Prof. Dr. Mohamed Hegab

1- اإلجابة من الجهة اليسرى لليمنى من

.كراسة اإلجابة

2- إجابة كل سؤال في صفحة مستقلة

.وكتابة رقم السؤال قبل اإلجابة

3-مسموح للطالب بكراسة إجابة واحدة.

30 Marks

6 Questions

Each question 5 Marks

What are the mechanisms of disease transmission by arthropods?

Mention its types with examples

Mention five parasiticdiseases could be trnsmitted by Musca domestica.

Outline the control measures for Musca.

Why Plasmodium falciparum cause malignant malaria?

Mention itscomplications.

Classify clinical types of cutaneous and mucocutaneousleishmaniasis

and name the causative parasite.

Enumerate helminthes that are transmitted by autoinfection.

Mention the infective stage, the diagnostic stage, and the definitive host for each of them.

What is the parasitic cause and mode of human infection of the following :

a. Primary amebic meningeoencephalitis.

b. Miners’ anaemia (Egyptian chlorosis).

c. Chagoma.

d. Calabar swelling.

e. Tropical pulmonary esinophilia.

45 MarksA) Clinical Cases: 10 MarksB)Complete: 10 MarksC) Rewrite: 10 MarksD) MCQ –Single Answer: 5 Marks

E) Matching: 10 Marks

10 Marks

2 cases

Each case 5 Marks

A 70 years old diabetic female under cytotoxic drugs treatment started to complain of diarrhea with fuel smell. She visited her doctor who ordered stool analysis, it revealed the presence of pear shaped flagellated trophozitessized 15 x 8 µ. Also, there was an increased fat content of the stool but neither mucous nor blood was existing.

A) What is your provisional diagnosis for that patient?

B) What is the expected complication that might occur for such patient?

C) What is the drug of choice for treating this patient?

D) Mention other four opportunistic parasites.

A 43- years old farmer visited his physician for routine physical examination. His Physician noted an enlarged liver with a palpable mass in the right hypochondrium. He asked for stool examination and it was negative for all parasites. His blood showed slight eosinophilia. Abdominal sonography revealed a cyst about 6 cm in diameter in his right lobe of the liver. Aspiration of the fluid of the cyst revealed some scolices.

A) What is your provisional diagnosis?

B) Mention the infective stage and mode(s) of infection?

C) Can this patient pass the disease to other member of his family and why?

D) What are the most important other sites in the body that can be affected by such a cyst?

10 Marks

Fill in spaces

1- ………………………….

2- ………………………….

3- ………………………….

1- D. latum

2- Taenia saginata

3- Taenia solium

1- ……………….

2- ……………….

3- ……………….

1-Visceral larva migrans

2- Ascaris

3- Hookworms

4- Strongyloides

5- Tropical pulmonary eosinophilia(filaria)

10 MarksThe underlined words in the following sentences may be True or False Rewrite each statements with correction of the false ones only without correction of the true ones

Casoni test is used in immunodiagnosis of toxocariasis while Bachman test is used for immuno-diagnosis of cysticercosis.

Casoni test is used in immunodiagnosis of toxocariasis while Bachman test is used for immuno-diagnosis of cysticercosis.

Thiabendazole is the drug of choice in treatment of Trichuris and Ascaris while albendazole is the drug of choice in treatment of Enterobius and hookworms.

Thiabendazole is the drug of choice in treatment of Strongyloides stercoralisand Trichinella spiraliswhile albendazole is the drug of choice in treatment of Enterobius and hookworms.

Answer in Answer Sheet (Red)

Mark Circle Well.

First of All: Write down your name, number and form of exam (A,B,C,D or E).

Choose Best Single Answer for each of the following questions

5 Marks

Chagas disease :

1- The causative parasite is T. gambiense

2- Glossina is the vector

3- Diagnosed by urine analysis

4- May affect cardiac muscles

Chagas disease :

1- The causative parasite is T. gambiense

2- Glossina is the vector

3- Diagnosed by urine analysis

4- May affect cardiac muscles

Matching has separate area in the answer sheet (Lower part)

Matching has separate numbering in the answer sheet

10 Marks

Match each disease (syndrome) with its causative parasite

1Liver rot A Schistosoma mansoni

2 Katayama fever B Sarcoptes scabiei

3Hydatid disease C Leishmania donovani

4Coenourosis D Ancylostoma caninum

5Tropical splenomegaly syndrome

E Wuchereria bancrofti

6Black fever F Fasciola gigantica

7Elephantiasis G Plasmodium malaria

8

Primary amoebic meningeoencephalitis

H

Echinococcusgranulosus

9 Cutaneous larva migrans I Multiceps multiceps

10Scabies J Naegleria fowleri

1Liver rot F

Fasciola gigantica

2 Katayama fever ASchistosoma mansoni

3Hydatid disease H

Echinococcus granulosus

4Coenourosis I

Multiceps multiceps

5Tropical splenomegaly syndrome

G Plasmodium malaria

6Black fever C Leishmania donovani

7Elephantiasis E Wuchereria bancrofti

8

Primary amoebic meningeoencephalitis

J

Naegleria fowleri

9 Cutaneous larva migrans D Ancylostoma caninum

10Scabies B Sarcoptes scabiei