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Chapter fifteen:nematodes and acanthocephala
ing Content
re Video
ook of Medical
itology
uction Courseware
1. soil-transmission nematodes
vement
2. bio-source nematodes
rces
3. cellophane tape
4. nocturnal periodicity
5. elephantiasis
6. dermatitis caused by hookworm larvae
Part II Choice question
Type A
1. The characteristics of nematodes
A. dioecious
B. the digestive is incomplete
C. have circulatory system
D. the eggs have operculum
E. the reproductive system is double-tube type
D. cuticle+hypodermis+musculature
E. cuticle+musculature
6. The characteristic of the egg of nematode
A. has no ovum operculum, the egg shell has ascaroside
B. has an unobvious ovum operculum
C. has no ovum operculum, contains miracidium
D. has an obvious ovum operculum
E. have an obvious ovum operculum, contains a embryonic cell and multiple vitelline cells
7. The infective stage of ascaris lumbricoides
A. the fertilized egg
B. the unfertilized egg
C. the egg of infective period
D. filariform larva
E. fertilized/unfertilized egg
8. The parasite that can cause asthma
A. hookworm and ascaris lumbricoides
B. trichuris trichiura and enterobius vermicularis
C. lung fluke and fasciolopsis buski
D. spirometra mansoni and cysticercus cellulosae
E. taenia saginata
9. The infection method of ascaris lumbricoides
A. by mouth
B. by skin
C. by blood transfusion
D. by directly contacting
E. by insect biting
10. The main damage of the larva of ascaris lumbricoides to human
A. the damage of lung
B. the symptom of digestive tract
C. hepatitis
D. vasculitis
E. complications
11. The parasite that can cause the damage of lung
A. paragonimus westermani and trichuris trichiura
B. entamoeba histolytica and giardia lamblia
C. clonorchis sinensis and hymenolepis nana
D. ascaris lumbricoides and hookworm
E. all of above
12. Which parasite require intermediate host in the life cycle
A. ascaris lumbricoides
B. hook worm
C. e. vermicularis
D. filaria
E. all of above
D. ascaris lumbricoidses is one of the most common human parasites,it parasitize in the digestive tract of
E. the filaria requires intermediate host
14. The main damage of ascaris lumbricoides to human
A. the complications caused by adult worms
B. the lung damage caused by migrating larva
C. malnutrition
D. the immune response caused by metabolites and disintegration products of the worms
E. the mechanical stimulation effect caused by the adult worms
15. The complications of ascariasis are mainly due to
A. parasitizing in the small intestine
B. migratory habits
C. the immune response caused by metabolites and disintegration products of the worms
D. the damage caused by migrating larva
E. the larva develops in the lung
16. The frequently-used diagnostic method of ascariasis
A. normal saline direct smear method
B. the anal swab method
C. the nylon bag aggregating eggs method
B. e. vermicularis
C. ascaris lumbricoides
D. filarial
E. macracanthorhynchus hirudinaceus
21. The enterobius vermicularis mainly parasitize in the ( )of human
A. small intestine
B. colon
C. ileocecus
D. recta
E. duodenum
22. The infective stage of enterobius vermicularis
A. the infective stage eggs
B. the larva
C. the rhabditiform larva
D. filariform larva
E. microfilaria
23. The wrong description about eggs of enterobius vermicularis
A. colorless,sheer
B. the two sides are asymmetrically,one side is flat and the other side is kinda raised
C. the eggs develop to infective stage eggs within 6 hours after leaving the body of the worm
D. the infective stage egg contains a frizzy larva
E. there is rugged protein membrane outside the egg shell
B. enterobius vermicularis
C. trichuris trichiura
D. hookworm
E. macracanthorhynchus hirudinaceus
32. Trichuris trichiura mainly parasitizes in
A. duodenum
B. colon ascendens
C. cecum
D. small intestine
E. recta
33. The infective stage of trichuris trichiura
A. eggs
B. larva
C. infective stage eggs
D. filariform larva
E. microfilaria
34. The source of infection of trichuriasis
A. human
B. dog
C. cat
D. pig
E. beetle
D. filariform larva
E. microfilaria
39. The main infection method of hookworm
A. by mouth
B. by skin
C. by blood transfusion
D. by insect biting
E. mainly by skin,sometimes by mouth
40. The main chlinical manifestation of hookworm disease
A. dermatitis caused by hookworm larva
B. pulmonary damage
C. symptom of digestive tract
D. allotriophagy
E. chronic iron-deficiency anemia
41. The most frequently-used method with high positive rate to diagnose hookworm disease is
A. saturated brine floating method
B. direct smear method
C. natural sedimentation method
D. anal swab method
E. intestinal mucosa biopsy
42. The larva requires pulmonary migration in the life cycle
A. enterobius vermicularis
B. macracanthorhynchus hirudinaceus
C. hookworm
D. filaria
E. trichuris trichiura
43. The larva stage can cause skin damage
A. ascaris lumbricoides
B. trichuris trichiura
C. trichinella spiralis
D. hookworm
E. filaria
44. The buccal capsule has a pair of semilunar cutting plates
A. ancylostoma duedenale
B. necator americanus
C. enterobius vermicularis
D. ascaris lumbricoides
E. trichuris trichiura
45. The buccal capsule has two pairs of cuived teeth
A. ancylostoma duedenale
B. necator americanus
C. trichinella spiralis
D. macracanthorhynchus hirudinaceus
E. filaria
46. When hookworms suck blood,the wound in the sites of attachment is due to
A. the effect of curved teeth in the buccal capsule
B. the effect of cutting plates in the buccal capsule
C. secreting anticoagulants
D. the mechanical stimulation effect of adult worms
E. the allergic reaction caused by metabolites of adult worms
47. The parasite can cause anaemia
A. filaria
B. hookworm
C. trichinella spiralis
D. paragonimus westermani
E. enterobius vermicularis
48. The principles of prevention and control of hookworm disease
A. treat patients and carriers
B. strengthen faecal management achieving faecal hazard-free
C. strengthen personal protection and reduce infection chance
D. treat patients,simultaneously add iron and vitamins
E. all of above
49. The main infection method of ancylostoma duedenale
A. by mouth
B. by skin
C. by blood transfusion
D. by insect biting
E. mainly by skin,sometimes by mouth
50. The allotriophagy caused by hookworm is related to
A. protein deficiency
B. iron deficiency
C. vitamin deficiency
D. protein and iron deficiency
E. glucide deficiency
51. The most common site invaded by larva of hookworm
A. head and face
B. sole
C. palm
D. between fingers/between toes
E. the small of the back
52. Human are infected by trichinella spiralis because
A. eating infective eggs
B. eating encysted larva
C. the larva penetrates through skin
D. eating neonatal larva
E. drink raw water containing coracidium
53. Which nematode requires intermediate host in the life cycle
A. hookworm
B. ascaris lumbricoides
C. filaria
D. trichuris trichiura
E. enterobius vermicularis
54. Which can cause parasitic zoonoses
A. ascaris lumbricoides
B. trichuris trichiura
C. filaria
D. trichinella spiralis
E. enterobius vermicularis
55. The larva of trichinella spiralis parasitizes in
A. small intestine
B. ileocecus
C. striated muscle
D. liver
E. lung
56. The wrong description about trichinella spiralis
A. trichinella spiralis is a animal-source parasite
B. it doesnt require change of host to complete the life cycle
C. adult worms parasitize in the small intestine of host
D. larva parasitizes in the muscle of host,form cyst
E. the infective stage is larvae cyst
A. intermediate host and definitive host are the same,it doesnt require change of host to complete the life
B. human is the unique definitive host of trichinella spiralis
C. trichinellosis is parasitic zoonose
D. the larva parasitizes in the intestine of the host
E. none of above
59. The infective method of trichinella spiralis
A. by mouth
B. by skin
C. by blood transfusion
D. by insect biting
E. by skin contacting
60. The infective stage of trichinella spiralis
A. cyst
B. encyst
C. cysticercus
D. metacercaria
E. filariform larva
61. The diagnostic stage of trichinella spiralis
A. cyst
B. encyst
C. cysticercus
D. metacercaria
E. filariform larva
62. The source of infection that plays an important role in the prevalence of trichinellosis
A. pig
B. wolf
C. carrier
D. patient
E. snake
63. Which is not the principle of prevention and control of trichinellosis
A. treat patients
B. strengthen meat inspection and meat hygiene
C. change the ways to raise pigs,promote stable breeding
D. well manage faeces and water source
E. wipe out mice,do well in environmental hygiene
64. The larva of ( ) has nocturnal periodicity
A. enterobius vermicularis
B. filaria
C. hookworm
D. trichinella spiralis
E. trichuris trichiura
65. In human body,brugia malayi mainly causes
A. deep lymphatic system inflammation
B. inflammation of superficial lymphatic system of limbs
C. lumbar lymphatic lesions
D. para-aortic lymph nodes lesions
E. lesions of superficial and deep lymphatic system of limbs
66. The infective stage of filaria
A. filariform larva
B. microfilaria
C. rhabditiforum larva
D. metacercaria
E. cysticercus
67.The main infective method of filaria to human
A.by mouth
B.by blood transfusion
C.by skin
D.by mosquito/insect biting
E.by direct contact
D.strongyloides stercoralis
E.angiostrongylus cantonensis
72.Which nematodiasis can be controlled by preventing and annihilate mosquito
A.trichinella spiralis
B.hookworm
C.macracanthoryhnchus hirudinaceus
D.strongyloides stercoralis
E.filaria
73.Which is the most important to distinguish wuchereria bancrofti and brugia malayi
A.adult worm
B.microfilaria
C.filariform larva
D.sausage-shaped larva
E.rhabditiforum
74.The source of infection that plays an important role in the epidemiology of filaria
A.acute phase patient
B.terminally ill patient
C.carrier
D.convalescent
E.acute phase patient and terminally ill patient
75.Which stage of filaria can be detected by blood test
A.microfilaria
B.adult worm
C.filariform larva
D.sausage-shaped larva
E.microfilaria,adult worm
76.The main vector of brugia malayi in our country
A.culex pipiens pallens,culex fatigans
B.anopheles sinensis,anopheles anthropophagus
C.anopheles sinensis, culex pipiens pallens
D.anopheles sinensis,culex fatigans
E.anopheles sinensis,anopheles minimus
77.To diagnose wuchereria bancrofti,the optimal blood drawing time is
A.from 9 PM to 2 AM
B.from 8 PM to 4 AM
C.6 PM,10 AM/PM
D.fasting blood taking in the morning
E.any time in the daytime
78.The source of infection that plays an important role in the prevalence of filariasis
A.patient with microfilaria in the blood and carrier
B.anopheles sinensis,culex pipiens pallens
C.severe elephantiasis patient
D.patient with filariform larva in the blood and carrier
E.none of above
D.filaria
E.lung fluke
83.In laboratory diagnosis,which stage is of great significance in distinguishing wuchereria bancrofti and b
malayi
A.microfilaria
B.filariform larva
C.rhabditiform larva
D.sausage-shaped larva
E.egg
84.Human body acts as the intermediate host of
A.trichinella spiralis
B.ascaris lumbricoides
C.hookworm
D.enterobius vermicularis
E.trichuris trichiura
85.The infective stage of macracanthorhynchus hirudinaceus
A.egg
B.acanthor
C.acanthella
D.cystacanth
E.acanthella and cystacanth
86.The infection method of macracanthorhynchus hirudinaceus
A.by mouth
B.by skin
C.by blood transfusion
D.by direct contact
E.by insect biting
87.The intermediate host of macracanthorhynchus hirudinaceus
A.louse
B.mice
C.longhorned beetle
D.sheep
E.mosquito
88.The most important source of infection that causes the prevalence of macracanthorhynchosis
A.pig,wild boar
B.cat
C.human
D.longhorned beetle
E.sheep
89.The infective stage of strongyloides stercoralis
A.egg
B.filariform larva
C.rhabditiforum larva
D.acanthella
E.infective acanthella
D.fly
E.sandfly
94.The adult worms parasitize in the eye and produce larva
A.gongylonema pulchrum
B.thelazia callipaeda
C.trichinella spiralis
D.filaria
E.strongyloides stercoralis
95.Which parasite can parasitize in the oral mucosa
A.thelazia callipaeda
B.trichinella spiralis
C.gongylonema pulchrum
D.filaria
E.stongyloides stercoralis
Type X
1.The morphological characteristics of adult nematodes
A.the worm body is cylindrical
B.females are larger than males
C.dioecious
D.between the body wall and the digestive tract is protocoele
E.the tails of females are curving
2.The larva can invade human body by skin
A.ascaris lumbricoides
B.hookworm
C.filaria
D.macracanthorhynchus hirudinaceus
E.strongyloides stercoralis
3.The common characteristics of common nematode eggs
A.the egg shell is relatively thin
B.the content of the egg is oocyte
C.the color is canary yellow
D.no ovum operculum
E.medium sized
4.The females of ( ) deposit eggs
A.ascaris lumbricoides
B.hookworm
C.filaria
D.macracanthorhynchus hirudinaceus
E.strongyloides stercoralis
5.The life cycle of ( ) requires to pass through the lung
A.ascaris lumbricoides
B.hookworm
C.filaria
D.macracanthorhynchus hirudinaceus
E.thelazia callipaeda
6.The life cycle of ( ) is indirect type
A.ascaris lumbricoides
B.hookworm
C.filaria
D.trichinella spiralis
E.thelazia callipaeda
7.Which nematode can directly produce larva
A.thelazia callipaeda
B.e. vermicularis
C.filaria
D.trichinella spiralis
E.gongylonema pulchrum
8.Which nematode can parasitize in the cat
A.thelazia callipaeda
B.trichinella spiralis
C.gongylonema pulchrum
D.pinworm
E.clonorchis sinensis
9.Mice can act as the reservoir host of
A.trichinella spiralis
B.hookworm
C.trichuris trichiura
D.angiostrongylus cantonensis
E.filaria
10.Which nematodes can cause diarrhea
A.trichuris trichiura
B.ascaris lumbricoides
C.hookworm
D.strongyloides stercoralis
E.trichinella spiralis
11.Which kind of egg of ascaris lumbricoides can be detected in the fresh faeces
A.fertilized egg
B.unfertilized egg
C.protein-membrane-removing fertilized egg
D.infective stage egg
E.protein-membrane-removing unfertilized egg
12.The complications of ascariasis
A.biliary ascariasis
B.ileus
C.ascaris appendicitis
D.hepatic duct ascariasis
E. pancreatic ascariasis
13.The infection rate of ascaris lumbricoides is high,because
E.bladder
17.The clinical manifestations caused by severe trichuris trichiura infection
A.diarrhea
B.abdominal pain
C.anemia
D.hepatosplenomegaly
E.rectal prolapse in the children
18.The morphologic characteristics of trichuris trichiura eggs
A.spindle-shaped
B.the egg shell is thin
C.snuff color
D.the two poles of the egg each have a transparent plug-shaped bulge called cap plug
E.the egg contains larva
19.The wrong description about trichuris trichiura
A.adult worms parasitize in the cecum of human
B.peroral infection
C.severe infection can cause rectal prolapse in the children
D.mainly percutaneous infection
E.cellophane tape swab method is the optimal examination method
20. The characteristics of the prevalence of enterobiasis
A.human is the unique infection source
B.the infection rate of children in the collective organization is high
B.when the worms are sucking blood,they excrete anticoagulants causing oozing of the blood from the mu
wound in the site of attachment,the two amounts are about equal
C.after the worms change attachment site,the original wound can still ooze modicum blood before the bloo
coagulated
D.iron and protein deficiency
E.the damage of tissue and blood vessel caused by the movement of the worms can cause blood loss
B.the worms suck blood and the blood is rapidly excreted through the digestive tract,which causes blood lo
C.after the worms change attachment site,the original wound can still ooze modicum blood before the bloo
coagulated
D.the worms are large and absorb massive nutrient substance
E.the damage of tissue and blood vessel caused by the movement of the worms can cause blood loss
27.The morphological characteristics of microfilaria of wuchereria bancrofti
A.no sheath
B.have tail nuclei
C.cephalic space is short
B.gongylonema pulchrum
C.wuchereria bancrofti
D.pinworm
E.trichuris trichiura
32.Patient death caused by trichinella spiralis is probably due to
A.extensive intestinal inflammation
B.heart failure
C.toxicemia
D.concomitant infectious pneumonia
E.diarrhea
33.The correct description about trichinellosis
A.the adult worms can be pathogenic
B.the main pathogenic stage is larva
C.the main pathogenic stage is adult worm
D.the larva migratory phase can be pathogenic
E.the encystation phase can be pathogenic
34.The parasitic generation of strongyloides stercoralis contains
A.filariform larva
B.adult worm
C.egg
D.rhabditiform larva
E.microfilaria
D.the developments of bio-source nematodes in the intermediate host are all only-development-no-reprodu
type
E.nematodiasis are all parasitic zoonoses
41.The correct description
A.the infective larva(filariform larva)of ancylostoma duodenale mainly infect human by skin,can also infe
by mouth,the filariform larva can directly develop into adult worm in the small intestine after eaten
B.the filariform larva of hookworm migrating in the body of pregnant woman can infect the infant by plac
cause congenital infection
C.in human,the ancylostoma caninum can cause cutaneous larva migrans
D.although the parasitic sites and parasitic modes of hookworm and trichuris trichiura are different,they bo
on blood
E.saturated brine floating method cannt raise the detecting rate of hookworm eggs
42.The wrong description
A.human suffering from ascariasis are due to ingestion of infective eggs
B. human suffering from trichuriasis are due to ingestion of infective eggs
C.human suffering from hookworm disease are due to ingestion of infective eggs
D. human suffering from enterobiasis are due to ingestion of infective eggs
E. human suffering from filariasis are due to ingestion of infective eggs
43.The wrong descripton
A.the strongyloides stercoralis require the alternation of free living generation and parasitic generation to c
the life cycle
B.trichinella spiralis can complete the life cycle within a single host
C.adult worms of thelazia callipaeda parasitize in the conjunctival sac and decryosolen,females deposit eg
mating, when the flies suck eye discharge the eggs invade into the flies and develop into adult worms
D.the trichinella spiralis have a wide range of host,over 100 species of mammals are naturally infected wit
trichinella spiralis
E.the larva of filaria develop into microfilaria in the mosquito,when the mosquito bites a man for sucking
microfilaria are injected into subcutaneous vessel and the man gets infected
44.The wrong description
A.the blood recipients can get infected with filariasis by blood transfusion
B.filariasis can be diagnosed by finding microfilaria in peripheral blood examination
C.filariasis can be diagnosed by finding filariform larva in peripheral blood examination
D.ascariasis can be diagnosed by finding migrating larva in peripheral blood examination
E.hookworm disease can be diagnosed by finding migrating larva in peripheral blood
45.The similarity between the parasitic generation of strongyloides stercoralis and the life cycle of hookwo
5.The characteristics of pinworm egg laying. Briefly describe diagnostic methods of enterobiasis and atten
6.The transmission mode of enterobiasis.
7.The damage of pinworm to human health.
8.Briefly describe the morphological differential points of the two kinds of hookworms.
9.Briefly describe the mechanism of anemia caused by hookworm.
10.Briefly describe the parasitic diagnostic methods of hookworm disease and their merits and faults.
11.List the probable infection methods of hookworm disease.
12.Briefly describe the life cycle of strongyloides stercoralis.
13.Briefly describe the pathogenic processes of trichinella spiralis to human and the main symptoms.
14.Try describing the source of infection of trichinellosis.
15.Briefly describe the similarities and differences of the damage caused by wuchereria bancrofti and brug
to human.
16.The parasitic diagnostic methods of filariasis attentions.
17.Briefly describe the nocturnal periodity of microfilaria and the difference of the nocturnal periodity bet
bancrofti microfilaria and malayi microfilaria.
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