Nem 1 Compilation

Question 1

Common name of Ascaris L

Answer 1

Giant intestinal round worm

Question 2

Common name of trichuric

Answer 2

Whipworm

Question 3

Common name of capillaria

Answer 3

Pudoc worm

Question 4

Habitat of ascaris

Answer 4

Small intestine

Question 5

Habitat of trichuris

Answer 5

Large intestine

Question 6

Habitat of capillaria

Answer 6

Small intestine

Question 7

Phasmid of Aphasmid?

Ascaris

Answer 7

Phasmid

Question 8

Phasmid of Aphasmid?
Trichuris

Answer 8

Aphasmid

Question 9

Phasmid of Aphasmid?

Capillaria

Answer 9

Apahasmid

Question 10

Role of Humans in life cycle

Ascaris

Answer 10

Definitive

Question 11

Role of Humans in life cycle

Trichuris

Answer 11

Definitive

Question 12

Role of Humans in life cycle

Capillaria

Answer 12

Accidental host

Question 13

Mode of transmission

Ascaris

Answer 13

Ingestion of embryonated egg
Inhalation

Question 14

Mode of Transmission
Trichuris

Answer 14

Ingestion of embryonated egg

Question 15

MOT
Capillaria

Answer 15

Ingestion of infective larva
Autoinfection
ingestion of raw or undercooked contaminated fish

Question 16

Human Diseases (list by the organs affected)

Ascaris

Answer 16

Loeffler’s Syndrome - lungs

Moderate intestinal infection
Lactose intolerance
Vit. A malabsorption

Question 17

Diseases

Trichuris

Answer 17

Intestinal petechial hemorrhages
Intestinal bleeding
Acute appendicitis

Question 18

Diseases
Capillaria

Answer 18

Intestinal capillariasis

Question 19

Complications of severe infection
Ascaris

Answer 19

Bowel obstruction from bolus formation
Intussusception = telescoping
Volvulus (twisting) that may result to bowel infarction and perforation
Trachea = causes obstruction caused by asphyxia (oxygen deprivation)
Bile duct, pancreatic duct = causes pancreatitis
Appendix = causes appendicitis
Intestinal bacteria may be carried to these migration sites → abscess formation

Question 20

Complications

Trichuris

Answer 20

Rectal prolapse in heavy chronic trichuriasis
Blood-streaked diarrheal stools
Abdominal pain
Weight loss
Blood loss: 0.8-8.6mL/day → anemia

Question 21

Complications

Capillaria

Answer 21

Causes of malabsorption
Micro-ulcers in the intestinal epithelium
Mechanical compression of intestinal cells → cellular degeneration

Intestinal capillariasis
Potentially fatal as it causes: Protein losing enteropathy (causes hypoalbuminemia leading to edema), electrolyte imbalance, intestinal malabsorption; Weight loss, malaise, anorexia, vomiting, edema

Question 22

Diagnostic stage with Description
Ascaris

Answer 22

Unfertilized egg
Fertilized egg
Adult worm

Question 23

Diagnostic stage

Trichuris

Answer 23

Unembryonated egg
adult worms

Question 24

Diagnostic

Capillaria

Answer 24

Unembryonated egg

Question 25

Infective stage
Ascaris

Answer 25

Embryonated egg (w/ L3)

Question 26

Infective stage

Trichuris

Answer 26

Embryonated egg

Question 27

Infective stage

Capillaria

Answer 27

encysted larva in freshwater fishes or embryonated egg

Question 28

Ascaris

Single dose:
- (200mg for children 12-23 months): 93.9%
-: 96.5%

Best drug for ascariasis
-10mg/kg max dose 1g:

Answer 28

Albendazole 400mg

Mebendazole 500mg

Pyrantel pamoate

Question 29

Trichuris

Drug of choice
_____BID × 3 days
_____OD x 3 days

Alternative
_____OD × 3 days

Answer 29

Mebendazole 100mg

Mebendazole 500mg

Albendazole 400mg

Question 30

Capillaria

Drug of choice
_____BID x 20 days
Alternative
_____OD × 10 days

Answer 30

Mebendazole 200mg

Albendazole 400mg