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By: Abbas Naseem (BDS)
abbas_naseem@yahoo.com
A. Identify the parasite and write it‟s name.
B. Name the stage of parasite ingested by a suitable
freshwater crustacean (the copepod).
C. Name the infective stage of parasite to humans.
D. What is the major complication of this parasite?




                                                       abbas_naseem@yahoo.com
                                                       By: Abbas Naseem (BDS)
                                                       2
Carefully see the life cycle given in the photograph and answer the
following.
A. Name the parasite.
B. Name two intermediate hosts for this parasite.
C. How the definitive host becomes infected?
D. What lesion/disease is caused by this parasite in humans?




                                                                      abbas_naseem@yahoo.com
                                                                      By: Abbas Naseem (BDS)
                                                                      3
Carefully see the life cycle given in the
photograph and answer the following.
A. Name the parasite.
B. How humans become infected
with this parasite?




                                            abbas_naseem@yahoo.com
                                            By: Abbas Naseem (BDS)
C. Where adult worm lives in
humans?
D. In which parts of Pakistan, this
parasitic infection is common?




                                            4
Carefully see the life cycles
given in the photograph and
answer the following.
A. Name the parasites.
B. For which parasite, pig is




                                abbas_naseem@yahoo.com
                                By: Abbas Naseem (BDS)
an intermediate host?
C. Name the infective stage
for humans.
D. What is the length of
parasite whose intermediate
host is cattle?




                                5
Identify the parasite and
writes its name.

Name the infective stage
of the parasite.

What will be two




                            abbas_naseem@yahoo.com
                            By: Abbas Naseem (BDS)
important findings in
Blood complete picture?




                            6
Identify the life cycle and
write the name of parasite.

How the humans are
infected with this parasite?




                               abbas_naseem@yahoo.com
                               By: Abbas Naseem (BDS)
How this parasitic
infestation can be
diagnosed in humans?
Who is the primary host of
this parasite?




                               7
Identify the above ovum and
name the parasite.

Where the gravid female lays
eggs?

What is the infective stage of




                                  abbas_naseem@yahoo.com
                                  By: Abbas Naseem (BDS)
parasite?

Name the method used to collect
the specimen for microscopic
detection of ova.




                                  8
Identify the above ovum and
name the parasite.

Where the adult worm is found
in humans?

What is the infective stage of




                                  abbas_naseem@yahoo.com
                                  By: Abbas Naseem (BDS)
parasite?

What is the other name given to
this parasite?




                                  9
Identify the above cyst and
name the parasite.

Where the cysts are formed?

What is the infective stage of




                                 abbas_naseem@yahoo.com
                                 By: Abbas Naseem (BDS)
parasite?

What is the diagnostic finding
in acute infection with this
parasite?




                                 10
Examine the egg of an intestinal nematode focused in the slide
on the microscope and write answers of the following.

Write the name of the parasite having this type of ovum.

Name two important complications of this parasite in human.




                                                                 abbas_naseem@yahoo.com
                                                                 By: Abbas Naseem (BDS)
How this ovum is different from ovum of Hook worm?




                                                                 11
 Examine the cyst of an intestinal protozoa focused in the
  slide on the microscope and write answers of the following.
 Write the name of the parasite having this type of cyst.
 Name two important extraintestinal lesions of this parasite in
  human.




                                                                   abbas_naseem@yahoo.com
                                                                   By: Abbas Naseem (BDS)
 How this cyst is different from cyst of E. coli?




                                                                   12
STATION 1
 Identify the worm
 Give 2 points of
  identification.
 How is it transmitted
  to humans.

 a. Ascaris Lumbricoides
 b. Rounded & tapered at both ends
 c. Swallowing embryonated eggs
STATION 2
 Patient presented with
  fever and chills. His
  Blood smear shows
  the parasite seen in
  the picture.
 Give your diagnosis.
 Identify the various
  forms seen in the
  blood smear.
a. Malaria
b. Ring form
STATION 3
 Patient presents with
  abdominal pain, diarrhea and
  vomiting. Worm is recovered
  from the stool.
 Identify it,
 what is the mode of
  transmission.
 Enlist various complications
  of this worm
   a. Trichuris Trichiura
   b. Faeco-oral
   c. Appendicitis, Abdominal
      discomfort
STATION 4
     25 years old married
       female presents with
       foul smelling vaginal
       discharge. Her vaginal
       discharge reveals a
       parasite seen in the
       picture.
     Identify it,
     give points of
       identification.
     Does her partner needs
a.Trichomonas vaginaliswell?
       treatment as
b. trophozoites, 4 free flagella,
 5th one passes backwards
c. yes
STATION 5
 Worm is recovered from
  a farmers stool. Scolix
  of the worm is without
  hooklets.
 Name the worm,
 identify the hosts for
  this worm and
 give the common
  name of egg of this
  worm
   a. Taenia Saginata
   b. Cattle(beef)
   c. Hexacanth embryo
STATION 6
 Rice farmer comes to
  you with a lesion on his
  feet shown in the
  picture. He is anemic
  with a low MCV and ova
  are recovered from his
  stool.
 What is the lesion,
 identify the worm and
 give 2 other lesions
  caused by this parasite

 a. Ancyclostomiasis
 b. Ancyclostoma Duodenale
 c. Ground itch, Eosinophilia, Anemia
STATION 7
 A balouchi girl presents
   with anemia and her
   spleen is enlarged 4
   fingers below costal
   margin. She has
   ulcerative nodules over
   her skin and her bone
   marrow reveals as
   shown in picture.
 Identify the parasite and
 what form is seen in the
   photograph.
 Where is the parasite
 a.found.
    Leishmania
Donovani
b. Amastigote
c. In Sandfly
STATION 8
 Name the worm and
 give 2 points of
  identification of the ova
  seen.
 What is the ideal
  method of recovering
  the eggs of this worm
 Give 2 important
  complications.
a. Pinworm(entrobeus vermicularis)
b. colorless, transparent shell
c. Scotch tape test
d.Pruritus, intestinal haemorrhage
STATION 10
 Patient presented with
  macrocytic anemia
  and the ovum seen is
  recovered from stool.
 Identify the worm,
 what are the
  morphological
  characteristics of the
  ovum
 and name the hosts of
  the parasite.
  a. Diphylobothum latrum( fish tapeworm)
  b. Operculated ova
  c. Copepods & Fish
STATION 11
  Name the parasite.
  Give morphological
   characteristics of the
   ovum seen.
  Name 2 important
   complications.

a. Ascaris lumbricoides
b. Mammilated/embryonated eggs
c. Ascaris pneumonia, cough,
   dyspnea
STATION 12
 A cyst seen in the
  picture is excised from a
  cattle farmer.
 Identify the parasite,
 name the larval form
 and what is the mode
  of transmission.
a. Echinococcus Granulosus (dog tapeworm)
b. Hydatid Cyst
c. Uncooked contaminated vegetables
STATION 13
 25 years old present
    with dysentry and a
    parasite is recovered
    from his stools.
   Identify the parasite
    seen in the picture,
    give the findings seen,
   mode of transmission
   and 1 important
    complication.
a. ENTAMOEBA HISTOLYTICA
b. Trophozoite form
c. Faeco-oral route
d. Chronic intestinal amoebiasis
Amoebic liver abscess
STATION 14
 6 year old presents
  with pneumonia and is
  anemic. His stool
  reveals the ovum
  seen in the picture.
 Identify the worm.
 Is this parasaite can
  be a cause of
  pneumoia.
 Name 2 other other
  lesions caused by this
  worm.
a. Ancylostoma Duodenale
b. Yes
c. Ground itch, anemia, eosinophilia
STATION 15
  Identify the parasite,
   give mode of
   transmission and how
   will you investigate the
a. case to reach a
   Giardia lamblia
b. Faeco-oral route
   diagnosis.
c. (Fat malabsorption, Bloating and
  indigestion, Watery/fatty Diarrhea,
  Chronic enteritis, Anemia.)

Stool Examination:
Cysts.
Trophozoites rarely.

Other Tests;
Elisa: Detect Giardia cyst wall antigen
String Test.
STATION 16
 Name the worm
 Give morphological
  characteristic of the
  ovum seen.
 What is the route of
  transmission.
 Give 2 important
  complications.
 a. TRICHURIS TRICHIURA
 (whip worm)
 b. Mucus plugs at both ends
 c. Ingestion of eggs
 d. Rectal prolapse, Diarrhoea,
  Acute appendicitis
STATION 17
 25 year old present with
    fever, chills, headache
    and confusion. His blood
    smear is shown in the
    picture. Give your
    diagnosis.
 What form of the parasite
    is seen in the picture.
 Name the renal
    complication associated
 a. Malaria
 b. with this parasite.
      Ring form
c. Acute tubular necrosis
Station 18
 Patient presented with
  anaemia and
  splenomegaly. Bone
  marrow reveals a
  parasite seen in the pic,
  give your diagnosis,
 identify the form,
 what is mode of spread
  and
 which cells are the main
  target.
 a. Leishmenia
 b. Bite of sand fly
 c. reticulo-endothelial cells
    (macrophages)
STATION 19
 Identify the parasite.
 What are the findings
  you see in the picture.
 Give findings present
  on the scolix of this
  worm.
 Name a lethal
  complication of the
  parasite.
 a. Taenia Solium
 b. Central stem with 5 to 10
  lateral branches on each side.
 c. 4 suckers
 d. Cysticercus cellulosae (present
  as space occupying lesion.)
Entamoeba histolytica

                                Cyst form: 4 nulcei




     Trophozoite form
     Bull eye shape nucleus
     Contain ingested RBCs



       By: Abbas Naseem (BDS)
31     abbas_jani@hotmail.com
By: Abbas Naseem (BDS)
32   abbas_jani@hotmail.com
Diphylobothrum latum – fish tapeworm – oval –
            operculum at one end




     By: Abbas Naseem (BDS)
33   abbas_jani@hotmail.com
Entrobius vermicularis ( pinworm ) –
             typical D shaped , Transparent, Colorless




     By: Abbas Naseem (BDS)
34   abbas_jani@hotmail.com
Plasmodium Falciparum
     Classical malarial parasite; ring form




     By: Abbas Naseem (BDS)
35   abbas_jani@hotmail.com
Ascaris lumbricoides ( giant round worm – brown with mamellations n wavy m
  UNSEGMENTED OVUM




     By: Abbas Naseem (BDS)
36   abbas_jani@hotmail.com
Trichuris trichura – whipworm –
      barrel shaped – brown – mucus plugs at both ends –
     segmented ovum !




     By: Abbas Naseem (BDS)
37   abbas_jani@hotmail.com
Hook worm ( ankylostoma duodenale ) – transparent egg shell – oval –
     blastomere !
                              Segmented Ovum




     By: Abbas Naseem (BDS)
38   abbas_jani@hotmail.com
THANK YOU

For Reporting Errors
(Feedback)
Comments & Suggestions
abbas_naseem@yahoo.com
                  Abbas Naseem(BDS)
                  Dated: Nov, 8 2010

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Parasitology - Rapid OSPE Review

  • 1. By: Abbas Naseem (BDS) abbas_naseem@yahoo.com
  • 2. A. Identify the parasite and write it‟s name. B. Name the stage of parasite ingested by a suitable freshwater crustacean (the copepod). C. Name the infective stage of parasite to humans. D. What is the major complication of this parasite? abbas_naseem@yahoo.com By: Abbas Naseem (BDS) 2
  • 3. Carefully see the life cycle given in the photograph and answer the following. A. Name the parasite. B. Name two intermediate hosts for this parasite. C. How the definitive host becomes infected? D. What lesion/disease is caused by this parasite in humans? abbas_naseem@yahoo.com By: Abbas Naseem (BDS) 3
  • 4. Carefully see the life cycle given in the photograph and answer the following. A. Name the parasite. B. How humans become infected with this parasite? abbas_naseem@yahoo.com By: Abbas Naseem (BDS) C. Where adult worm lives in humans? D. In which parts of Pakistan, this parasitic infection is common? 4
  • 5. Carefully see the life cycles given in the photograph and answer the following. A. Name the parasites. B. For which parasite, pig is abbas_naseem@yahoo.com By: Abbas Naseem (BDS) an intermediate host? C. Name the infective stage for humans. D. What is the length of parasite whose intermediate host is cattle? 5
  • 6. Identify the parasite and writes its name. Name the infective stage of the parasite. What will be two abbas_naseem@yahoo.com By: Abbas Naseem (BDS) important findings in Blood complete picture? 6
  • 7. Identify the life cycle and write the name of parasite. How the humans are infected with this parasite? abbas_naseem@yahoo.com By: Abbas Naseem (BDS) How this parasitic infestation can be diagnosed in humans? Who is the primary host of this parasite? 7
  • 8. Identify the above ovum and name the parasite. Where the gravid female lays eggs? What is the infective stage of abbas_naseem@yahoo.com By: Abbas Naseem (BDS) parasite? Name the method used to collect the specimen for microscopic detection of ova. 8
  • 9. Identify the above ovum and name the parasite. Where the adult worm is found in humans? What is the infective stage of abbas_naseem@yahoo.com By: Abbas Naseem (BDS) parasite? What is the other name given to this parasite? 9
  • 10. Identify the above cyst and name the parasite. Where the cysts are formed? What is the infective stage of abbas_naseem@yahoo.com By: Abbas Naseem (BDS) parasite? What is the diagnostic finding in acute infection with this parasite? 10
  • 11. Examine the egg of an intestinal nematode focused in the slide on the microscope and write answers of the following. Write the name of the parasite having this type of ovum. Name two important complications of this parasite in human. abbas_naseem@yahoo.com By: Abbas Naseem (BDS) How this ovum is different from ovum of Hook worm? 11
  • 12.  Examine the cyst of an intestinal protozoa focused in the slide on the microscope and write answers of the following.  Write the name of the parasite having this type of cyst.  Name two important extraintestinal lesions of this parasite in human. abbas_naseem@yahoo.com By: Abbas Naseem (BDS)  How this cyst is different from cyst of E. coli? 12
  • 13. STATION 1  Identify the worm  Give 2 points of identification.  How is it transmitted to humans. a. Ascaris Lumbricoides b. Rounded & tapered at both ends c. Swallowing embryonated eggs
  • 14. STATION 2  Patient presented with fever and chills. His Blood smear shows the parasite seen in the picture.  Give your diagnosis.  Identify the various forms seen in the blood smear. a. Malaria b. Ring form
  • 15. STATION 3  Patient presents with abdominal pain, diarrhea and vomiting. Worm is recovered from the stool.  Identify it,  what is the mode of transmission.  Enlist various complications of this worm a. Trichuris Trichiura b. Faeco-oral c. Appendicitis, Abdominal discomfort
  • 16. STATION 4  25 years old married female presents with foul smelling vaginal discharge. Her vaginal discharge reveals a parasite seen in the picture.  Identify it,  give points of identification.  Does her partner needs a.Trichomonas vaginaliswell? treatment as b. trophozoites, 4 free flagella, 5th one passes backwards c. yes
  • 17. STATION 5  Worm is recovered from a farmers stool. Scolix of the worm is without hooklets.  Name the worm,  identify the hosts for this worm and  give the common name of egg of this worm a. Taenia Saginata b. Cattle(beef) c. Hexacanth embryo
  • 18. STATION 6  Rice farmer comes to you with a lesion on his feet shown in the picture. He is anemic with a low MCV and ova are recovered from his stool.  What is the lesion,  identify the worm and  give 2 other lesions caused by this parasite a. Ancyclostomiasis b. Ancyclostoma Duodenale c. Ground itch, Eosinophilia, Anemia
  • 19. STATION 7  A balouchi girl presents with anemia and her spleen is enlarged 4 fingers below costal margin. She has ulcerative nodules over her skin and her bone marrow reveals as shown in picture.  Identify the parasite and  what form is seen in the photograph.  Where is the parasite a.found. Leishmania Donovani b. Amastigote c. In Sandfly
  • 20. STATION 8  Name the worm and  give 2 points of identification of the ova seen.  What is the ideal method of recovering the eggs of this worm  Give 2 important complications. a. Pinworm(entrobeus vermicularis) b. colorless, transparent shell c. Scotch tape test d.Pruritus, intestinal haemorrhage
  • 21. STATION 10  Patient presented with macrocytic anemia and the ovum seen is recovered from stool.  Identify the worm,  what are the morphological characteristics of the ovum  and name the hosts of the parasite. a. Diphylobothum latrum( fish tapeworm) b. Operculated ova c. Copepods & Fish
  • 22. STATION 11  Name the parasite.  Give morphological characteristics of the ovum seen.  Name 2 important complications. a. Ascaris lumbricoides b. Mammilated/embryonated eggs c. Ascaris pneumonia, cough, dyspnea
  • 23. STATION 12  A cyst seen in the picture is excised from a cattle farmer.  Identify the parasite,  name the larval form  and what is the mode of transmission. a. Echinococcus Granulosus (dog tapeworm) b. Hydatid Cyst c. Uncooked contaminated vegetables
  • 24. STATION 13  25 years old present with dysentry and a parasite is recovered from his stools.  Identify the parasite seen in the picture,  give the findings seen,  mode of transmission  and 1 important complication. a. ENTAMOEBA HISTOLYTICA b. Trophozoite form c. Faeco-oral route d. Chronic intestinal amoebiasis Amoebic liver abscess
  • 25. STATION 14  6 year old presents with pneumonia and is anemic. His stool reveals the ovum seen in the picture.  Identify the worm.  Is this parasaite can be a cause of pneumoia.  Name 2 other other lesions caused by this worm. a. Ancylostoma Duodenale b. Yes c. Ground itch, anemia, eosinophilia
  • 26. STATION 15  Identify the parasite, give mode of transmission and how will you investigate the a. case to reach a Giardia lamblia b. Faeco-oral route diagnosis. c. (Fat malabsorption, Bloating and indigestion, Watery/fatty Diarrhea, Chronic enteritis, Anemia.) Stool Examination: Cysts. Trophozoites rarely. Other Tests; Elisa: Detect Giardia cyst wall antigen String Test.
  • 27. STATION 16  Name the worm  Give morphological characteristic of the ovum seen.  What is the route of transmission.  Give 2 important complications. a. TRICHURIS TRICHIURA (whip worm) b. Mucus plugs at both ends c. Ingestion of eggs d. Rectal prolapse, Diarrhoea, Acute appendicitis
  • 28. STATION 17  25 year old present with fever, chills, headache and confusion. His blood smear is shown in the picture. Give your diagnosis.  What form of the parasite is seen in the picture.  Name the renal complication associated a. Malaria b. with this parasite. Ring form c. Acute tubular necrosis
  • 29. Station 18  Patient presented with anaemia and splenomegaly. Bone marrow reveals a parasite seen in the pic, give your diagnosis,  identify the form,  what is mode of spread and  which cells are the main target. a. Leishmenia b. Bite of sand fly c. reticulo-endothelial cells (macrophages)
  • 30. STATION 19  Identify the parasite.  What are the findings you see in the picture.  Give findings present on the scolix of this worm.  Name a lethal complication of the parasite. a. Taenia Solium b. Central stem with 5 to 10 lateral branches on each side. c. 4 suckers d. Cysticercus cellulosae (present as space occupying lesion.)
  • 31. Entamoeba histolytica Cyst form: 4 nulcei Trophozoite form Bull eye shape nucleus Contain ingested RBCs By: Abbas Naseem (BDS) 31 abbas_jani@hotmail.com
  • 32. By: Abbas Naseem (BDS) 32 abbas_jani@hotmail.com
  • 33. Diphylobothrum latum – fish tapeworm – oval – operculum at one end By: Abbas Naseem (BDS) 33 abbas_jani@hotmail.com
  • 34. Entrobius vermicularis ( pinworm ) – typical D shaped , Transparent, Colorless By: Abbas Naseem (BDS) 34 abbas_jani@hotmail.com
  • 35. Plasmodium Falciparum Classical malarial parasite; ring form By: Abbas Naseem (BDS) 35 abbas_jani@hotmail.com
  • 36. Ascaris lumbricoides ( giant round worm – brown with mamellations n wavy m UNSEGMENTED OVUM By: Abbas Naseem (BDS) 36 abbas_jani@hotmail.com
  • 37. Trichuris trichura – whipworm – barrel shaped – brown – mucus plugs at both ends – segmented ovum ! By: Abbas Naseem (BDS) 37 abbas_jani@hotmail.com
  • 38. Hook worm ( ankylostoma duodenale ) – transparent egg shell – oval – blastomere ! Segmented Ovum By: Abbas Naseem (BDS) 38 abbas_jani@hotmail.com
  • 39. THANK YOU For Reporting Errors (Feedback) Comments & Suggestions abbas_naseem@yahoo.com Abbas Naseem(BDS) Dated: Nov, 8 2010