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آرشیو پست ها
380
Why can Strongyloides cause life-threatening infection in immunocompromised patients?
A. Increased egg production
B. Loss of autoinfection control
C. Liver cyst formation
D. Blockage of intestine
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Which stage is responsible for lung symptoms?
A. Rhabditiform larvae migrating in tissue
B. Filariform larvae migrating through bloodstream
C. Eggs released in intestine
D. Adult worms in colon only
Why is hyperinfection syndrome associated with corticosteroids?
A. Steroids kill larvae directly
B. Steroids enhance IgE response
C. Steroids suppress Th2 response → loss of eosinophil control
D. Steroids increase stool egg output
A stool exam is negative but clinical suspicion is high for Strongyloides. Best next test?
A. Urine microscopy
B. Serology (ELISA)
C. Blood culture
D. Liver biopsy
Which feature explains chronic persistence of infection for years?
A. Encysted eggs in liver
B. Autoinfection cycle
C. Adult worms in bloodstream
D. External reinfection only
Which statement is TRUE?
A. Humans are definitive but dead-end hosts
B. Infection requires ingestion of eggs
C. Filariform larvae are infective stage
D. Diagnosis depends on adult worms in stool
380
Which finding BEST differentiates Strongyloides from hookworm?
A. Skin penetration stage
B. Intestinal infection
C. Larvae in stool
D. Eosinophilia
🌝🌝🌝🌝
380
Which stage migrates through the lungs?
A. Eggs
B. Rhabditiform larvae
C. Filariform larvae
D. Adult worm
Which condition increases risk of hyperinfection syndrome?
A. Diabetes only
B. Immunosuppression (steroids / AIDS)
C. High protein diet
D. Vaccination
Why is stool examination sometimes negative in Strongyloides infection?
A. Eggs are destroyed in intestine
B. Larvae are few and intermittent
C. Worm lives only in blood
D. Infection is always acute
The main pathological mechanism in severe Strongyloides infection is:
A. Mechanical obstruction
B. Auto-reinfection and dissemination
C. Liver fibrosis
D. Muscle cyst formation
380
A patient on corticosteroids develops severe disseminated Strongyloides infection. This is mainly due to:
A. Increased antibody production
B. Autoinfection cycle activation
C. Decreased liver function
D. Bacterial co-infection only
380
Which feature is UNIQUE to Strongyloides stercoralis?
A. Eggs in stool
B. Autoinfection cycle
C. Liver cyst formation
D. Adult worm in blood
In Strongyloides infection, the diagnostic stage found in stool is:
A. Eggs
B. Adult worm
C. Larvae
D. Cysts
Which route is the most common entry of infection?
A. Ingestion of contaminated meat
B. Skin penetration by larvae
C. Mosquito bite
D. Inhalation of eggs
380
تسبب مرض الدودة القوية strongyloidiasis
هي قويه يعني دورة حياتها مرتين
مره داخل الجسم ومره من تعيش بشكل حر بالتربه
راح تدخل من القدم وتروح للرئة يا مكان ؟ حويصلات هوائية
و بعدين قصبات و بعدين تبلع
زين إذا معده فراح تتحول دوده بالغه و تعبس وين ؟ بالجدار وتنتج بيوض
و هناك راح يفقس البيض و بكون يرقات تخرج مع البراز
زين هاي يرقه راح ترجع مره ثانيه تتحول شكل معدي واذا تحولت ؟ بعد مراح تخرج من الجسم يعني شنو ؟!
Outoinfection
وهم ترجع للرئة
و إذا رادت تخرج اليرقه راح تخرج من
anus
ونوب تعيد نفس السالفه وتدخل من الجلد فد مكروه ايع
مهم المرضى مالها ماعدهم اعراض لان خبيثه
تسبب إسهال مائي
تسمم دم
التهاب رؤي
تعتمد بالتشخيص ع وجود يرقه
380
Strongyloides stercoralis
هاي دوده القوة لان بدايتها strong
تدخل الجلد عبر القدم من يمشي ع التربه و نكمل حياتها بالجسم
اكثر شي مهم انه تعيد أصابع نفسها
إذا دخلت الجسم راح تروح للدم و بعدين رئة و بعدين يصير ابتلاع ثم أمعاء و تستقر هناك
من كلت تعيد اصابه نفسها يعني هاي
Autoinfection
خطيرة كلش لان إذا شخص مناعته ضعيفه راح تنتشر بكل جسمه و تصير عدوى
أعراضها اكيد بما انه دخلت من القدم فراح تسوي حكه هناك و اكيد إسهال و سعال
واهم شي ارتفاع ال eosinophils
380
A patient presents with muscle pain, fever, and periorbital edema after eating undercooked pork. What is the most likely diagnosis?
A. Taenia solium
B. Ascaris lumbricoides
C. Trichinella spiralis
D. Enterobius vermicularis
380
A key laboratory finding in Trichinella spiralis infection is:
A. Neutropenia
B. Eosinophilia
C. Thrombocytopenia
D. Lymphopenia
Which of the following is the BEST diagnostic method?
A. Stool examination
B. Urine analysis
C. Muscle biopsy
D. Skin scraping
Which tissue is primarily affected in Trichinella infection?
A. Liver
B. Intestine
C. Brain
D. Skeletal muscle
What is the infective stage of Trichinella spiralis?
A. Eggs
B. Larvae in muscle
C. Adult worm
D. Cyst in intestine
380
Which of the following is TRUE about Trichinella spiralis?
A. Humans are intermediate hosts
B. Infection occurs by ingestion of eggs
C. Larvae encyst in muscle
D. It is transmitted by mosquito
