Chapter·MicrobiologyProtozoa/Helminths

Trematodes (flukes)Downloads

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Sample Questions

1

A 7-year-old girl is brought to the physician by her mother because of a 4-week history of irritability, diarrhea, and a 2.2-kg (5-lb) weight loss that was preceded by a dry cough. The family returned from a vacation to Indonesia 2 months ago. Her vital signs are within normal limits. Abdominal examination shows mild tenderness with no guarding or rebound and increased bowel sounds. Her leukocyte count is 9,200/mm3 with 20% eosinophils. A photomicrograph of a wet stool mount is shown. Which of the following is the most appropriate pharmacotherapy?

ADiethylcarbamazine

BMetronidazole

CAlbendazole

DPraziquantel

EDoxycycline

2

A 19-year-old woman presents to the emergency department with chronic diarrhea, fatigue, and weakness. She also had mild lower extremity edema. On examination, she was noted to be pale. Blood testing revealed peripheral eosinophilia (60%) and a Hb concentration of 8 g/dL. The stool examination revealed Fasciolopsis buski eggs. Which of the following drugs would most likely be effective?

AAlbendazole

BOxamniquine

CNiclosamide

DPraziquantel

EBithionol

3

A 40-year-old woman presents to clinic with multiple complaints. She complains of swelling around her eyes (Image A) and generalized weakness. A complete blood count reveals eosinophilia. She recently returned from a trip to Asia where she reports having eaten street food, including pork. If this patient's disease is explained by a parasite that causes inflammation of skeletal muscle, what would be the appropriate treatment?

APraziquantel

BNiridazole

CAlbendazole or mebendazole

DIvermectin

EDiethylcarbamazine

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