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The most common parasitic infections in the US include Trichmoniasis, Cryptosporidium, Toxoplasmosis and ___________
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| Neglected Tropical Diseases (NTDs) kill approximately 2 million people every year worldwide, the mots deadly of these NTD's is |
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| We are observing an increase in the frequency of parasitic infections in the US thought to be due to increase in travel, military deployment, humanitarian missions and inflow of immigrants and the increased prevalence of |
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| Immunocompromised patients |
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| Food, fluids, fingers, feces and money are all examples of ____________ which are substances capable of absorbing and transmitting agents of disease |
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| Does not cause parasitic infections, but is often necessary to transmit the causative parasite to the host |
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| Lice, bedbugs, chiggers and leeches are all examples of |
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| Mosquitoes, reduviid bugs, sandflies and leeches are all what type of organism |
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| Lindane (Kwell), permethrin, pyrethrin and ____________ are good topical treatment options for treating pediculus humanus capitis (head lice) |
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| Eggs of the lice which are cemented into hairshafts of the host by the gravid head louse are called |
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| Headlice are a common problem for ___________ because they share hats, hair ornaments and napping pads |
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| Headlice are a common problem for ___________ because they share hats, hair ornaments and napping pads. |
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| Entamebe histolytica, gairdia lamblia, leishamania, trichomonas and plasmodium ovale are all examples of what parasite |
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| When treating trichomoniasis, it is important to treat the patient as well as |
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| When treating a patient complaining of foul smelling urethral discharge, painful itchy urination, and demonstates flagellated protozoa in the urine 4-28 days after intercourse, what is the treatment |
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| Metronidazole, 2G x1 dose |
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| Malaria is caused by __________ which is transmitted by ______________. |
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Definition
| Plasmodium, Infection female Asnopheles mosquito |
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| The hallmark classic s/sx of an active malaria infection include anemia, fever, HA, chills and ____________ |
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| When diagnosing malaria, we often consider the patient's travel history, clinical s/sx, exposure to mosquitoes or blood, and lab analyses. In field screening that may be used is |
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| When diagnosing malaria, we often consider the patient's travel history, clinical s/sx, exposure to mosquitoes or blood, and lab analyses. In field screening that may be used is |
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| Four most common species of plasmodium |
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Definition
| Falciparum, Malariae, Vivax, Ovale |
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| Plasmodium species with highest degree of chloroquine resistance is |
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| The plasmodium organism replicates asexually and sexually; replicates in the mosquitoes gut, host's RBC's and |
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| The cause of anemia, rigors and splenomegaly in humans with malaria infestations is the result of |
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| Alternates to Chloroquine for prophylaxis for travel to areas endemic for malaria |
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Definition
| hydroxychloroquine, metfloquine |
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| All px medications for malaria require initiation prior to travel and continuation throughout and upon return for an additional four weeks except |
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Definition
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| When prophylaxing against malaria in areas suspected but not documented resistance to chloroquine the traveler should |
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Definition
| Add proquanil beginning the LAST 2 weeks for chloroquine px. |
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| Non-pharmacological approaches to malaria prevention |
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Definition
| Avoid areas, sleep under nets, clear standing water, apply DEET to clothes,linens and skin |
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| Mefloquine can be used for px and treatment of malaria. What is the dose |
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Definition
| 5X the prophylaxis dose give during loading dose of quinine/quinadine |
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| Drug used for treatment of severe malaria that is the aqueously soluble enantiomer of Quinine |
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| Tonic water originally from peruvian cinchona bark and contained |
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Definition
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| Sweet wormwood has been shown to provide active antimalarial extracts one of which is _____________ |
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Definition
| Artemisin, which is becoming an alternative treatment of malaria |
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| When traveling through chloroquine resistant areas, pregnant women should px with |
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Definition
| Mefloquine or Azithromycin |
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| When traveling through chloroquine resistant areas, pregnant women should px with |
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Definition
| Mefloquine or Azithromycin |
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| When traveling through chloroquine resistant areas, pregnant women should px with |
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Definition
| Mefloquine or Azithromycin |
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| Total accumulative dose of chloroquine phosphate for a two week trip to an endemic area |
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Definition
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| Quinine drug specific side effects |
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Definition
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| Metfloquine specific side effects |
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Definition
| heart palpitations, vivid dreams, insomnia |
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| Species of Entameoba that can invade tissues and cause liver abscess |
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Definition
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| Entameoba hystolica best treated with |
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Definition
| dihydroemetine, chloroquine or metronidazole (all are tissue active) |
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| Entameoba Dispar is best treated with |
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Definition
| Iodoquinol, diloxanide or paramomycin. (all luminal amebocides) |
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| Asymptomatic cyst passers of Entameoba are usually treated with |
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Definition
| Luminal amebicides (Iodoquinol, diloxanide, or paramomycin. |
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Term
| amebiasis and giardiasis are protozoal infestations associated with severe diarrhea and are transmitted by |
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Definition
| drinking fecal contaminated water |
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| Person to person transmission of giardia |
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Definition
| sharing tubs, pools, ponds, toys and through oral-anal contacts |
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| Test used for diagnosis of giardiasis |
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Definition
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| Test used for diagnosis of giardiasis |
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| severe diarrhea, cramping, exudates in stool, flatulence |
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Definition
Metronidazole for 5-7 days or Tinidazole 2G PO x1 |
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| DOC for pregnant women with giardiasis or amebiasis |
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| Dum-dum fever, Kala-azar, black fever or Assam fever are all colloquial names for |
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Definition
| visceral form of Leshmaniasis |
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| Mucocutaneous form of Leishmaniasis can mutilate the mucosa of |
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Definition
| Nose / Soft palate and trachea |
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| Leishmaniasis incubation period |
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Definition
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| Leishmaniasis most commonly transmitted via |
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Definition
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| common intermediary hosts (reservoirs) for leishmaniasis (sandflies) |
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Definition
| Dogs, foxes, squirrels, rodents |
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| treatment of leishmaniasis |
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Definition
parenteral Amphotericin B Pentamidine *Stibolgluconate 20-28 days CIVI |
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| African sleeping sickness and chagas disease both caused by what protozoan species |
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| Two major forms of trypanosomiasis and their parasites |
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Definition
African sleeping sickness - tse-tse fly Chagas disease - ruduviid bug |
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Definition
| aka chagoma; seen in children infected by trypanosomiasis resulting from rubbing eyes with feces of vector |
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| trypanosomiasis treatment |
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Definition
nitroburtimox (Lampit) x4mos or benidazole (Rochagon) x3mos |
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| Treatment of ringworm (most common helminth infestation in US) and tapeworm |
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Definition
| pyrantel pamoate (Antiminth) |
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| Albendazole characterstics |
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Definition
| Can be effective with one dose, but best absorbed when taken with a high fat meal. |
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Definition
| penetrates skin of victim, once inside of host's tissues migrates to small intestine where it can be liberated to infect another host. |
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| Pinworms are spread and populated in the host by |
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| dracunculus medenisis not treatable by medication. Best prevented by |
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Definition
| purifying drinking water or treated through manual removal. |
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| Wucheria bancrofti is a filarial worm that causes |
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Definition
| Elephantitis by migrating into the lymphatic system causing obstruction and edema of the effected extremity |
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