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271 Cards in this Set

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Neurocystocercosis

Eggs of T. solium

Baermann culture technique for??

S. stercoralis larvae

Achromatic granules

I. butchilii

Pair of median teeth

A. braziliense

CATT ,(card agglutination) for

Trypanosoma

Infectious stage of malaria to its Definitive host

Gametocyte

Diamond medium for

Trypanosoma

Threadlike

T. trichiura

Comma shaped trophozoite

P. falciparum

Diagnostic stage for borborygmi agent

Unembrayonated egg

C. philippinensis

Flat poles

C. philippinensis

Most dangerous fluke

H. heterophyes

Bile fluid spx

C. sinensis

Ectoparasites

Mosquito

Differential test for E. histolyica and dispar

PCR

Progressive motility

E. histolytica

Leningrad's curse

G. intestinalis

Delhi boil

L. tropica

Old world cutaneous leishmaniasis

Iron deficiency anemia

Trichuris

Longest nematode

D. medinensis

Largest nematode

Ascaris

Congenital/vertical transmission

A. duodenale

Small wingless insect in dark

Bedbugs

Stool biopsy not stool spx for?

T. spiralis

All trematodes have 2 host except ___

Schistosomes

2nd intermediate host of H. heterophyes, C. sinensis, O. felineus

Fish

2nd intermediate host of P. westermani

Crab / crayfish

2nd Intermediate of F. gigantica, hepatica and buski

Plant

E. ilocanum 2nd IH

Snail

Garrison

Large lateral terminal

S. mansoni

Dako ang mansion

Small lateral terminal

S. japonicum

Japanese gamay oten

PTB like illness in acoholics males of sorsogon

P. westarmani

Bipolar thickening, bipolar filaments

H. nana

Bipolar si nana

Bipolar thickening WITHOUT bipolar filaments

H. diminuta

15 -20 uterine branches, tree like appearance

T. saginata

Tree sa saging

7-12 uterine branches, finger/dendritic appearance

T. solium

pag Finger og SOLo

Severe anemia in the philippines

Spirometral

Destroyes trophozoite

Iodine (quansels iodine)

Gay bowel syndrome

G. lamblia

Malaria rapid diagnostic test

Malaquick (HRP - histones rich protein)

Malaquick (HRP - histones rich protein) for??

P. falciparum

Kato thick size

50-60g

Periplaneta americana

Cockroach

CATPES

Common intestinal flagellate shape

Pear shaped

Cercaria without the tail

Schistosomule

Germ layer eggs

Hookworm

Morula ball appearance

Gardia special test

String test

4 classes of protozoans are differentiated by

Motility

The concentration procedure using ether or ethyl acetate as lipid removing agent and formalin as fixative

Ridley Allen technique

Definitive diagnosis for cryptosporidiosis

Identification of spherical oocyts

Male or female



Big, blunt tail

Female

Male or female



Small, curved tail

Male

Organism isolated from AIDS with keratoconjunctivitis

Nosemca corneum

Aside from flagella, this aids in the identification of flagellates

Cystone, undulating membrane

Asexual reproduction in T. vaginalis

Longitudinal binary fission

External parasite of fish with direct life cycles

Monogenea

Endoparasite with ventral surface of adhesive organ

Aspidogastrea

Location of F. buski

Intestine

Location of F. hepatica and gigantica

Liver/bile duct

Location of



Echinostoma spp.


H. heterophyes


M. yokogawai

Intestine

Location of O. viverrini

Liver/bile duct

First seen in a Taiwan boy with meningitis

A. cantonensis

Location of A. acantonensis

Pulmonary artery of rats

Harbors the sexual stage of a parasite

Definitive host

Harbors the asexual stage of a parasite

Intermediate host

Trophozoite to cyst, happens in large intestine

Encystation

Cyst to trophozoite, happens in small intestine

Excystation

All amoeba inhabit the large intestine except ____

E. gingivalis

All amoeba develop into cystic stage except____

E. gingivalis

E. histolytica moves by means of ______

Pseudopods

E. histolytica motility is ______

Progressive, unidirectional

Virulence factor of e. histolytica that degrades the ECM of intestinal walls

Cysteine proteinase

Virulence factor of e. histolytica that mediates adhesion

GalNac lectin

Non dysenteric colitis

E. histolytica

_____ shaped ulcer in E. histolytica

Flask

Best iodine for trophozoite

Quensels iodine

Treatment for E. histolytica that has metallic/bitter taste and makes urine black

Metronidazole

Witch broom stick is seen on cyst of

E. coli

E. coli motility is ______

Sluggish

Small race of E. histolytica

E. hartmanni

Amoeba that may ingest bacteria but not RBC

E. hartmanni

Kissing amoeba

E. gingivalis

Amoeba that has no cyst stage

E. gingivalis

Amoeba that has characteristic of glycogen vacuoles, large endosome described as bouquet of flowers

Iodamoeba butchili

Smallest amoeba, CROSS-EYED CYST

Endolimax nana

Primary amoebic meningoencephalitis (PAM) causative agent

Naegleria fowleri

Granulomatous amoebic enciphalitis (GAM) causative agent

Acanthamoeba

Cyst has doubled WRINKLED wall

Acanthamoeba

Free living amoeba associated with contact lens

Acanthamoeba

Neurologic manifestation such as ataxia and hemiparesis (partial paralysis)

Acanthamoeba

Treatment for N. fowleri and Acanthamoeba

SXT

Largest intestinal protozoa

Balantidium coli

Virulence factor of B. colo

Hyaluronidase

Trophozoite has 2 nuclei (Kidney bean shaped Macro and spherical micro)

B. coli

Thrown ball/ Rolling ball motility

B. coli

Round base and wide neck ulceration

B. coli

Only protozoan intestinal flagellate

Gardia lamblia

Only protozoan with sucking disk attachment

Gardia lamblia

Pear shaped/tear drops, 4 pairs of flagella (old man w/ eye glasses) smiling face

Gardia lamblia

Clinical manifestation



Steatorrhoea


Malabsorption


Leningrad's curse (travellers disease)


Rotten egg due to increase in H2S


Gardia lamblia

Sheppard's crook on trophozoite


Cyst has lemon/nipple shaped

Chilomastix mesnili

Rosette shaped nuclei


Binucleated trophozoite

Dientamoeba fragilis

Clinical manifestations



Colicky abdominal pain


Irretable bowel syndrome

D. fragilis

Protozoa co-infectio with enterovirus and Ascaris (co-infection)

D. fragilis

No cystic stage, has undulating membrane

Trichomonas

Motility of T. vaginalis

Jerky and tumbling

Pathology



Strawberry cervix


Ping pong disease

T. vaginalis

Smear for T. vaginalis

Giemsa


Papanicolaou


Acridine orange

Falling leaf motility

G. lamblia

Square chromatoidal bars with splintered ends (witch broom stick)

E. coli

Vector of T. brucei gambiense

Tsetse fly

special feature of this trypanosoma is "winterbottom's sign"

T. brucei gambiense

special feature of this trypanosome is death before CNS involvement

T. brucei rhodesiense

Causative agent of Chaga's disease

T. cruzi

Vector of chaga's disease

Reduvid bug


kissing bug


assasin bug


killer bug

culture for T. cruzi

weiman's medium

Infective stage of T. cruzi

metacylic trypomastigote

Vector of leishmania tropica

sand flies

causative agent old world cutaneous leishmaniasis

leishmania tropica

causative agent of new world cutaneous leishmaniasis

Leishmania mexicana

causative agent of mucocutaneous leishmaniasis

Leishmania braziliensis

causative agent of viceral leishmaniasis, kala azan, dum-dum, black fever

Leishmania donovani

Diagnosis of leishmania

smear of lesion stained with Wright or Giemsa of AMASTIGOTE

Screening test for leishmaniasis

Formol gel test


Complement fixation test


Fluorescent Antibody test

Asexual coccidian form

Sporogony

sexual coccidian form

Schizonogy

infective stage of leishmania

Promastigote

diagnostic stage of leishmania

Amastigote

Encephalitis is the most common manifestation of this coccidian

Toxoplasma gondii

Toxoplasma initial stage, fast multiplying

Tachyzoite

Toxoplasma stage that's slow multiplying that and forms cyst

Bradyzoite

WBC transfusion is one of the mode of tans mission of this coccidian

T. gondii

Diagnosis of this coccidian is through methylene blue sabin feldman and direct microscopy

T. gondii

Diagnosis is through ZNSO4 and sheaters sugar

Isospora belli

Coccidian that causes diarrhea in immunocompromised host

Cryptosporidium hominis

Isospora


Cyclospora

Coccidian MOT:



Ingestion of oocyst containing 4 sporozoite, waterborne transmission

Cryptosporidium hominis

Kinyoun Acid Fast Method is Red-pink donut shape in blue background

Cryptosporidium hominis

Opportunistic agents in AIDS patient

C. parvum

Oocyst appear as Blue or Green circles under fluorescence microscopy

Cyclospora cayetensis

Acquired by ingestion of uncooked beef or pork containing tissue cysts

Sarcosystic hominis

Coccidian infective stage

Sporulated oocyst

Coccidian diagnostic stage

unsporulated oocyst

Clinical features:




Cold paraxysm
Hot paraxysm


Temperature fall


Jaundice leading to splenomegaly

Plasmodium

Plasmodium infective stage to its definitive host:

Gametocyte

Plasmodium infective stage to its intermediate host:

Sporozoite

Principal vector of Plasmodium

Anopheles minimus var. flavirostis (LOW NIGHT FLYERS)

Secondary vector of plasmodium

Anopheles litoralis


balacensis


mangyunas


maculatus



Gold standard of plasmodium

Thick and thin smear

Quantitative buffy coat (+) on malaria appears as

bright green and yellow

Most common plasmodia in the world

P. vivax

Most common plasmodia in the Philippines

P. falciparum

Plasmodia in malay peninsula boreno

P. knowlesi

Plasmodia that affects young rbc

P. vivax

Schuffner's dots is seen on peripheral blood smear what plasmodium is this

P. vivax

Maurers dots is seen on peripheral blood smear what plasmodium is this

P. falciparum

Ziemant's dots is seen on peripheral blood smear what plasmodium is this

P. malariae

James dots is seen on peripheral blood smear what plasmodium is this

P. ovale

Refers to the absence of free flagellum but with kinetoplast

Amastigote

Largest nematode

Ascaris lumbricoides

Loeflers syndrome is seen in

A. lumbricoides

Treatment for A. lumbricoides

Albendazole

Whipworm = ?

Trichiuris trichiura

Ova resembles lemon, football with two prominent plugs at both ends

Trichiuris trichiura

Pinworm = ???

Enterobius vermicularis

What nematode does autoinfection externally

E. vermicularis

What nematode does autoinfection internally

Strongyloides

Patient is experiencing pruritius ani, what parasite?

E. vermicularis

Diagnosis for E. vermicularis

Graham's cellophane/Scotch tape

Diagnostic feature of E. vermicularis

cephalic alae and distinct esophageal bulb

D shaped asymmetrical ova

E. vermicularis

Pudoc/Bagsik/Mystery =

Capillaria philippinensis

Infective stage of C. philippinensis

L3 larvae

Primary host of C. philippinesis

Herons

Ova with flattened bipolar plug, peanut shaped

C. philippinensis

Clinical manifestation:

Borborygm

C. philippinensis

New world hookworm

Necator americanus

Old worm hookworm

A. duodenale

Infective stage of hookworms

L3 larvae

Diagnostic is egg/larvae in old stool

hookworm

Diagnostic is egg/larvae in new stool

strongyloides



N. americanus

semiluran cutting plates

A. duodenale

2 pairs of ventral teeth

1st and feeding stage of hookworm

Rhabtidiform larva


Hookworm

Ova is transparent and ovoid, 2-8 germ layers, thin hyaline stage (morula ball)

Clinical manifestation

ground itch


wakamas disease





Hookworm larvae



Clinical manifestation




Iron deficiency anemia


hypoalbuminemia


GIT bleeding


diarrhea



hookworm adult



threadworm = ??

Strongyloides stercolaris

Nematode capable of parthenogenesis

S. stercoralis

Diagnosis

Harada mori
Baerman funnel


DFS

S. stercoralis

Treatment for S. stercoralis

Ivermictin

Common parasite of pigs


accidental host is man


Final host is rat

Trichinella spiralis

Diagnosis of T. spiralis

Bachman intradermal test




Muscle biopsy

Clinical manifestation




inflammation jejunum and duedeum




highest level of eosinophil




encapsulated larvae on muscle

T. spiralis

Rat/rodent,lung worm

Angiostrongylus cantonensis

Habitat of A. cantonensis

pulmonary artery of rat

Causes eosinophilic meningoencephalitis

A. cantonensis

Intermediate host of A. cantonensis

Giant african snail

Male of A. cantonensishas well developed ________

KIDNEY shaped caudal bursa

Famale morphology of A. cantonensis has ________ due to the looping of milky white uterine tubules around the blood filled intestine

Barbers pole

Guinea/ Israeli/Dragon / Fiery serpent worm =

Dracunculus medinensis

Intermediate host D. medinensis

cyclops, copepods

Longest nematode (up to 1m)

D. medinensis

A. brasiliense

Cat hookworm




pair of large teeth and pair of inconspicuous median teeth

A. caninum

3 pairs of ventral teeth

African eye worm = ??

Loa loa

Vector of Loa loa

Horseflies


deerflies


mangoflies

Blinding worm =

onchocerca volvulus

Vector of O. volculus

Black fly

Causes blinding filariasis or "river blindness"

O. volvulus

Snake-like microfilaria with graceful curves

Wuchereria bancrofti

Clinical manifestation




tropical pulmonary eosinophilia


elephantiasis


hydrocele


dermatolymphangioadenitis

filarial nematodes

Diagnostic of filarial nematodes

microfilariae

Treatment for filarial nematodes

Diethylcarbamazine

Filarial nematode




Sheathed with NO nuclei

Wuchereria bancrofti

Filarial nematode




Sheated with 2 caudal nuclei

Brugia malayi

Filarial nematode




Unsheated, tail tapers to a thin filament containing column of 4-6 ovoid nuclei

Mansonella ozzardi

Filarial nematode



Unsheated, no nuclei

Onchocerca volvulus

Causative agent of elephantiasis

Wuchereria bancrofti

Infective stage of trematodes

Metacercaria

These parasites are hermaphroditic

Trematodes

2 sex

Temperate/sheep liver fluke

Fasciola hepatica

Tropical/Giant liver fluke

F. gigantica

Chinese/oriental liver fluke

Clonorchis sinensis

Cat liver fluke

Opisthorchis felineus

Oriental lung fluke

Paragonimus westermani

Largest trematode, Giant intestinal fluke

Fasciolopsis buski

Garrison fluke

Echinostoma ilocanum

Von Seibolds fluke, smallest fluke and most dangerous

H. heterophyes

Grasshopper fluke

Eurthema pancreaticum

Oriental blood flukes


S. japonicum

Vesicle blood fluke

S. haematobium

Microscopic findings




Intestine: branched/dendritic


Ova: ovoid, well rounded posterior end (hen egg shaped)

F. hepatica

Halzoun-pharyngeal fasciolosis

F. hepatica

Trematode associated with carcinoma of gallbladder

C. sinensis

Findings:


Obstruction of small intestine


Blood loss

F. buski

Microscopic:



Ventral suckers is smaller than oral


Prominent opercular shoulder


Comma shaped aboperculum


Elongated adult

C. sinensis

Microscopy:



Lancet shaped


Oral sucker is smaller than ventral

Opisthorchis felineus

Findings:



Cirrhosis/liver cancer


O. felineus

1st and 2nd intermediate host is snail

E. ilocanum

Collar of spines (49-51 horse shoe shape) around oral suckers

E. ilocanum

May be present in Peptic ulcer disease

H. heterophyes

Most romantic parasites

Schistosomes


Schistosome in superior mesenteric vein

S. japonicum

Schistosome in mesenteric vein of large intestine

S. mansoni

Schistosome in portal vein urinary bladder

S. haematobium

Clinical manifestation



Swimmer itch


Katayama fever


Cercarial itch


S. japonicun

Clinical manifestation



Cercardial dermatitis

S. mansoni

Mistaken as pulmonary tubercolosis

P. westermani

Treatment for flukes

Praziquantel

Eggs are mistaken as D. latum

P. westermani

No circulatory system and No digestive system

Cestodes

Larval stage where In 1st IH, globular with scolex invaginated into the body

Procercoid

Larval stage in 2nd IH, elongated with head free

Plerocercoid

Broad fish tapeworm

D. latum

Scolex is SPATULATE with 2 bothria; dark rosette like coiled uterus

D. latum

Clinical manifestation



Vitamin b12 defiency


Thrombocytopenia


Leukopenia

D. latum

Autoinfection parasite

Strongyloides


Hymenolepis


Enterobius


T. solium

Morphology



Elongated, ivory white, ribbon like larva by piling of uterus

Sparganum mansoni

Larva:



Cysticercus cellulase

Taenia solium

Ova has 3 pair of hooklets (hexacanth)

T. solium

Larva:



Cysticercus bovis

T. saginata

Only tapeworm with 2 genital pores, has 2 sets of reproductive organs

D. caninum

Gravid proglottids resemble "PUMPKIN" or Vase shaped

D. caninum

Segments appear like grain of salt or rice grain shape

Raillietina garrisoni

Smallest tapeworm, dwarf tapeworm

H. nana

Only cestode with complete life cycle without IH

H. nana

Morphology



Unarmed rostellum, bipolar thickening but no bipolar filaments



Fried egg appearance

H. diminuta

Morphology



Scolex shape: rhomboidal


2-4 cm


H. nana

Hydatid disease is associated with?

Echinococcus granulosus

Diagnosis is through Bentonite flocculation, casoni intradermal test


Biopsy

E. granulosus

Fox tapeworm

Echinococcus multilocularis