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C
What is the historical term for protozoans, meaning "first animals"?
a) Metazoa
b) Sarcodina
c) Protozoa
d) Archezoa
C
Which structure is a dense, dark-staining body of condensed DNA found inside the nucleus?
a) Peripheral chromatin
b) Cytostome
c) Karyosome
d) Cytopyge
B
What is the "mouth-like" opening through which some protozoa ingest food?
a) Cytopyge
b) Cytostome
c) Pseudopod
d) Vacuole
A
What is the temporary pore used by protozoa to excrete waste?
a) Cytopyge
b) Karyosome
c) Cytostome
d) Chromatoid bar
A
Which subphylum do amoebas belong to?
a) Sarcodina
b) Ciliophora
c) Mastigophora
d) Apicomplexa
D
What locomotory organelle is characteristic of the subphylum Mastigophora?
a) Cilia
b) Pseudopods
c) Gliding
d) Flagella
D
Which phylum includes organisms that move using tiny, hair-like structures?
a) Sarcomastigophora
b) Apicomplexa
c) Sarcodina
d) Ciliophora
C
Organisms in the phylum Apicomplexa are also commonly known as:
a) Flagellates
b) Ciliates
c) Sporozoans
d) Amoebas
B
What is the primary method of asexual reproduction in protozoans?
a) Budding
b) Binary fission
c) Schizogony
d) Conjugation
C
Which term describes the fine or coarse granules lining the inner nuclear membrane?
a) Karyosome
b) Endoplasm
c) Peripheral chromatin
d) Ectoplasm
B
Which morphologic form is the active, feeding, and motile stage of a protozoan?
a) Cyst
b) Trophozoite
c) Sporozoite
d) Bradyzoite
C
Which form is the dormant, resistant stage responsible for transmission?
a) Trophozoite
b) Gametocyte
c) Cyst
d) Merozoite
C
Class Lobosea consists of which group of organisms?
a) Flagellates
b) Ciliates
c) Amoebas
d) Hemoflagellates
B
Which phylum contains the species Balantidium coli?
a) Apicomplexa
b) Ciliophora
c) Sarcomastigophora
d) Mastigophora
A
Trypanosoma and Leishmania belong to which category?
a) Hemoflagellates
b) Ciliates
c) Sporozoans
d) Intestinal amoebas
C
What is the infective stage of Entamoeba histolytica?
a) Trophozoite
b) Immature cyst
c) Mature cyst
d) Flagellated form
B
Which stage of E. histolytica is responsible for tissue invasion and symptoms?
a) Cyst
b) Trophozoite
c) Metacyst
d) Pre-cyst
C
What is the diagnostic clue for E. histolytica trophozoites that confirms pathogenicity?
a) Ingested bacteria
b) Ingested yeast
c) Ingested red blood cells (RBCs)
d) Large glycogen vacuole
C
How many nuclei are present in a mature E. histolytica cyst?
a) One
b) Two
c) Four
d) Eight
B
What is the shape of the chromatoid bars in E. histolytica cysts?
a) Splinter-like with pointed ends
b) Cigar-shaped with rounded ends
c) Triangular
d) Star-shaped
D
The movement of E. histolytica trophozoites is described as:
a) Sluggish and non-directional
b) Gliding only
c) Random and spinning
d) Progressive and directional
D
What type of pseudopod is formed by E. histolytica?
a) Blunt and multiple
b) Thread-like
c) Spine-like
d) Finger-like and single
B
Which condition involves blood and mucus in the stool due to E. histolytica?
a) Giardiasis
b) Amebic dysentery
c) Primary amebic meningoencephalitis
d) Granulomatous encephalitis
B
Where does excystation of E. histolytica occur?
a) Stomach
b) Small intestine (ileocecal area)
c) Large intestine
d) Liver
A
Where does encystation of E. histolytica occur?
a) Large intestine
b) Small intestine
c) Bloodstream
d) Lungs
C
Which site is the most common for extraintestinal amebiasis?
a) Brain
b) Lungs
c) Liver
d) Spleen
B
The karyosome of E. histolytica is typically:
a) Large and eccentric
b) Small and central
c) Blot-like
d) Absent
C
How is amebiasis primarily transmitted?
a) Mosquito bite
b) Skin penetration
c) Fecal-oral route
d) Sexual contact only
B
Which laboratory preparation is used to demonstrate the motility of trophozoites?
a) Iodine wet mount
b) Saline wet preparation
c) Permanent trichrome stain
d) Acid-fast stain
C
What are chromatoid bars made of?
a) DNA
b) Glycogen
c) Condensed RNA material
d) Lipids
B
In E. histolytica, the peripheral chromatin is: a) Coarse and uneven b) Fine and evenly distributed
c) Blotchy
d) Non-existent
A
A "ground glass" appearance is used to describe the cytoplasm of which form?
a) E. histolytica trophozoite
b) E. coli cyst
c) I. butschlii cyst
d) Acanthamoeba trophozoite
D
What is the average size range of E. histolytica trophozoites?
a) 5–10 µm
b) 60–80 µm
c) 30–50 µm
d) 12–25 µm
B
Which stain is used to visualize internal nuclear structures and cytoplasmic details for confirmation?
a) Saline
b) Iodine or Permanent Stains (e.g., Trichrome)
c) Gram stain
d) India ink
D
Which nonpathogenic amoeba is morphologically identical to E. histolytica but lacks ingested RBCs?
a) E. coli
b) I. butschlii
c) E. nana
d) E. dispar
D
What is the mature number of nuclei in an Entamoeba coli cyst?
a) 1
b) 2
c) 4
d) 8
B
The chromatoid bodies of Entamoeba coli are described as:
a) Rounded and cigar-shaped
b) Splinter-like or needle-shaped
c) Ovoid
d) Rectangular
C
The karyosome of Entamoeba coli is:
a) Small and central
b) Large and central
c) Small and eccentric (off-center)
d) Blot-like
B
Which nonpathogenic amoeba is known as the "small race" of E. histolytica?
a) E. moshkovskii
b) E. hartmanni
c) E. polecki
d) E. nana
B
What is the maximum size of E. hartmanni trophozoites?
a) 5 µm
b) 15 µm
c) 25 µm
d) 40 µm
D
Entamoeba polecki is primarily a parasite of which animals?
a) Dogs and cats
b) Birds
c) Cows and sheep
d) Pigs and monkeys
D
What is a unique feature of the Entamoeba polecki cyst?
a) It has 8 nuclei
b) it is always triangular
c) It has no cell wall
d) It has only 1 nucleus (uninucleated)
C
Which amoeba has a large, blot-like karyosome and no peripheral chromatin?
a) E. histolytica
b) E. coli
c) Endolimax nana
d) Iodamoeba butschlii
C
What is the most common number of nuclei in a mature Endolimax nana cyst?
a) 1
b) 2
c) 4
d) 8
B
The cyst of Iodamoeba butschlii is easily identified by its:
a) 4 nuclei
b) Large iodine-staining glycogen vacuole
c) Splintered chromatoid bars
d) Cilia
A
Which amoeba is found in the oral cavity and has no cyst stage?
a) E. gingivalis
b) E. histolytica
c) E. hartmanni
d) E. coli
A
Entamoeba gingivalis is known to ingest which of the following?
a) White blood cells (leukocytes)
b) Red blood cells
c) Muscle fibers
d) Nerve cells
C
How is Entamoeba gingivalis transmitted?
a) Contaminated water
b) Mosquitoes
c) Mouth-to-mouth (kissing) or shared utensils
d) Undercooked pork
B
Which amoeba was first detected in sewage and is osmotolerant?
a) E. dispar
b) E. moshkovskii
c) E. polecki
d) E. hartmanni
B
The movement of Entamoeba coli is typically:
a) Progressive and rapid
b) Sluggish and multi-directional
c) Gliding
d) Rotational
A
Nonpathogenic intestinal amoebae indicate what regarding the host's environment?
a) Fecal contamination
b) Viral infection
c) High protein diet
d) Genetic immunity
A
Which nonpathogenic amoeba has blunt pseudopods and a sluggish, nonprogressive motility?
a) Endolimax nana
b) E. histolytica
c) Naegleria fowleri
d) E. gingivalis
A
What is the typical size of an Endolimax nana cyst?
a) 4–12 µm
b) 20–30 µm
c) 50–60 µm
d) 5–12 µm (trophozoite size)
C
The peripheral chromatin in Entamoeba coli is:
a) Fine and even
b) Absent
c) Coarse and uneven
d) Central
B
What disease is caused by Naegleria fowleri?
a) Granulomatous Amebic Encephalitis (GAE)
b) Primary Amebic Meningoencephalitis (PAM)
c) Amebic Liver Abscess
d) Keratitis
B
Which morphologic form of Naegleria fowleri is the tissue-invading diagnostic stage?
a) Cyst
b) Ameboid trophozoite
c) Flagellated form
d) Sporozoite
D
How does Naegleria fowleri enter the human body?
a) Ingestion of cysts
b) Through the urogenital tract
c) Through a mosquito bite
d) Through the nasal passage via contaminated water
D
Which form of Naegleria fowleri is NOT found in human tissue?
a) Ameboid trophozoite
b) Nucleus
c) Flagellated form (rarely)
d) Cyst
A
What is the typical habitat for Naegleria fowleri?
a) Warm freshwater (lakes, rivers)
b) Seawater
c) Dry soil
d) Salt mines
B
Which sign indicates meningeal irritation in N. fowleri infection?
a) Romberg's sign
b) Kernig’s sign
c) Babinski sign
d) Murphy’s sign
B
What is the primary drug used to treat Naegleria fowleri?
a) Metronidazole
b) Amphotericin B
c) Albendazole
d) Chloroquine
C
Which Acanthamoeba condition is common among contact lens users?
a) PAM
b) GAE
c) Acanthamoeba keratitis
d) Intestinal amebiasis
C
Unlike Naegleria, Acanthamoeba does NOT have which form?
a) Trophozoite
b) Cyst
c) Flagellated form
d) Nucleus
A
What are the spine-like projections on the Acanthamoeba trophozoite called?
a) Acanthopodia
b) Cilia
c) Flagella
d) Axostyles
C
Which form(s) of Acanthamoeba can be found in human tissue?
a) Trophozoite only
b) Cyst only
c) Both trophozoites and cysts
d) Flagellates
B
GAE stands for:
a) General Amebic Enteritis
b) Granulomatous Amebic Encephalitis
c) Gastric Amebic Erosion
d) Glandular Amebic Edema
C
What specimen is used to diagnose Naegleria fowleri?
a) Stool
b) Urine
c) Cerebrospinal fluid (CSF)
d) Blood
B
Which free-living amoeba can enter the host through broken skin or eyes?
a) Entamoeba coli
b) Acanthamoeba species
c) Endolimax nana
d) Giardia lamblia
B
What is the prognosis for PAM?
a) Excellent with treatment
b) Very poor; survival is rare
c) Chronic but non-fatal
d) Self-limiting
B
The conversion from a cyst to a trophozoite is called:
a) Encystation
b) Excystation
c) Sporogony
d) Schizogony
A
The conversion from a trophozoite to a cyst is called:
a) Encystation
b) Excystation
c) Binary fission
d) Syngamy
B
In the life cycle of intestinal amebae, which form is usually passed in formed stools?
a) Trophozoite
b) Cyst
c) Flagellate
d) Gamete
C
In the life cycle of intestinal amebae, which form is usually passed in liquid or diarrheic stools?
a) Cyst
b) Oocyst
c) Trophozoite
d) Egg
C
What is the "Diagnostic Stage" for E. histolytica?
a) Mature cyst only
b) Trophozoite only
c) Cysts and trophozoites passed in feces
d) Flagellated form
B
Asexual reproduction of Naegleria trophozoites where the nuclear membrane remains intact is called:
a) Mitosis
b) Promitosis
c) Meiosis
d) Budding
B
Which form of Naegleria develops under changes in ionic concentration?
a) Cyst
b) Flagellated form
c) Ameboid trophozoite
d) Trophozoite nucleus
D
What process involves trophozoites multiplying by splitting into two?
a) Encystation
b) Fertilization
c) Excystation
d) Binary fission
D
Acanthamoeba can disseminate to the Central Nervous System (CNS) via the:
a) Olfactory nerve
b) Lymphatic system
c) Digestive tract
d) Bloodstream
B
Which stage of Acanthamoeba is resistant to disinfectants and drying?
a) Trophozoite
b) Cyst
c) Flagellate
d) Larva
A
What type of drug is used to clear cysts from the gut in asymptomatic carriers?
a) Luminal agents
b) Tissue agents
c) Antifungals
d) Antibiotics only
A
Which drug is commonly used for extraintestinal amebiasis?
a) Metronidazole / Tinidazole
b) Penicillin
c) Amphotericin B
d) Iodoquinol
A
A key prevention for Acanthamoeba keratitis is to avoid using:
a) Homemade, non-sterile saline for contact lenses
b) Tap water for drinking
c) Public swimming pools
d) Shared towels
B
What is a general measure to protect food from amebic contamination?
a) Cooling food to 0°C
b) Protecting food from flies and cockroaches
c) Using more salt
d) Eating only meat
B
What is recommended for preventing infection in contaminated water sources?
a) Adding more salt
b) Posting off-limits signs
c) Heating the whole lake
d) Using colored dyes
A
To prevent amebiasis, what is the best practice regarding water and food?
a) Clean water and clean food
b) Eating raw vegetables
c) Drinking lake water
d) Shared drinking cups
A
Which drug has been recently updated as commonly included in successful Naegleria treatment?
a) Miltefosine
b) Rifampin
c) Miconazole
d) Penicillin
A
What is the focus of treatment if an infection spreads outside the intestine?
a) Strong tissue-acting drugs
b) Luminal agents
c) Topical creams
d) No treatment needed
D
For intestinal symptoms of amebiasis, the treatment focus is:
a) The brain
b) Eye drops
c) Skin lesions
d) The gut infection
B
Good personal hygiene and ________ are essential for preventing protozoan infections.
a) High-impact exercise
b) Sanitation
c) Daily vitamins
d) Sleep
B
What is the typical size range for Entamoeba histolytica cysts?
a) 2–5 µm
b) 8–22 µm
c) 30–40 µm
d) 50–100 µm
A
Which amoeba has a small, central karyosome and fine, even peripheral chromatin?
a) E. histolytica
b) E. coli
c) E. nana
d) I. butschlii
A
Which amoeba is non-motile in its cyst stage and has a thick protective wall?
a) All cyst-forming amoebas
b) E. histolytica
c) Only Naegleria
d) Only E. coli
B
The cytoplasm of Entamoeba coli is:
a) Finely granular
b) Coarsely granular
c) Clear
d) Striated
C
Iodamoeba butschlii trophozoites have a karyosome that is:
a) Small and central
b) Blot-like
c) Large, central or eccentric with achromatic granules
d) Absent
C
Which amoeba's cyst is spherical, ovoid, or ellipsoid and typically has 4 nuclei?
a) E. coli
b) I. butschlii
c) Endolimax nana
d) E. polecki
B
Which organism moves using pseudopods and is an example of the Sarcodina?
a) Giardia
b) Amoeba
c) Balantidium
d) Plasmodium
A
A dense body of chromatin inside the nucleus is the:
a) Karyosome
b) Cytostome
c) Pellicle
d) Flagellum
C
Which phylum lacks definite locomotory organelles in adult stages?
a) Ciliophora
b) Sarcomastigophora
c) Apicomplexa
d) Sarcodina
B
What is the common name for Naegleria fowleri?
a) Heart-eating amoeba
b) Brain-eating amoeba
c) Liver-eating amoeba
d) Skin-eating amoeba