Amebaisis Flashcards
(15 cards)
Which of the following is false regarding amebiasis
A. Entamoeba dispar is common in homosexuals
B. HIV is not associated with increased risk of intestinal or extra-intestinal manifestations
C. Most patients asymptomatic carriers
D. Parasite genotype plays a role in determining outcome
E. Person to person transmission does not occur
Person to person transmission can occur
Which of the following is not true
A. Cysts can survive under fingernails for 45 min
B. Remain infective in freshwater and seawater
C. Cysts are acid resistant
D. Trophozoites are infective form
Cysts are infective form
Cysts of entamoeba are NOT destroyed by
- Iodine
- Chlorination
- Drying
- Heat
Chlorination
E histolytica and E. dispar cannot be differentiated based on
- Zymodemes
- Serology
- Electrophoretic mobility of isoenzymes
- PCR
Serology
Gold standard for community screening of E. histolytica
- Microscopy of unfixed stool
- Ritchie’s fecal concentration
- Staining of alcohol fixed stool
- Robinson’s in vireo culture
- Stool Ag
- Serology - IHAT, ELISA, Immunoflourescence
- Isoenzyme electrophoresis
Isoenzyme electrophoresis and Robinson’s in vitro culture are gold standard
Direct microscopy is more sensitive than serology
Most common cause of long term disability
leprosy
Filariasis
Polio
Syphilis
Leprosy is the most common cause of long term disability followed by filariasis
Males are more prone to filariasis - because females cover most of their body
T/F?
True
Which is true regarding filariasis
- Adult worms cause lymphatic obstruction
- Acute presentation with fever, lymphadenitis and lymphangitis
- Occasionally adult worms may felt subcutaneously
- All of the above
All of the above
Which is true
- Hydrocele is a late presentation of filariasis
- Tropical pulmonary eosinophilia caused by ascaris
- Filariasis can cause chyluria and Chylous ascites
- Microfilariaea are absent in chylous urine, chylous ascites and hydrocele
Hydrocele is an early presentation
Tropical pulmonary eosinophilia is caused by filariasis - dry cough
Parasite can be isolated from chylous urine, chylous ascites and hydrocele
DEC stands for
- Diethylcarbamazine
- Diethylcarbamazepine
- Diethylcarbazole
- Diethylcarbamizole
Diethylcarbamazine
Match the following with correct concentration used as scolicidal
- Hypertonic saline
- Ethanol
- Povidone iodine
A. 10%
B. 75-90%
C. 1%
D. 15-20%
Povidone iodine 1%
Hypertonic saline 15-20%
Ethanol 75-90%
Which of the following is not used for treatment of cystobilliary communication
- Ommentoplasty
- Ercp
- Duct ligation
- Hepatectomy
Answer - ercp stenting is not used
The communication can be dealt with resection, ommentoplasty prevents development of fistula in the cavity, opening can be suture ligated
Which of the following is not a treatment option for long lateral injury of cbd
- Cystic duct stump
- Jejunal Pedicle flap
- RnY jejunal serosal patch
- Primary repair over t tube
Primary repair over t tube is unlikely to succeed. Leads to stenosis.
Which of the following are true regarding lung hydatid disease
- Lesions are usually single
- Meniscus or crescent sign S/o imminent rupture
- Water lily sign can be seen on CT, X-ray and USG and suggestive of rupture with endocyst floating over the fluid.
- Medical treatment is considered when surgery is not possible
- Ectocyst is not infective
- All of the above
Meniscus sign is seen when bronchioles are eroded and air enters between pericyst and laminated membrane - S/o of imminent rupture
Ans - all are true
Which of the following is not done in lung hydatid ds.
- Cystostomy
- Capittonage
- Pericystectomy
- PAIR
- Segmentectomy
- Pneumonectomy
Ans - PAIR
