

                                A] sputum                                                                                             C] urine                                                 

                                B] stool                                                                          *D] A & B

(0.5)        75. What stage of the Trematodes swims in the water?

                    *A] Cercariae                                                                                   C] Metacercariae                                                                                 B] Coracidium                                                                     D] Sporocyst

(0.5)        76. What is the infective stage of Schistosoma to man?

                    *A] Cercariae                                                                                   C] Metacercariae                                                                                 B] Embryonated egg                                                           D] Miracidium

(1)           77. What is the usual manner of transmission of Schistosoma to man?

                                A] Arthropod vector                                                                     *C] Skin penetration of the cercariae

                                B] Ingestion of the embryonated egg                              D] B & C

(1)           78. Molluscan host of Schistosoma in the Philippines is                             

A] Australorbis mystax                                                       C] Coxiella burnetii

B] Biomphalaria alexandrina                                   *D] Oncomelania quadrasi                     

(1)           79. What Schistosoma is present in the Philippines?

A] Schistosoma haematobium                                          C] Schistosoma mansoni                   

                    *B] Schistosoma japonicum                                                         D] Schistosoma mekongi

                                                                                                                                                                                                                6

MULTIPLE CHOICE QUESTIONS: CHOOSE THE BEST ANSWER.

(0.33)     80. Laboratory procedure that makes use of the egg in the test is

                                A] CFT                                                                            *C] COPT                                                   

                                B] CHR                                                                                 D] Casoni test

(0.33)     81. What Schistosoma produces more severe infection to man?

A] Schistosoma haematobium                                          C] Schistosoma mansoni                   

                    *B] Schistosoma japonicum                                                         D] Schistosoma mekongi

(0.33)     82. What Schistosoma is more resistant to treatment?

A] Schistosoma haematobium                                          C] Schistosoma mansoni                   

                    *B] Schistosoma japonicum                                                         D] Schistosoma mekongi

(0.33)     83. Pipe-stem fibrosis of the liver in Schistosomiasis is due to what stage of the parasite?

                                A] Adult                                                                          *C] Egg                                                                                                         B] Cercaria                                                                                           D] Metacercaria

(0.33)     84. Allergic manifestations in Schistosomiasis are due to what stage of the parasite?

                    *A] Adult                                                                                          C] Egg                                                                                                    B] Cercaria                                                                                           D] Metacercaria

(0.33)     85. Obstructive uropathy is associated with

                    *A] Schistosoma haematobium                                    C] Schistosoma mansoni                   

                                B] Schistosoma japonicum                                                                D] Schistosoma mekongi

(0.33)     86. What Schistosoma frequently cause Gynecological Schistosomiasis.

                    *A] Schistosoma haematobium                                    C] Schistosoma mansoni                   

                                B] Schistosoma japonicum                                                                D] Schistosoma mekongi

(1)           87. The region of growth in Cestodes is the

                                A] Scolex                                                                                               C] Proglottid                                           

                    *B] Neck                                                                                           D] Strobila

(0.25)     88. The infective stage of Diphyllobothrium latum to man to produce adult infection is the

                                A] cysticercoid larva                                                           C] procercoid larva                                            

                                B] cysticercus larva                                                      *D] sparganum larva

(0.25)     89. The most common cause of Sparganosis in Asia is

                                A] Diphyllobothrium latum                                                               C] Echinococcus granulosus                                                            B] Dipylidium caninum                                               *D] Spirometra mansoni

(0.5)        90. Bothriocephalus anemia is associated with

                                A] iron deficiency anemia                                          *C] pernicious anemia                                                                              B] microcytic hypochromic cells                                      D] A & B              

(0.5)        91. Diphyllobothrium latum is associated with

                                A] cat                                                                              *C] fish                                                                        

                                B] dog                                                                                                    D] pig

(0.5)        92. Produces Ocular cysticercosis to man.

                                A] Dipylidium caninum                                               *C] Taenia solium                                     

                                B] Taenia saginata                                                                             D] B & C

(0.33)     93. Produces autoinfection in man.

                                A] Dipylidium caninum                                                      C] Taenia saginata                                            

                                B] Hymenolepis diminuta                                           *D] Taenia solium

(0.5)        94. Lateral uterine branches in gravid proglottid are counted for diagnosis of infection cause by

                                A] Diphyllobothrium latum                                                               C] Hymenolepis nana                        

                                B] Dipylidium caninum                                               *D] Taenia saginata

(1)           95. Taenia saginata is associated with

                                A] cat                                                                                                     C] dog                                                                   

                    *B] cattle                                                                                          D] pig









                                                                                                                                                                                                                                7

MULTIPLE CHOICE QUESTIONS: CHOOSE THE BEST ANSWER.

(0.33)     96. Taeniasis solium is produced after ingestion of the

                                A] cysticercoid larvae                                                 *C] cysticercus cellulosae                       

                                B] cysticercus bovis                                                                            D] Taenia egg

(1)           97. What parasite is associated with measly pork?

                                A] Diphyllobothrium latum                                                               C] Taenia saginata                                            

                                B] Dipylidium caninum                                               *D] Taenia solium

(0.25)     98. What Cestodes does NOT need an intermediate host?

                                A] Dipylidium caninum                                                      C] Hymenolepis diminuta

                                B] Echinococcus granulosus                                     *D] Hymenolepis nana                             

(0.25)     99. The most commonly involved organ in Hydatid Disease is the

                    *A] liver                                                                                             C] kidney                                                             

                                B] lungs                                                                                 D] brain

(0.33)     100. Ultrasound and MRI usually help in the diagnosis of the infection cause by

                                A] Dipylidium caninum                                                      C] Hymenolepis diminuta

                    *B] Echinococcus granulosus                                      D] Hymenolepis nana                        



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