1) ( A)

infective stage of Plasmodium
👉🏻 for Human :- Sporozoites
👉🏻 For Mosquito:- Gametocyte
_____

2) ( B)

👉🏻 Plasmodium vivax and ovale associated with relapse
👉🏻 plasmodium falciparum, Malare is associated with Recrudescence
__

3)( B)
Black water fever
Is Autoimmune reaction in response to repeated attack of P. Falciparum

Antibodies against RBS Leads to Heamaturia and heamglobenuria and so Called Black water fever
( one of Falciparum Complications)

__

4) malaria Recrudescence :- ( A)

👉🏻 relapse :- activation of Hypnozoites in the Liver
👉🏻 recrudescence: reactivation of The erythrocytic stage

___

5) mugli and Tilapia is 2nd intermediate host for Hytrophyes Hytrophyes

______

6) ( b)
Is infective stage of All trematoda

Echinococcus infective stage egg for dog , larva for human ( Hydatid cyst)
__

7) Halzoun ( مكرر) :- C

__

8) ( B ) to avoid Disintegration and therfore internal Autoinfection which leads to cysticercosis

____

9 ( C )
_

10 (b)

👉🏻D.H harbours Sexual or Adult stage
👉🏻 I.H harbours asexual or Larval stage

#طفيليات

11_ answer a
12_ answer c
13_ answer C ( H .nana )
14_ answer a
🥎15_ answer b
🥎16_ answer b
the common bile duct is habitat for the following
1_ Fasciola gigantica
2_ Fasciola hepatica
3_ clonorchius sinensis
4_ opisthorchius sinensis

17_ answer d
the malaria paroxysom occurs at one of the following
1_ at end of the schizogony cycle
2_ at the end of erythrocytic schizogony cycle
3_ once scynchronus rupture of erythrocytic shizontes
4_ due to release of the merozoites and residual erythrocytes debris and there pigments into circulation

🎾18 answer c

⛳️suppressive drugs , blood schizobticides (clinical cure )
are
1_ quinine
2_ chloroquine (4_amino quinololine )
3_ mefloquine
4_artimesinine

⛳️causal prophylactic drugs are
1_ pyrmithamine
2_ primaquine
3_ proguanil

⛳️ tissue phase schizonticidal (antirelapse drugs . radical cure)
8_ aminoquinolone ( primaquine)

⛳️gamitocidal
8_ aminoquinolone (primaquine)

⛳️sporonticidal

(proguanil and pyrimethamine )

🥎19 answer a

classification of hydatid cyst accourding to ⚽️shape
1_ unilocular 👉 cyst of Echinoccocus granulosus
2_ alveolar 👉cyst of Echinoccocus multilocularis
3_ polycystic
⚽️ accourding to development
1_endogenous
2_ exogenous
3_metastatic
⚽️ accourding to production of scolices
1_ cephalocystic
2_acephalocystic
⚽️ accourding to fertility
1_fertile cyst
2_ sterile cyst

🥎20 answer b

🥎21_ answer b

in both Taenia solium and hymenolepis Nana the man act as both a definitive and an intermediate host

#طفيليات

🌽mode of infection of trematoda:
🥨1 by ingestion of raw equatic vegetables containing encysted metacercaria 🥬🥦
in Fasciola gigantica and hepatica , Fasciolopsis buski

🥨2_ by ingestion of undercooked or draw fish 🐬
containing encysted metacercaria in :
heterophyes heterophyes
clonorchius sinensis
opisthorchius sinensis
metagonimus yokogawi

🥨3_ by ingestion of raw or under cooked crabs in
paragonimus westermani

#تجميعات_تريماتودا
#طفيليات

22 ) (C )
( liver 70% - Lung24% )

23) ( c) D .latum
Due to competition of parasite with host for Vitamin B12

24) A
Ova >> Cysticercosis
Larva> Teniaeasis

25) ( D)
Larva of :-
👉🏻Multicipes multicipes >> Coenurosis
👉🏻E.granulosa >> Hydatid cyst
👉🏻D. mansoni >> sparganosis
👉🏻 T. Solium >> Cysticercosis

26) ( c)

Falciparum is associated with Recrudescence not relapse

27) ( D)

The fate of the hydatid cyst is all mentioned ..
But: Shrikage and Calcification

28) ( B)

29) ( B)
Multiocular Hydatid cyst:
👉🏻 Proliferate in any Direction like cancer and metastasis not costant Direction
👉🏻 Grow from peripheral to central
👉🏻 Degenerate from centre
👉🏻 inside the human it has no protoscolex due to immunity
👉🏻 spongy mass surrounding by fibrous tissue strands

30) ( a)

👉🏻Lymnea cailliandi ( Fasciola gigentica)
👉🏻 lymnea Truncaulata ( Fasciola hepatica)
👉🏻 Pirenella Conica ( Hytrophyes Hytrophyes)

#طفيليات

🦉1_ answer a

about Ancylstoma dudenalae :
🐥 the infective stage is filariform larva
🐥the diagnostic stage is immature eggs
🐥eggs number are 20,000 eggs /female /day
🐥mode of infection is penetration through the skin
🐥they are positive thermotropism ,hydrotropism, histotropism
but negative geotropism
🐥about moults
first twice in soil
then the third time in lung
the the fourth time in small intestine

🦉2_answer محذوف

🦉3_ (A)

cysticercus larvae of Taenia solium found in
subcutaneous tissues , brain , heart , eye of human

cysticercus larva of Taenia saginata found in
tounge , heart , active striated muscles of beef

cysticercoid larva of hymenolepis Nana found in
villio of small intestine of man

unilocular larva of Echinoccocus granulosus found in
liver 70 % lung 24% kidney then bone then brain of man


coenurus cerebralis larva of multiceps multiceps found in
brain and spinal cord of herbivore animals rarely in man

sparagnum larva of D. mansoni
and D. proliferum is found in
subcutaneous tissues, muscle and eye

🦉4_ (B)
the presence of eggs in tissues stimulate ba tissue reaction producing format of local tubercles or granulomatous lesions leading to stricture , chronic ulcers, polyp , Sandy patches

🦉5_ (B)
⛑acute stage of S. mansoni ( intestinal bilharziasis )
fistula
abdominal pain
dysentery

⛑acute stag of S.hematopium
(urinary bilharziasis )
terminal haematouria ( endemic haematouria).
frequency of micturation
dysuria

🦉6_ (D)

🦉7_(C)
trophozoites are seen in liquid stool but cyst in formed stool

trophozoites are non infective
cysts are infective

acute amoebiasis associated with liquid stool and trophozoites so non infective

chronic amoebiasis and carrier associated with formed stool and cysts so infective


🦉8_ (A)

🦉9_ (B) مكرر

🦉10_ (B)
if IgG is negative no infection
if IgG is positive the following are diagnosed
1_ infection over 2 years ago if IgM is negative
2_ past or new or false positive infection if IgM is positive
3_infection within past 3_6 months if IgM is high positive


🦉11_ congenital toxoplasmosis is characterized by
1_ abortion or still birth
2_ CNS manifestations
3'_ eye manifestations

acute acquired toxoplasmosis is characterized by
1_ lymphatic manifestations
2_ cerebrospinal manifestations
3_ exanthematous manifestations as rash and typhus

chronic aquired manifestations
no symptoms exept in AIDS patient

🦉 12 (C)
leishmania associated with increase globulin and decreased albumin


13_ (A)

#_طفيليات

14 ) A

15) B
( for Toxocara canis which visceral Larva migrans)
Diagnosis:-
1) Serology : ELISA and RAST " Radio -allergo-sorbant Test for detection IgE
2) marked Eosioophillia, hyper gamma globulinmeia
3) laproscopy and Biobsy from liver

16) B
(انواع السيركاريا في منشور سابق ^^)

17) D
👈🏻❗️Katayama fever is immunological reaction aganist heavy infection with Schistosomas and greet number of eggs ( Febrile reaction with Hyper- Eosioophillia)
It is the commenest infection with S. japonicum . Less common with mansoni and heamatobium

18) ( C)
Like other trematoda. .. the Infective stage is Encysted metacercaria

19) ( A)
Brcause Adult Stage of Echinococcus granulosa is not found in Human at all
( only larva = Hydatid cyst)

20) B
H.nana is the Dwarf Tapewarm

21) B
Nocturnal Enuresis with Enterobius vermicularis
>> At night migration of Female worm to anus and Put the egg in the peri-anal skin ... on its way it causes irritation of urethra and Enuresis .

22) c
Trichuris trichiura has no migration phase

23) C
👉🏻Adult female of Strongyloides stercoralis Oviposits " not Larviperious "
👉🏻 facaltative Parasite can live either free or parasitic
👉🏻 can change to adult in the lung

24) A
Strongyloides stercoralis we can only find larva in stool

25) D
Each of T.solium , H.nana , Enterobius vermicularis can cause Autoinfection

#طفيليات

🚗26 _ (C)
diagnosis of oxuriasis or enrobiasis by
1_ adult worm in stool
2_ NIH swap
3_ scotch adhesive swap

diagnosis of ancylostomiasis
by
1_ concentration method or Kato smear (for eggs )
2_ anemia
3_ clinical

diagnosis of strongyloides
by
1_ rhabditiform larva in stools
2_ esinophilia
3_ larva in sputum
4_ Elisa and ifat

diagnosis of ascaris

1_ clinical cough and dyspnea
2_ esinophilia
3_ X Ray
4_ eggs in stool or larva in sputum

🚗27_ (D)
rectal prolapse is a complication of Trichuriasis as a result of oedema of the rectum produced by the number of Trichuris trichuria worms embedded in the Rea

🚗28(B) مكررر

🚗29_(B)
loefler's syndrome is local inflammatory reaction around the larva of the ascaris and also of Ancylstoma dudenalae in the lung manifested by dry cough ,long grade fever , dyspnea , esinophilia
also the sputum contain Charcot leyden crystals

🚗30_(A)
paragonimus westermani is lung fluck is not associated with anemia

🚗31_ (محذوف )
🚗32_(محذوف )
🚗33_(B) مكرر
🚗34_(D) الله يعينكم على االادوية، 🤯وجرعاتها
🚗35_محذوف
🚗36_محذوف
🚗37_(B)
peruritis Ani is caused by Enterobius vermicularis ( oxyuria ) adult female during it's protrude through the anal canal to put it's eggs in anal and Peri anal region mostly in children and especially at night

#طفيليات

1) A مكرر

2) b
🌚In mosquito ... there is the sexuall stage ( Difinitive Host)and called Sporogony .. only

In the man : Gametogony , Pre- / Erythrocytic Shizogony ( Asexuall)

3) B

🌚Infective stage of Leishmania is Promastigoite ... then engulfed by Macrophage and Turn to amastigoite which attributed in Leishmanioma

4) A
🌚Radical treatment Primaquine ( 8- Amino-quinoline

5) a
🌚Giardia Lamblia is associated with Diarrhea not Dysentery

6) Blood smear
🌚Intestinal amoebiasis has no esionphilla nor Blood manifestations

🌚Diagnosis:- Direct antigen ( Coproantigens )

🌚Extra - Intestinal amoebiasis may be diagnosed through Blood Smear

7) c ( مكرر)

8) b ^^^^

9) d ( مكرر )

10) b ( مكرر)

11) a ( مكرر)

12) b ( مكرر)

13) c ( مكرر)

#طفيليات

🕹14_ (D)
congenital and acute toxoplasmosis must be treated

chronic toxoplasmosis requires no treatment

1_ combination of pyrimethamine (daraprim) and trisulfapyrimidines

2_ spiramycin

mode of infection by toxablas

diagnosis of toxoplasmosis
labratoray
1_frenkel test (toxoplasmin I. D test )
2_ Sabin_ fedlman's test

X Ray for reveals cerebral calcification

🕹15_(A) مكرر
🕹16_( B)
🕹17_(A)
common with S. japonicum
less common with S. mansoni
rarely with S. haematopium
🕹18_ (A)
diecioues means has two separate sexes
monoecious means has non separate sexes
🕹19_ (B)
adult worm of Enterobius vermicularis usually detected in stool but not the eggs
🕹20_ (c)
🕹21_ (B) مكرر
🕹22_ (D)
all the following worms has migratory phase in lung
1_strongyloides stercoralis👉
dwarf thread worm
2_ancylostoma dudenalae 👉
hook worm
3_ ascaris lumbricoids👉gaint cylindrical worm
4_ necator Americans worm

exept Enterobius vermicularis 👉seat worm

🕹23_ (B) مكرر
larviparous ❎
ooviposuts ✅

🕹24_ (A) مكرر

🕹25_ (c)
🕹26_(C)مكرر

#طفيليات

🌚 Rectal Prolapse:- ( D)
With Trichuris trichiura

🌚 pathogenic Activity of Entamoeba histolytica Except :- B

👉🏻 Dependence on resistance of the host
👉🏻 Condition of the Intestinal tract
👉🏻 The virulance and invasevness
👉🏻 facilitated by CHO diet , phsical and Chemical injury

🌚 Loeffler Syndrome : B
( مكرر ) >>
Inflammatory/ allergic reaction due to Larva not Adult

🌚 no anemia with Pargaonimus

👉🏻 Schistosoma , Trichuris , hook worm ( microcytic hypochromic )
👉🏻 D. Latum ( Macroctic Hyperchromic )
👉🏻 Malaria ( Heamolytic )
👉🏻 Leishmania Denovani ( Hypoplastic )

🌚 the Determined factor
Answer is " C "

👉🏻 bacteria flora
👉🏻 physiological status
👉🏻 Acidity Lowered to PH ( 5-7) ✔️

Normal PH ( 3.8- 4.4) ✖️

🌚 ( b) Routine Diagnosis of Toxoplasmosis is Serology

🌚 none of Above

🌚مش علينا

🌚 مش علينا

🌚 37 ( B )
مكرر

🌚38 ( C)
Anclyostoma duodenale leads to microcytic hypochromic anemia due to Blood Lose >>> Iron deficiency

#طفيليات