Chapter·MicrobiologyProtozoa/Helminths

Cestodes (tapeworms)Downloads

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Sample Questions

1

A 22-year-old man presents with abdominal cramps and diarrhea over the last few weeks. He notes that several of his bowel movements have a small amount of blood. Past medical history is significant for an intermittent cough that has been persistent since returning from Mexico last month. The patient takes no current medications. On physical examination, there is diffuse tenderness to palpation. Which of the following medications is indicated for this patient’s condition?

APyrantel

BPraziquantel

CAlbendazole

DMebendazole

EIvermectin

2

A 34-year-old man presents with dysphagia. The patient says that he has pain on swallowing which gradually onset 2 weeks ago and has not improved. He denies any change in diet but does say that he recently returned from a prolonged work trip to the Caribbean. No significant past medical history or current medications. On physical examination, the patient looks pale. His tongue is swollen and has a beefy, red appearance. Angular stomatitis is present. Laboratory findings are significant for macrocytic, megaloblastic anemia, decreased serum folate, increased serum homocysteine, and normal methylmalonic acid levels. Which of the following conditions most likely caused this patient’s symptoms?

ADiphyllobothrium latum infection

BAutoimmune destruction of parietal cells

CTropical sprue

DPoor diet

ECeliac disease

3

A 2-year-old girl is brought to the doctor by her mother with persistent scratching of her perianal region. The patient’s mother says that symptoms started 3 days ago and have progressively worsened until she is nearly continuously scratching even in public places. She says that the scratching is worse at night and disturbs her sleep. An anal swab and staining with lactophenol cotton blue reveal findings in the image (see image). Which of the following is the organism most likely responsible for this patient’s condition?

AWuchereria bancrofti

BEnterobius vermicularis

CAncylostoma duodenale

DTaenia saginata

EAscaris lumbricoides

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