ParaLab - Diagnostic Para Flashcards

(53 cards)

1
Q

simplest and easiest technique to facilitate detection of intestinal parasites that infected subjects pass in their feces

A

direct fecal smear

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2
Q

used to directly detect presence of protozoans and helminths?

A

DFS

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3
Q

what solution in the DFS is used for the detection of trophozoite and larva motility?

A

NSS

Normal Saline Solution

  • may also detect RBCs, Leukocytes, Charcot-Leydens
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4
Q

What solution do u use in DFS to demonstrate parasite structure?

A

Lugol’s Iodine

Iodine destroys trophozoites and organisms present

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5
Q

What solution do you use when u want to detect protozoan cysts?

A

Lugol’s

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6
Q

How many drops each should you use in NSS & Lugol’s?

A

1 drop each

NSS muna b4 Lugol’s coz iodine is toxic sa parasites

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7
Q

this is the qualitative analysis ng laboratory diagnosis since parasite identification is employed. what test is it?

A

DFS

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8
Q

This is the quantitative part ng Lab Diagnosis tests. It is used to count eggs of STHs.

A

Kato-Katz Technique

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9
Q

what is egg-counting used for?

A
  • assess efficacy of treatment
  • correlate severity of disease w/ intensity of infection
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10
Q

this is the manner of reporting when using Kato-Katz technique

A

epg

eggs per gram stool

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11
Q

what are the STHs?

A
  • H = ookworm
  • A = scaris lumbricoides
  • T = richuris trichiura
  • S = trongyloides

Schistosoma is not an STH pero nabibilang siya sa katokatz; Strongy no to kato afaik

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12
Q

for how many hours should you soak cellophane in the clearing agent first?

A

for 24 hours

if cellophane isn’t color green, add malachite green

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13
Q

where do you soak the green-colored cellophane?

what’s the clearing agent used?

A

glycerol-glycerine

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14
Q

why do we use green cellophane or malachite green?

A

other colors are strenuous. para masarap sa mata

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15
Q

steps in Kato-Katz

no need to memo this. just understand

A
  1. sieve stool using nylon screen
  2. scrape stool
  3. prep slide and template w/ hole then pahid stool then meron na sa slide
  4. place now the soaked cellophane then flatten by flipping or wine cork
  5. set aside for 1 hour so glycerol (clearing agent) may do its part
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16
Q

In Kato-Katz, hookworm eggs clear rapidly and won’t be visible after ____ to ____ mins

A

30 to 60 mins

so u need to leave slide w/ cellophane for that long lang

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17
Q

Schistosome eggs in Kato-Katz procedure is preferable examined within how many hours?

A

24 hours

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18
Q

True or False

Ascaris lumbricoides and Trichuris trichiura eggs will still be visible after many months in DFS

A

False, in Kato-Katz

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19
Q

for a 9 x 1 mm of template, how many grams of stool will u get and how much will u multiply that to get the epg?

A

50mg; x20

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20
Q

for a 6 x 1.5 mm of template, how many grams of stool will u get and how much will u multiply that to get the epg?

A

41.7 mg; x24

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21
Q

for a 6.5 x 0.5 mm of template, how many grams of stool will u get and how much will u multiply that to get the epg?

A

20mg; x50

pansin niyo, mg is indirectly proportional to amt multiplied bababhawdbaa xori i miss p6

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22
Q

Hookworm classification of intensity of infection for Kato-Katz

A

light< 2k-4k >=high

lesser than 2k is light, moderate is gitna. greater than or equal to 4k is high

23
Q

Ascaris lumbricoides classification of intensity of Infection for Kato-Katz

A

light< 5k-50k >=heavy

lesser than 5k is light; between is moderate; greater than or equal to 50k is high

24
Q

Trichuris trichiura classification of intensity of Infection for Kato-Katz

A

light< 1k-10k >= heavy

lesser than 1k is light and gr8r than or = to 10k is heavy

25
*Schistosome* spp. classification of intensity of Infection for Kato-Katz
light< 100-400 >=heavy
26
what is recognized as the golden standard of malaria diagnosis?
Thick and Thin smear
27
In thick and thin smears, what type of blood is preferred?
capillary blood | thru puncture
28
after collecting drops of blood for thick smear, what do you do?
dehemoglobinize by dipping in water
29
this type of smear is used for screening purposes.
thick smear ## Footnote used because mas maraming amt of blood.
30
why do we dehemoglobinize thick smears?
so that hemoglobin will not obscure parasites | ghost cell (ata) kasi hanap natin
31
what will we do after we remove hemoglobin in thick smears?
stain with Giemsa (pH 7.2) ## Footnote remember that basic stains adhere to acidic parts of d cell (nucleus kasi andon DNA/RNA deoxy.... **acid**)
32
this smear is used for the determination of parasite species. ## Footnote or "confirmatory" but madam diana doesn't want confirmatory
thin smear ## Footnote allows us to determine parasite present and is more specific
33
after we smear the thin one, what do we do next?
fix with methanol ## Footnote then stain w/ Giemsa after
34
when do we collect thick and thin smears?
at the height of fever (during fever)
35
average diameter of blood for thick smear
1-2 cm ## Footnote for thin, feathered dapat and smear must cover **1/3** of the slide
36
formula for %parasitemia
%parasitemia = (parasitized/total) x 100
37
this laboratory diagnosis technique is used for the diagnosis of Enterobiasis and Taeniasis
Cellophane swab | or perianal swab
38
Cellophane swab is only used for what parasite since its stool recovery is poor (<5%)
*Enterobius vermicularis*
39
time of collection for cellophane swab
**early in the morning** b4 washing or defecation
40
MOT of *Enterobius vermicularis*
- fecal-oral - inhalation of eggs
41
during what time of the day does *Enterobius vermicularis* lay its eggs in the perianal region?
during night
42
Enterobiasis is characterized by severe itching in the perianal region and this is called?
pruritis ani
43
this laboratory diagnosis technique is used to detect number of parasites present in stool and to remove debris that masks parasite
Concentration
44
two types or methods of concentration
1. Flotation 2. Sedimentation
45
In sedimentation, we should produce a solution with a ____ specific gravity than the stool sample so that parasite will sink | lower or higher
lower ## Footnote mas mataas dpt spec grav ni stool so that it'll sink
46
In flotation, we should produce a solution with a ____ specific gravity than the stool sample so that parasite will float | lower or higher
higher ## Footnote mas mababa spec grav ng stool will allow it to float
47
what life cycle stage of the protozoan will be destroyed when u use FEACT?
trophozoites
48
Conc techniques may use what type of stool specimen? | fresh or fixed?
fresh or fixed
49
ethyl acetate in FEACT is for what?
lipid dissolving
50
two types of solutions that may be used in flotation?
1. NaCl sol'n 2. ZnSO4 sol'n
51
spec grav of sodium chloride solution
1.20
52
spec grav of zinc sulfate solution
1.35
53
in flotation, all will rise except what?
operculated eggs ## Footnote - operculated = trematode eggs & some cestodes - too fragile daw kasi masisira smth pagkakaalala q