LAB TEST 1 Flashcards

(55 cards)

1
Q

What is the primary goal of diagnostic parasitology?

A

To identify any parasites present in a patient (human or animal).

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2
Q

What is the most common specimen for diagnosing intestinal parasitic infections?

A

Fecal samples.

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3
Q

Why is it important to collect fresh stool samples for examination?

A

To prevent degradation of trophozoites and ensure accurate diagnosis.

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4
Q

What are the two forms of protozoa seen in fecal samples?

A

Trophozoites (motile) and cysts (dormant).

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5
Q

What are the common methods used for fecal examination in parasitology?

A

Direct wet mount, fecal concentration, and permanent staining.

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6
Q

What is the purpose of a direct wet mount?

A

To detect motile trophozoites, cysts, helminth eggs, and larvae.

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7
Q

What is the function of iodine in direct wet mounts?

A

It stains cysts, making internal structures more visible.

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8
Q

What is the purpose of fecal concentration techniques?

A

To increase the likelihood of detecting parasites by removing debris and concentrating them.

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9
Q

What are the two main types of fecal concentration methods?

A

Sedimentation and flotation.

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10
Q

How does sedimentation concentration work?

A

It uses differences in specific gravity to allow parasites to settle at the bottom.

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11
Q

How does flotation concentration work?

A

It uses a solution with a high specific gravity, causing lighter parasite eggs and cysts to float.

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12
Q

What is the primary fixative used in stool preservation?

A

10% formalin.

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13
Q

Why is PVA (polyvinyl alcohol) used in stool preservation?

A

It preserves protozoan morphology for permanent staining.

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14
Q

What are the two main types of stains used in fecal parasite identification?

A

Trichrome stain and iron hematoxylin stain.

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15
Q

What is the advantage of using trichrome staining?

A

It provides good contrast and detail for protozoan cysts and trophozoites.

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16
Q

Why is iron hematoxylin staining used?

A

It gives excellent nuclear detail of protozoa.

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17
Q

What are the most common fecal artifacts mistaken for parasites?

A

Pollen grains, plant fibers, yeast, and fat globules.

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18
Q

How can yeast be differentiated from protozoan cysts?

A

Yeast is usually uniform in shape and size, whereas protozoan cysts have internal structures.

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19
Q

What is the best method to detect motile trophozoites in a fresh stool sample?

A

Direct wet mount with saline.

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20
Q

Why should multiple stool samples be examined for parasite detection?

A

Some parasites are shed intermittently, so a single sample may not be enough.

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21
Q

What are protozoa?

A

Single-celled eukaryotic organisms, many of which are parasitic.

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22
Q

What are the four major groups of protozoa based on movement?

A

Amoebae, flagellates, ciliates, and sporozoa (apicomplexa).

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23
Q

What are the two life cycle stages of protozoa?

A

Trophozoite (active, feeding stage) and cyst (dormant, resistant stage).

24
Q

What is the causative agent of amoebic dysentery?

A

Entamoeba histolytica.

25
How is Entamoeba histolytica transmitted?
Ingestion of cysts in contaminated food or water.
26
What are the key diagnostic features of Entamoeba histolytica?
Cysts with 1-4 nuclei, chromatoidal bars; trophozoites with ingested RBCs.
27
What non-pathogenic amoeba is often confused with Entamoeba histolytica?
Entamoeba dispar.
28
What free-living amoeba causes primary amebic meningoencephalitis (PAM)?
Naegleria fowleri.
29
How does Naegleria fowleri infect humans?
Through the nasal passages while swimming in warm freshwater.
30
What amoeba is associated with contact lens infections and granulomatous amoebic encephalitis (GAE)?
Acanthamoeba spp.
31
What flagellated protozoan causes giardiasis?
Giardia lamblia (Giardia intestinalis).
32
How is Giardia lamblia transmitted?
Ingestion of cysts in contaminated water (common in camping and daycare outbreaks).
33
What is a key diagnostic feature of Giardia lamblia trophozoites?
A 'monkey face' or 'owl face' appearance with two nuclei and four flagella.
34
What sexually transmitted protozoan causes vaginitis and urethritis?
Trichomonas vaginalis.
35
How is Trichomonas vaginalis diagnosed?
Wet mount showing motile trophozoites with jerky movement.
36
What hemoflagellate causes African sleeping sickness?
Trypanosoma brucei.
37
How is Trypanosoma brucei transmitted?
By the tsetse fly (Glossina spp.).
38
What hemoflagellate causes Chagas disease?
Trypanosoma cruzi.
39
How is Trypanosoma cruzi transmitted?
By the kissing bug (Triatoma spp.), through feces entering bite wounds or mucous membranes.
40
What protozoan causes visceral, cutaneous, and mucocutaneous leishmaniasis?
Leishmania spp.
41
What is the vector for Leishmania infections?
The sandfly (Phlebotomus spp.).
42
What is the only ciliate known to infect humans?
Balantidium coli.
43
How is Balantidium coli transmitted?
Ingestion of cysts from contaminated food or water, often associated with pigs.
44
What are the diagnostic features of Balantidium coli?
Large trophozoites with cilia and a bean-shaped macronucleus.
45
What apicomplexan protozoan causes malaria?
Plasmodium spp.
46
What are the four major species of Plasmodium that infect humans?
P. falciparum, P. vivax, P. ovale, P. malariae.
47
What is the vector for Plasmodium spp.?
Female Anopheles mosquitoes.
48
What is the causative agent of toxoplasmosis?
Toxoplasma gondii.
49
How is Toxoplasma gondii transmitted?
Ingestion of oocysts from cat feces, contaminated food, or congenital transmission.
50
What are the major risks of Toxoplasma gondii infection in pregnant women?
Congenital defects, miscarriage, and neurological damage in the fetus.
51
What apicomplexan causes cryptosporidiosis?
Cryptosporidium spp.
52
How is Cryptosporidium transmitted?
Ingestion of oocysts in contaminated water (common in outbreaks).
53
What is the best method to diagnose Cryptosporidium?
Acid-fast staining or direct fluorescent antibody (DFA) test.
54
What is the most effective way to prevent protozoan infections?
Proper sanitation, avoiding contaminated food and water, and using insect control measures.
55
Why are protozoan infections difficult to treat?
They often have complex life cycles, intracellular stages, and resistance to some medications.