Protozoans: Malaria And Apicomplexa
Explore the intricacies of protozoans involved in malaria and other apicomplexan infections through this focused quiz. Assess your knowledge on infective stages, vector identification, and disease-specific microscopic features crucial for medical and health professionals.
Questions and Answers
- 1.
Which of the following is a stage of Toxoplasma gondii infective for humans?
- A.
Cercocyst
- B.
Gonad
- C.
Leptomonad
- D.
Oocyst
- E.
None of the above
Correct Answer
D. OocystExplanation
Oocyst is a stage of Toxoplasma gondii that is infective for humans. Toxoplasma gondii is a parasite that causes the disease toxoplasmosis. The oocyst stage is formed in the intestines of infected cats and is shed in their feces. Humans can become infected by ingesting oocysts through contaminated food, water, or soil. Once ingested, the oocysts release sporozoites that can infect various tissues and organs in the body. Therefore, the oocyst stage is the infective stage of Toxoplasma gondii for humans.Rate this question:
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- 2.
Which species of Plasmodium may readily be identified when crescent-shaped gametocytes are found in stained blood films?
- A.
Plasmodium vivax
- B.
Plasmodium ovale
- C.
Plasmodium falciparum
- D.
Plasmodium malariae
- E.
Plasmodium knowlesi
Correct Answer
C. Plasmodium falciparumExplanation
When crescent-shaped gametocytes are found in stained blood films, it is a characteristic feature of Plasmodium falciparum. The other species of Plasmodium, such as Plasmodium vivax, Plasmodium ovale, Plasmodium malariae, and Plasmodium knowlesi, do not typically exhibit this specific morphology. Therefore, the presence of crescent-shaped gametocytes in stained blood films is a reliable indicator for identifying Plasmodium falciparum.Rate this question:
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- 3.
For which of the following diseases do reduviid bugs serve as vectors?
- A.
Chagas’ disease
- B.
African sleeping sickness
- C.
Kala azar
- D.
Malaria
- E.
None of the above
Correct Answer
A. Chagas’ diseaseExplanation
Reduviid bugs, also known as "kissing bugs," serve as vectors for Chagas' disease. This disease is caused by the parasite Trypanosoma cruzi, which is transmitted to humans through the feces of infected reduviid bugs. When the bugs bite a person, they defecate near the bite site, and if the person scratches the area and rubs the feces into the wound or mucous membranes, the parasite can enter the body. Chagas' disease is primarily found in Latin America and can cause severe cardiac and gastrointestinal complications if left untreated. African sleeping sickness is transmitted by tsetse flies, Kala azar is transmitted by sandflies, and malaria is transmitted by mosquitoes.Rate this question:
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- 4.
With which species of malarial parasite are Schuffner’s dots found in the infected erythrocytes?
- A.
Plasmodium malariae
- B.
Plasmodium ovale
- C.
Plasmodium knowlesi
- D.
Plasmodium falciparum
- E.
None of the above
Correct Answer
B. Plasmodium ovaleExplanation
Schuffner's dots are small red dots that can be seen in the infected erythrocytes of individuals infected with Plasmodium ovale, a species of malarial parasite. These dots are formed by the accumulation of a pigment called hemozoin, which is produced by the parasite during its life cycle. Schuffner's dots are a characteristic feature of Plasmodium ovale infections and can help differentiate it from other species of malarial parasites.Rate this question:
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- 5.
Which of the following is the most important vector for Babesia spp.?
- A.
Fleas
- B.
Ticks
- C.
Lice
- D.
Mosquitoes
- E.
None of the above
Correct Answer
B. TicksExplanation
Ticks are the most important vector for Babesia spp. because they are known to transmit the parasite to humans and animals through their bites. Unlike other options such as fleas, lice, and mosquitoes, ticks have a specialized feeding behavior that allows them to attach to their hosts for extended periods of time, increasing the likelihood of transmitting the parasite. Additionally, ticks are commonly found in areas where Babesia spp. is prevalent, further supporting their role as the primary vector for this parasite.Rate this question:
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- 6.
A patient with history of HIV infection presents with a 5-day history of watery diarrhea and weight loss. A series of stool specimens is collected and examined for the presence of ova and parasites. An acid-fast stain on direct smear reveals pink-stained round structures approximately 4um in diameter. The most likely pathogen is
- A.
Blastocystis hominis
- B.
Cryptosporidium spp.
- C.
Isospora spp.
- D.
Microsporidium spp.
- E.
None of the above
Correct Answer
B. Cryptosporidium spp.Explanation
The patient's history of HIV infection and symptoms of watery diarrhea and weight loss are consistent with a possible opportunistic infection. The acid-fast stain revealing pink-stained round structures suggests the presence of Cryptosporidium spp., a protozoan parasite known to cause gastrointestinal symptoms in immunocompromised individuals such as those with HIV. Blastocystis hominis, Isospora spp., and Microsporidium spp. are not typically associated with acid-fast staining and are less likely to be the causative pathogen in this case. Therefore, the most likely pathogen is Cryptosporidium spp.Rate this question:
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- 7.
This stage of malarial parasite is produced after fertilization of the macrogametes and penetrates the midgut wall of mosquito to develop into oocyst during sporogony ______
Correct Answer
ookinete, ookinetesExplanation
After the fertilization of the macrogametes, the malarial parasite produces a stage called ookinete. The ookinete then penetrates the midgut wall of the mosquito and develops into an oocyst during sporogony. Therefore, the correct answer is "ookinete, ookinetes".Rate this question:
- 8.
Pathogenesis of this parasite is cellular death due to intracellular multiplication of trophozoites which is severe in developing fetal and cerebral tissues
- A.
Plasmodium spp.
- B.
Cryptosporidium spp.
- C.
Isospora spp.
- D.
Microsporidium spp.
- E.
None of the above
Correct Answer
E. None of the aboveExplanation
The given answer "None of the above" is correct because none of the options provided (Plasmodium spp., Cryptosporidium spp., Isospora spp., Microsporidium spp.) match the description of the parasite causing cellular death due to intracellular multiplication of trophozoites. Therefore, the correct answer is "None of the above."Rate this question:
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- 9.
The ______ is the infective stage of malarial parasites to human hosts
Correct Answer
sporozoites, sporozoiteExplanation
The correct answer is "sporozoites, sporozoite." Sporozoites are the infective stage of malarial parasites that are transmitted to human hosts through the bite of infected mosquitoes. Once inside the human body, sporozoites invade liver cells and develop into merozoites, which then infect red blood cells and cause the symptoms of malaria. The term "sporozoite" refers to a single infective form of the parasite, while "sporozoites" is the plural form.Rate this question:
- 10.
Characteristic of rings inside erythrocytes infected with Babesia spp. that differentiates it from Plasmodium falciparum
Correct Answer
maltese cross, maltese cross formationExplanation
The presence of a maltese cross or maltese cross formation is a characteristic that differentiates rings inside erythrocytes infected with Babesia spp. from Plasmodium falciparum. This feature refers to the appearance of four darkly stained dots arranged in a cross-like pattern within the ring-shaped parasite. This distinct pattern is not observed in Plasmodium falciparum infections, making it a useful diagnostic feature to differentiate between the two.Rate this question:
- 11.
Piroplasmosis or "Nantucket fever" is caused by what parasite?
- A.
Babesia spp.
- B.
Cryptosporidum spp.
- C.
Plasmodium spp.
- D.
Microsporidium spp.
- E.
Isospora spp.
Correct Answer
A. Babesia spp.Explanation
Piroplasmosis, also known as "Nantucket fever," is caused by Babesia spp. This parasitic infection affects animals, particularly livestock, and is transmitted by ticks. Babesia spp. invade red blood cells, leading to their destruction and causing symptoms such as fever, anemia, and jaundice. Other parasites listed as options, such as Cryptosporidium spp., Plasmodium spp., Microsporidium spp., and Isospora spp., do not cause piroplasmosis.Rate this question:
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- 12.
Which of the following statements is incorrect?
- A.
Toxoplasmosis: Sabin-Feldman test
- B.
Malaria: thick and thin blood smear
- C.
Cryptosporidosis: Sheather's sugar floatation
- D.
Cyclosporiasis: modified Ziehl-Neelsen stain
- E.
None of the above
Correct Answer
E. None of the aboveExplanation
The given statement "None of the above" is incorrect because all of the statements mentioned above are correct. The Sabin-Feldman test is used for diagnosing toxoplasmosis, the thick and thin blood smear is used for diagnosing malaria, Sheather's sugar floatation is used for diagnosing cryptosporidosis, and the modified Ziehl-Neelsen stain is used for diagnosing cyclosporiasis.Rate this question:
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- 13.
All of the following are the "pathology triad" of toxoplasmosis infection except
- A.
Hydrocephalus
- B.
Chlorioretinitis
- C.
Intracranial calcification
- D.
Cranial hemorrhage
- E.
None of the above
Correct Answer
D. Cranial hemorrhageExplanation
Toxoplasmosis is an infection caused by the parasite Toxoplasma gondii. The pathology triad refers to the three characteristic signs of the infection. Hydrocephalus is the abnormal accumulation of cerebrospinal fluid in the brain, chlorioretinitis is inflammation of the retina and choroid, and intracranial calcification refers to the presence of calcium deposits in the brain. Cranial hemorrhage, however, is not a part of the pathology triad of toxoplasmosis.Rate this question:
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- 14.
Patients with this type of hematologic disorder gains immunity against Plasmodium falciparum infection.
Correct Answer
sickle cell anemia, sickle cell, sickle cell disorder, sickle cell diseaseExplanation
Patients with sickle cell anemia, also known as sickle cell disorder or sickle cell disease, gain immunity against Plasmodium falciparum infection. This is because the genetic mutation that causes sickle cell anemia also affects the red blood cells, making them less hospitable for the malaria parasite to thrive. As a result, individuals with sickle cell anemia have a reduced risk of contracting severe forms of malaria caused by Plasmodium falciparum.Rate this question:
- 15.
Asexual reproduction of Plasmodium parasites is termed as ______
Correct Answer
schizogonyExplanation
Schizogony is the term used to describe the asexual reproduction of Plasmodium parasites. During schizogony, the parasite undergoes multiple rounds of nuclear division without cytokinesis, resulting in the formation of multiple daughter cells within a single parent cell. These daughter cells, called merozoites, are then released into the bloodstream, where they infect new red blood cells and continue the cycle of infection and reproduction. Therefore, schizogony is the correct term to describe the asexual reproduction of Plasmodium parasites.Rate this question:
- 16.
Sexual reproduction of Plasmodium parasites is termed as _____
Correct Answer
sporogonyExplanation
Sexual reproduction in Plasmodium parasites is called sporogony. Sporogony is a complex process involving the fusion of male and female gametes, followed by the formation of sporozoites, which are the infective stage of the parasite. This process occurs in the mosquito vector, where the male and female gametes fuse to form a zygote, which then undergoes multiple rounds of division to produce sporozoites. These sporozoites are then injected into a new host when the mosquito feeds, leading to the transmission of the parasite and the onset of malaria.Rate this question:
- 17.
Completely identify the parasite pointed in red arrow
Correct Answer
babesia microtiExplanation
The correct answer is babesia microti. Babesia microti is a parasite that infects red blood cells and is transmitted to humans through the bite of infected ticks. It causes a disease called babesiosis, which can lead to symptoms such as fever, fatigue, and anemia. The red arrow in the question likely indicates the location of the parasite within the red blood cells.Rate this question:
- 18.
Identify the malarial parasite stage shown in the picture
Correct Answer
gametocytes, gametocyteExplanation
The correct answer is gametocytes, gametocyte. The picture likely shows the stage of the malarial parasite known as gametocytes. Gametocytes are the sexual stage of the parasite that infects humans and are responsible for transmission of the disease through mosquito vectors. They develop in the human host's bloodstream and are taken up by mosquitoes during a blood meal. Once inside the mosquito, gametocytes undergo further development and eventually form gametes, which then fuse to produce the infective stage of the parasite.Rate this question:
- 19.
Identify the malarial parasite stage shown in the picture
Correct Answer
ring, ring form, ring-form, ring stageExplanation
The correct answer refers to the ring stage of the malarial parasite. This stage is characterized by the appearance of small, ring-shaped structures within the red blood cells. These rings indicate the early development of the parasite within the host's bloodstream. The ring stage is a crucial phase in the malarial life cycle as it eventually progresses to more mature forms, causing the characteristic symptoms of the disease.Rate this question:
- 20.
Identify the malarial parasite stage shown in the picture
Correct Answer
schizont, schizontsExplanation
The correct answer is schizont, schizonts. A schizont is a stage in the life cycle of the malarial parasite where the parasite has multiplied within the red blood cells. This stage is characterized by the presence of multiple nuclei within the parasite. Schizonts are responsible for the rupture of infected red blood cells, releasing more parasites into the bloodstream, leading to the symptoms of malaria. The picture likely shows multiple schizonts, indicating an active infection of the malarial parasite in the blood.Rate this question:
- 21.
Man is the definitive host for malarial parasites
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
The given statement is false. Man is not the definitive host for malarial parasites. The definitive host is the organism in which the parasite reaches sexual maturity and reproduces. In the case of malaria, the definitive host is the female Anopheles mosquito. The mosquito acts as a vector, transmitting the parasite to humans through its bite. Once inside the human body, the malarial parasites undergo asexual reproduction, causing the symptoms of the disease. However, the sexual reproduction of the parasite occurs within the mosquito, making it the definitive host.Rate this question:
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- 22.
The following are complications from Plasmodium falciparum infection except
- A.
Cerebral malaria
- B.
Severe anemia
- C.
Hypoglycemia and lactic acidosis
- D.
Blackwater fever
- E.
None of the above
Correct Answer
E. None of the aboveExplanation
The given answer "None of the above" is correct because all of the listed complications (cerebral malaria, severe anemia, hypoglycemia and lactic acidosis, and blackwater fever) are actually complications that can occur from Plasmodium falciparum infection. Therefore, there are no exceptions in this case.Rate this question:
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- 23.
The Plasmodium _____ is the infective stage of the malarial parasite to its vector, the Anopheles mosquito
Correct Answer
gametocytes, gametocyteExplanation
The Plasmodium gametocytes are the infective stage of the malarial parasite to its vector, the Anopheles mosquito. Gametocytes are the sexual forms of the parasite that develop in the human host and are taken up by the mosquito during a blood meal. Once inside the mosquito, the gametocytes undergo further development and sexual reproduction, leading to the formation of gametes and subsequent infection of the mosquito's gut. From there, the parasite can continue its life cycle and be transmitted to another human host through the mosquito's bite.Rate this question:
- 24.
Type question here. Example: Practice makes you ________
Correct Answer
N/A - 25.
The thick and thin smear is the current gold standard for the diagnosis of malarial infection. All of the following statements are true except
- A.
Thick smear : used to determine parasite density
- B.
Thin smear : used to give information about parasite morphology and identifcation
- C.
Giemsa or Wright's solution is used as a staining tool
- D.
The level of parasitemia is expressed as the number of infected RBCs per 100 RBCs
- E.
None of the above
Correct Answer
D. The level of parasitemia is expressed as the number of infected RBCs per 100 RBCsExplanation
The thick and thin smear is used for the diagnosis of malarial infection. The thick smear is used to determine parasite density, while the thin smear is used to provide information about parasite morphology and identification. Giemsa or Wright's solution is used as a staining tool for the smears. The level of parasitemia is expressed as the number of infected red blood cells (RBCs) per 100 RBCs. Therefore, all of the given statements are true, and the correct answer is "None of the above."Rate this question:
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Mar 22, 2023Quiz Edited by
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Oct 12, 2016Quiz Created by
Aaronsanmiguelga
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