Prof. Dr.

Mohamed Hegab

 -1
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-2
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 30

Marks
6 Questions
Each question 5 Marks

 What

are the mechanisms

of disease transmission by
arthropods?
Mention its types with
examples

 Mention

five parasitic
diseases could be
trnsmitted by Musca

domestica.

Outline

the control
measures for Musca.

Plasmodium
falciparum cause

Why

malignant malaria?
Mention its
complications.

 Classify

clinical types of
cutaneous and
mucocutaneous
leishmaniasis
and name the causative
parasite.

 Enumerate

helminthes that
are transmitted by
autoinfection.

Mention

the infective stage,

the diagnostic stage, and the
definitive host for each of
them.

What is the parasitic cause and mode

of human infection of the following :
a. Primary amebic
meningeoencephalitis.
b. Miners anaemia (Egyptian
chlorosis).
c. Chagoma.
d. Calabar swelling.
e. Tropical pulmonary esinophilia.

 45

Marks
A) Clinical Cases: 10 Marks
B) MCQ Single Answer: 15
Marks
C) True or False: 10 Marks
D) Matching: 10 Marks

10

Marks
2 cases
Each case 5 Marks

A 70 years old diabetic female under

cytotoxic drugs treatment started to
complain of diarrhea with fuel smell.
She visited her doctor who ordered
stool analysis, it revealed the presence
of pear shaped flagellated trophozites
sized 15 x 8 . Also, there was an
increased fat content of the stool but
neither mucous nor blood was
existing.

A) What is your provisional diagnosis

for that patient?
B) What is the expected complication
that might occur for such patient?
C) What is the drug of choice for
treating this patient?
D) Mention other four opportunistic
parasites.

A 43- years old farmer visited his physician

for routine physical examination. His
Physician noted an enlarged liver with a
palpable mass in the right hypochondrium.
He asked for stool examination and it was
negative for all parasites. His blood showed
slight eosinophilia. Abdominal sonography
revealed a cyst about 6 cm in diameter in
his right lobe of the liver. Aspiration of the
fluid of the cyst revealed some scolices.

A) What is your provisional diagnosis?

B) Mention the infective stage and
mode(s) of infection?
C) Can this patient pass the disease to
other member of his family and why?
D) What are the most important other
sites in the body that can be affected
by such a cyst?

Answer in Answer Sheet (Red)

Mark Circle Well.
First of All: Write down your name,
number and form of exam (A,B,C,D or
E).
Choose One single answer for each of
the following questions
Each question 1 Mark Only

 Ancylostoma
Amebic

deudenale

liver abcess
Giardiasis
Amebic carrier

 Ancylostoma
Amebic

deudenale

liver abcess
Giardiasis
Amebic carrier

 Schistosoma

infection.

Fasciola

mansoni

hepatica infection.
Fasciola gigentica infection.
Schistosoma haematobium
infection.

 Schistosoma

infection.

Fasciola

mansoni

hepatica infection.
Fasciola gigentica infection.
Schistosoma haematobium
infection.

 Loa

loa.
Wuchereria bancrofti.
Onchocerca volvulus.
Wuchereria malayi.

 Loa

loa.
Wuchereria bancrofti.
Onchocerca volvulus.
Wuchereria malayi.

 Detection

of egg in patient's stool.

Detection of worm in patient's
stool.
Detection of both the egg and the
whole worm in patient's stool.
Detection of metacercaria in
patient's stool.

 Detection

of egg in patient's stool.

Detection of worm in patient's
stool.
Detection of both the egg and the
whole worm in patient's stool.
Detection of metacercaria in
patient's stool.

 Ancylostoma.

Ascaris.

Entameba

histolytica.
W. bancrofti.

 Ancylostoma.

Ascaris.

Entameba

histolytica.
W. bancrofti.

 Naegleria

fowleri
Toxoplasma gondii
Toxocara cati
Taenia solium

 Naegleria

fowleri
Toxoplasma gondii
Toxocara cati
Taenia solium

 Ceratophyllus

fasciatus
Ctenocephalides canis
Ctenocephalides felis
Tunga penetrans

 Ceratophyllus

fasciatus
Ctenocephalides canis
Ctenocephalides felis
Tunga penetrans

 Transmitting

Causing

Babesia

scabies
Transmitting yellow fever
Transmitting Rift Valley Fever

 Transmitting

Causing

Babesia

scabies
Transmitting yellow fever
Transmitting Rift Valley Fever

 Bladder

wall hyperplasia.
Pulmonary embolism.
Hepatosplenomegaly.
Cardiac abnormalities.

 Bladder

wall hyperplasia.
Pulmonary embolism.
Hepatosplenomegaly.
Cardiac abnormalities.

Ingestion of metacercaria in
undercooked crap or cray fish.
Ingestion of encysted metacercaria on
aquatic plants.
Penetration of the cercaria to the
human skin.
Ingestion of undercooked cattle meat.

Ingestion of metacercaria in
undercooked crap or cray fish.
Ingestion of encysted metacercaria on
aquatic plants.
Penetration of the cercaria to the
human skin.
Ingestion of undercooked cattle meat.

 Man.

Dog.
Cat.

Sheep.

 Man.

Dog.
Cat.

Sheep.

 Small

intestine.
Bile duct.
Lung tissue.
Large intestine.

 Small

intestine.
Bile duct.
Lung tissue.
Large intestine.

 Frog.

Snake.

Man.

Cyclops.

 Frog.

Snake.

Man.

Cyclops.

 Small

intestine.
Bile duct.
Retiuloendothelial cells.
Large intestine.

 Small

intestine.
Bile duct.
Retiuloendothelial cells.
Large intestine.

 A)Bile

duct.
B) Skin.
C)Liver tissue.
D)Lung tissue.

 A)Bile

duct.
B) Skin.
C)Liver tissue.
D)Lung tissue.

 10

Marks
10 Questions
Each question 1 mark only
If true mark circle A. If false
mark circle B

 16-

Scotch adhesive tape

is used for diagnosis of
infection with Enterobius
vermicularis.

 16-

Scotch adhesive tape

is used for diagnosis of
infection with Enterobius
vermicularis.
(True = A)

 17-

Leishmaniasis is
transmitted through the
bite of Tse tse fly.

 17-

Leishmaniasis is
transmitted through the
bite of Tse tse fly.
(True

= A)

Diagnosis of Heterophyes
heterophyes infection depends
on detection of eggs in
sputum.

18-

Diagnosis of Heterophyes
heterophyes infection depends
on detection of eggs in
sputum.

18-

(False

= B)

 19-

The main extraintestinal site for

Entamoeba histolytica is
the liver.

 19-

The main extraintestinal site for

Entamoeba histolytica is
the liver.
(True = A)

 20-

Malaria is transmitted
through the bite of male
Anopheles mosquito.

 20-

Malaria is transmitted
through the bite of male
Anopheles mosquito.
(False

= B)

 21-

Musca domestica can

mechanically transmit
Entamoeba hitolytica.

 21-

Musca domestica can

mechanically transmit
Entamoeba hitolytica.
(True

= A)

 22-

False fascioliasis is due

to ingestion of encysted
metacercaria on water
plants.

 22-

False fascioliasis is due

to ingestion of encysted
metacercaria on water
plants.
(False

= B)

 23-

Schistosoma mansoni

is one of the opportunistic

parasites.

 23-

Schistosoma mansoni

is one of the opportunistic

parasites.
(False

= B)

 24-

Sand fly is
responsible for scabies.

 24-

Sand fly is
responsible for scabies.
(False

= B)

 25-

Toxoplasma gondii is one

of intestinal coccidian
protozon parasites in human.

 25-

Toxoplasma gondii is one

of intestinal coccidian
protozon parasites in human.

(False

= B)

 Matching

has separate area in

the answer sheet (Lower part)
Matching has separate
numbering in the answer sheet
10 Marks
Each point 1 Mark only

 Match

each disease
(syndrome) with its
causative parasite

Liver rot

Schistosoma mansoni

Katayama fever

Sarcoptes scabiei

Hydatid disease

Leishmania donovani

Coenourosis

Ancylostoma caninum

Wuchereria bancrofti

Tropical splenomegaly syndrome

Black fever

Fasciola gigantica

Elephantiasis

Plasmodium malaria

Echinococcus
granulosus

Primary amoebic
meningeoencephalitis

Cutaneous larva migrans

Multiceps multiceps

10

Scabies

Naegleria fowleri

Liver rot

Katayama fever

Hydatid disease

Coenourosis

Tropical splenomegaly syndrome

Fasciola gigantica
Schistosoma mansoni
Echinococcus granulosus
Multiceps multiceps

Plasmodium malaria

Black fever

Leishmania donovani

Elephantiasis

Wuchereria bancrofti

Primary amoebic
meningeoencephalitis

Naegleria fowleri
J

Cutaneous larva migrans

Ancylostoma caninum

10

Scabies

Sarcoptes scabiei