PARA LAB - FECAL ARTIFACTS Flashcards

1
Q

Fecal artifacts is also known as

A

Pseudoparasite

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2
Q

Are responsible for incorrect identification “confusers”

A

fecal artifacts

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3
Q

Components of Feces

A
  • undigested food
  • digestive by-products
  • human cells
  • secretions from digestive tract
  • microorganisms (because human intestine contains microbiota)
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4
Q

T/F: Artifacts in human samples are responsible for incorrect identification “Confusers”

A

True - waste component of our body can be mistakened as parasite

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5
Q

T/F Fecal artifacts are pseudoparasites often mistaken as real parasites.

A

True

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6
Q

T/F Artifacts in human samples are responsible for incorrect identification “Confusers”

A

True

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7
Q

What can be mistaken as an ascaris egg or taenia egg or other helminth eggs

A

Pollen

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8
Q

How to distinguish pollen from a parasite

A
  • check size and shape
  • has no internal structures
  • lack 6-hooked oncosphere found in Taenia
  • taenia has striations
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9
Q

T/F Pollen has no internal structures

A

True

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10
Q

T/F Presence of oncosphere is an indication of Taenia parasite

A

True

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11
Q

Fecal artifact that may be confused with helminth eggs

A

Vegetable cell

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12
Q

How to identify a vegetable cell

A
  • Vegetable cells appear larger in size
  • Vegetable Cell appear polygonal and flattened
  • Vegetable Cell’s interior portion is unorganized and contain large vacuoles
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13
Q

Fecal artifact that may be confused with helminth larva and tapeworm eggs

A

vegetable spirals

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14
Q

How to identify a vegetable spirals

A
  • Vegatable has ladder-like appearance
  • vegetable cell lacks head or tail region
  • tapeworm egg have internal organs
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15
Q

Fecal artifact that may be confused with helminth larva such as hookworms & strongyloides because of shape and size

A

PLANT HAIR/FIBER

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16
Q

How to know if it is not a parasite but instead a plant hair/fiber

A
  • It Lacks head or tail region and It has no internal organs
  • They are often broken at one end
  • It must have a refractile center
  • Lack internal structures seen in true parasites
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17
Q

T/F Budding is an indication of candida albicans

A

True

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18
Q

Fecal artifact that May be confused with Cryptosporidium spp., Cyclospora spp., microsporidia, helminth eggs, or
protozoan cysts (depending on size and color)

A

Yest cell

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19
Q

Agent of diarrhea

A

Coccidian parasites: Cryptosporidium spp.,
Cyclospora spp.

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20
Q

T/F Fresh or freshly preserved stools with significant numbers of budding yeast may indicate systemic infection especially in immunosuppressed patients

A

True

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21
Q

T/F The presence of branching pseudohyphae may be an indication of pathogenicity of the yeast present (Candida spp.) and should be reported

22
Q

Fecal artifact that resemble protozoan cyst (E. hartmanni & E. nana)

A

Starch cells/Granules

23
Q

Common Fecal Artifact when using powderized gloves also when slides are reused and cover slip is dirty

A

Starch Cells/ Granules

24
Q

if <10 um

A

starch cells/granules

25
Staining used in Starch Cells
Iodine Staining
26
T/F Undigested starch stains = Blue-black
True
27
T/F Partially digested = Red/Pink
True
28
WHAT FECAL ARTIFACT IS BEING DESCRIBED ● Round to irregular round-shaped ● “Starch granules” if <10 um ● Very refractile ● Has no internal structure of nucleus ● It may resemble protozoan cysts (E. hartmanni & E. nana)
Starch cells
29
Fecal artifact that may be confused with helminth ova
Beaver bodies
30
A parasite that cant infect humans and has no clinical significance
beaver bodies
31
also known as corpora parasitica
beaver bodies
32
Fecal artifact found when crayfish is consumed
Beaver bodies
33
Protistan parasites of crayfish
Beaver bodies
34
Usually Spherical in shape: ○ There are different sizes ○ Highly refractile ○ No internal organs
Fat globules
35
This is usually present in the stool due to malabsorption or pancreatic deficiency
Fat Globules
36
Fecal artifact that may be confused as protozoan cyst
Fat globules
37
excess fecal fat is called?
steatorrhea
38
T/F Excess fecal fat may cause Giardia Duodenalis
True
39
What fecal artifact is being described ● Rectangular in shape ● With or without striations ● Normally present especially in high red-meat diet
Muscle fiber
40
Presence of too much muscle fiber
creatorrhea
41
Fecal artifact that may be confused as **tapeworm proglottid**
Muscle fiber
42
Seen in improperly prepared wet mounts/smear
Air bubbles
43
found in the stool usually indicates an infection
White blood cells
44
Fecal artifact that can be mistaken as Entamoeba Histolytica/E. Dispar (cysts)
White blood cells
45
These are formed from the break-down products of eosinophils
Charcot Leydan Crystals
46
● Slender crystals with pointed ends “diamond-shaped” ● Stain red-purple with trichrome stain
Charcot Leydan Crystals
47
May indicate hypersensitivity/allergic reaction and parasitic helminth infections
Charcot Leydan Crystals
48
Fecal artifact that may be confused with amebic trophozoites
Epithelial Cells
49
From anal mucosa
Squamous epithelial cells
50
# H How to distinguis epithlieal cell from amecbic trophozoites
it lacks interior structures of amebic trophozoites and it is with a large, refractile nucleus, with distinct cell border
51
From intestinal mucosa
Columnar epithelial cells