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Parasite Exam 1
General - Protozoa
Question | Answer |
---|---|
Parasitic diseases are common to what climate? | Warm |
What can affect parasite distribution? | Social and economic conditions. Greater numbers in developing countries |
The degree of injury from a parasite depends on what factors? | Number, Size, Activity, and location in host |
Diagnosis of a parasite requires what? | lab detection and identification |
Unicellular eukaryotic microorganisms | Protozoa |
What parasites are in the Protozoa group? | Amebas, Flagellates, Ciliates, Hemoglagellates, and Sporozoa |
Pseudopodia | Amebas |
Flagella | Flagellates |
Cilia | Ciliates |
Flagella ; Blood & Tissue protozoa | Hemoflagellates |
Protozoa are what type of parasite? | Endoparasite |
Metazoa; Worm-like invertebrates | Helminths |
Intestinal roundworms | Nematodes |
Tissue roundworms | Filariae |
Tapeworm (segmented flat worm) | Cestoda |
Fluke (non segmented flat worm) | Trematoda |
Hard exoskeleton, Jointed appendages | Arthropods |
Flies, Mosquitoes, Bugs, Lice are what? | Insects |
Ticks and Mice are what category? | Arachnids |
Arthropods are what kind of parasite? | Ectoparasite |
Active, vegetative form of Protozoa | Trophozoite |
Inactive, resistant, infectious form | Cyst |
Mature stage of Helminths | Adult |
Egg stage of Helminths | Ovum (Ova) |
Immature stage of Helminths | Larvae |
Pinworm | Enterobious vermicularis |
What sample is preferred in parasite testing? | Stool |
How many specimens are sufficient for detection of Helminth ova? | 1 or 2 |
How many specimens are sufficient for detection of Protozoa? | 3 specimen collected every other day |
What preservatives are used on stool samples? | Formalin Polyvinyl alcohol |
How soon should a stool sample be tested in the lab? | As soon as possible |
Formalin is made of what? | 10% V/V aqueous formaldehyde |
Formalin ratio for feces | 1:3 |
Polyvinyl alcohol ratio for feces | 1:3 |
Formalin is used for what identification? | Wet mounts only! |
Polyvinyl alcohol is used for what identification? | Permanent smears |
SAF stands for | sodium acetate-acetic acid formalin |
SAF is used for | Permanent smears and concentrated methods |
What color do protozoa stain with Iron hematoxylin stain? | Gray-blue to black |
Protozoa stain what color with Trichrome stain? | blue-green to purple` |
What color is the background with a trichrome stain? | green |
what objective is necessary for smears? | Oil Objective (100x) |
Flotation uses what solution? | zinc sulfate |
what is the specific gravity of the zinc sulfate solution used in flotation? | 1.180 |
Flotation is best for what parasites? | Protozoan cysts, Hymenolepsis nana ova, and Hookworm ova |
Formalin ethyl acetate centrifugation is another term for what procedure? | Sedimentation |
Which method is better: sedimentation or flotation? | Sedimentation |
What Iodine solutions are best? | Dobell and O'Connor or D'Antoni's |
Which iodine solutions are okay to use, but not best? | Lugols |
What solutions should you never use to stain parasites? | Gram's or Burkes |
Iodine Wet Mount procedure | cover mount and seal with vespar scan on 10x. use 40x to identify. DO NOT USE OIL! |
Trichrome Stain Smear Procedure | use 40x to scan. use 100x to identify. Must use fine focus to identify characteristics |
What scanning style should be used? | Overlapping fields |
Device to measure things on a microscope | ocular micrometer |
mm scale used to calibrate micrometer | scale micrometer |
lumen dwelling protozoan cysts are found in | normal stool |
lumen dwelling protozoan trophozoites are found in | diarrhea |
which entamoeba species is pathogenic? | Entamoeba histolytica |
Which entamoeba species is non-pathogenic? | entamoeba dispar |
Round, peripheral chromatin, nucleolus in center (dot) | Entamoeba Histolytica |
Lumen dwelling protozoan cause | Amebiasis |
Lumen dwelling protozoan cysts are found in | contaminated food and water |
Amoebas can cause | amebic dysentery |
how is entamoeba histolytica transmitted? | person-to-person |
mature cysts of entamoeba histolytica have how many nuclei | 4+ |
what is the smaller species in the entamoeba category? | Entamoeba hartmanii |
Lumpy chromatin, eccentric nucleus, cysts have up to 8 nuclei. blunt, jagged end to chromatoidal bodies | entamoeba coli |
nana means what?http://www.studystack.com/EditData2.jsp?studyStackId=600576# | small |
no perichromatin, large karyosome | endolimax nana |
commensal parasite | iodamoeba butschlii |
40-50% have 2 nuclei. No cyst. Karyosome in 3-4 pieces | dientamoeba fragilis |
what is the habitat for free-living amoebas? | natural warm waters (ponds, lakes) and soil |
free living amoebas are distributed where? | worldwide |
acute primary amebic meningoencephalitis (PAM) | Naegleria fowleri |
severe headache, vomiting, fever, rapid progression to coma and death (<10days) | naegleria fowleri |
subacute or chronic granulomatous encephalitis | Acanthamoeba species |
skin infections, keratitis, corneal ulcers are from | Acanthamoeba species |
Free living amebic infections are diagnosed by | CSF, biopsy, corneal scrapings |
Free living amebic infections are contracted mostly by: | swimming. parasite is in water that gets into nose. travels to CNS. can cause eye infections if water is in eyes. |
What is the only pathogenic ciliate? | Balantidium coli |
What parasite is associated with monkeys and swine? | Balantidium coli |
Macronucleus, vacuoles, and cytosome (mouth) | Balantidium coli |
What is the common disease caused by Balantidium coli? | Balantidiasis |
What is the most common worldwide Protozoan infection? | Giardiasis |
Also known as "Beaver Fever" and "Hitchhikers Diarrhea" | Giardia |
This protozoan affects the small intestine, above the duodenum | Giardia |
Fatty/frothy stool, malabsorption, bloating, flatulance, steatorrhea | Giardiasis |
Trophs and cysts of Giardia are found in | stool and/or duodenal contents |
Flagellate. Binucleate. Adhesion cup. Very flat. Looks like a face. | Giardia |
The enterotest aka "string test" is used for what species? | Giardia |
How is Trichomonas vaginalis transmitted? | Sexually |
How many new cases of T. Vaginalis are there each year in the US? | 5 million |
Asymptomatic infections are more common in men than women in this disease: | Trichomoniasis |
What type of identification method is best for T. Vaginalis | Wet mounts. They will have a jerky movement |
Trophs of T. Vaginalis will appear in what samples? | Smears and urine |
Pear shaped, large nucleus, Flagellate, unjulate membrane | Trichomonas Vaginalis |
Where are Cryptosporidium species found? | Aquatic environments that are resistant to chlorination |
How is Cryptosporidiosis diagnosed? | Oocysts in stool |
What can be used to identify the Cryptosporidium species? | Immunofluorescence. Highly sensitive |
Cryptosporidium species can be stained using what? | Acid Fast stain |
What should be used to diagnosis blood and tissue protozoa? | Peripheral blood smear or biopsy tissue |
How is Toxoplasmosis transmitted? | Through cat feces and raw meat |
How is Toxoplasmosis diagnosed? | Serological testing |
What are the symptoms of Toxoplamosis? | mild to symptomatic ; flu-like symptoms |
What is the primary host of Toxoplasma gondii? | Domestic cats |
Oocysts from domestic cat feces can affect what body systems? | Muscular, Eye, and CNS |
When do congenital infections of Toxoplasmosis occur? | During pregnancy |
What is the most common form of Malaria? | Plasmodium Vivax |
Plasmodium Falciparum is also know as | Black Water Fever |
How is Malaria transmitted? | By the Anopheles species of mosquitoes |
How is Malaria diagnosed? | Trophs, Schizonts, and Gametocytes found in peripheral blood |
Malaria is endemic in how many countries? | 90 Countries |
Malaria infects how many people worldwide? | 500 Million |
How many people die annually from Malaria? | 2.7 Million |
What age group dies most often from Malaria? | Children |
What does Malaria cause? | Red Blood Cell destruction |
What is the infective form of plasmodium? | sporozoites |
What is the method of infection for Malaria? | Mosquito bites another human, injecting sporozoites. |
What is the infectious form of plasmodium for RBCs? | Merozoites and cryptozoites |
This infection has a cyclic condition, with symptoms occuring every 36, 48, 72 hrs. | Malaria |
What type of blood smear should be used to diagnose Malaria? | Thick blood smear |
How do you make a thick peripheral blood smear? | Place three drops on slide. Use corner edge of another slide to mix in circular pattern |
Plasmodium vivax attacks what portion of the body? | Reticulocytes |
What form of Plasmodium has multiple trophs in RBCs | P. Falciparum |
What shape is P. Falciparum? | Crescent shaped |
Which Plasmodium species has stipling? | P. Vivax |
Which Plasmodium species has a banded form? | P. Malariae |
Which Plasmodium species has some drug resistance? | Plasmodium Falciparum |
Test that is antigen specific for three forms of malaria? | Binax NOW |
Babesia microti & Babesia divergens cause what common name disease? | Babesiosis |
Babesiosis is what kind of disease? | Zoonotic |
What is Babesiosis transmitted by? | Ixoides ticks |
How is Babesiosis diagnosed? | Trophs in the peripheral blood |
Vaculoe, Tetrad, Maltese cross, resembles P. Falciparum | Babesia microti |
What parasite has no schizont form? | Babesia sp. |
American trypanosomiasis is also known as what? | Chagas' Disease |
What kind of disease is American trypanosomiasis? | Vector borne |
What is American trypanosomiasis transmitted by? | "Kissing bug" (bug usually infects area around nose and lips. nocturnal) |
What is the vector for American trypanosomiasis? | Reduvvid bug |
What is the typical shape of American trypanosomiasis in the peripheral blood? | C or S shaped |
What are the symptoms of American trypanosomiasis? | Systemic disease. Affects the heart, muscles, and eyes. |
How is American trypanosomiasis transmitted from the "kissing bug"? | The bug defecates on the host, possibly causing an immune reaction, so the host scratches the site to cause an abrasion. The feces then infect the abrasion. |
How is American trypanosomiasis diagnosed? | Peripheral blood or biopsy tissue |
What is found in the peripheral blood of a patient with American trypanosomiasis? | Trypomastigotes |
What is found in a tissue biopsy of a patient with American trypanosomiasis? | Amastigotes |
Leishmania species causes what disease? | Cutaneous Leishmaniasis |
What is the vector of Cutaneous Leishmaniasis | Phlebotomine sandflies |
How often is Cutaneous Leishmaniasis found in the US? | Very rare |
Who does Cutaneous Leishmaniasis usually affect? | Military personnel |
Where is Cutaneous Leishmaniasis endemic? | South America and Middle East |
What are the Phlebotomine sandflies that cause Cutaneous Leishmaniasis also known as? | Biting flies |