1. Which of the following best describes C.

Intermittent
commensalism? D. Facultative
A. Both organisms benefit
B. One benefits, the other is harmed 8. Which specimen is most appropriate for
C. One benefits, the other is unaffected diagnosing intestinal protozoa?
D. Both are harmed A. Blood
B. CSF
2. Which parasite classification includes C. Stool
those that must live in a host to survive? D. Urine
A. Facultative
B. Erratic 9. Which method is preferred for detecting
C. Obligate motile protozoan trophozoites?
D. Permanent A. Flotation
B. Sedimentation
3. What is the definitive host in the life cycle C. Permanent stain
of Plasmodium spp.? D. Direct wet mount
A. Human
B. Pig 10. Trichomonas vaginalis lacks which stage
C. Mosquito in its life cycle?
D. Cattle A. Cyst
B. Trophozoite
4. Ectoparasites cause: C. Sporozoite
A. Infection D. Merozoite
B. Inflammation
C. Infestation 11. Which parasite can be diagnosed using
D. Inoculation the Scotch tape test?
A. Giardia lamblia
5. Which of the following is an intermittent B. Enterobius vermicularis
parasite? C. Ascaris lumbricoides
A. Plasmodium D. Strongyloides stercoralis
B. Dog tapeworm
C. Blood-feeding parasite 12. What is the most common portal of exit
D. Hookworm for intestinal parasites?
A. Urine
6. What form of parasite is responsible for B. Sputum
human brain infection by Naegleria fowleri? C. Skin
A. Cyst D. Anus
B. Oocyst
C. Trophozoite 13. What causes the “pruritus ani” symptom
D. Sporozoite in pinworm infection?
A. Toxins
7. A parasite found in an unusual organ is B. Larval migration
classified as: C. Allergic response to eggs
A. Erratic D. Trauma from feeding
B. Transitory
14. Which disease is associated with examination
Clonorchis sinensis? D. CSF culture
A. Liver cirrhosis
B. Biliary duct cancer 21. What is the infective form of Giardia
C. Gastric ulcer lamblia?
D. Pneumonia A. Trophozoite
B. Merozoite
C. Cyst
15. The most serious form of malaria is
D. Sporozoite
caused by:
A. P. ovale
22. Which parasite is commonly diagnosed
B. P. malariae using a duodenal aspirate?
C. P. falciparum A. Trichuris trichiura
D. P. vivax B. Giardia lamblia
C. Balantidium coli
16. Which of the following is NOT a mode D. Entamoeba histolytica
of transmission of parasites?
A. Inhalation 23. Which method is not used in fecal
B. Fecal-oral concentration techniques?
C. Vaccination A. Flotation
D. Vector-borne B. Sedimentation
C. Centrifugation
D. Incubation
17. Which parasite is primarily transmitted
by sandflies?
24. What preservative is commonly used for
A. Plasmodium falciparum stool samples?
B. Trypanosoma cruzi A. Ethanol
C. Leishmania donovani B. Iodine
D. Toxoplasma gondii C. Polyvinyl alcohol
D. Formaldehyde
18. Giardia lamblia affects which part of the
human body? 25. Which parasite is diagnosed using a vaginal
A. Lungs swab?
B. Small intestine A. Giardia lamblia
C. Liver B. Trichomonas vaginalis
D. Blood C. Balantidium coli
D. Trypanosoma brucei
19. Which method helps identify protozoan
26. Balantidium coli is transmitted via:
cysts in preserved specimens? A. Blood transfusion
A. Wet mount only B. Inhalation
B. Concentration and stain C. Contaminated food and water
C. Culture D. Sexual contact
D. Serology
27. Which is the only ciliate known to infect
20. The gold standard for diagnosing malaria humans?
is: A. Entamoeba histolytica
A. Urine test B. Trichomonas vaginalis
B. Blood smear microscopy C. Stool C. Giardia lamblia
D. Balantidium coli
28. The trophozoite of Giardia lamblia is best B. Liver fluke
described as: C. Blood fluke
A. Oval with multiple nuclei D. Fish fluke
B. Pear-shaped with flagella
C. Round with pseudopods 36. What method is used to collect eggs of
D. Leaf-shaped with hooks Enterobius vermicularis?
A. Stool sample
29. Acanthamoeba keratitis is primarily B. Vaginal swab
associated with: C. Duodenal aspirate
A. Consuming raw pork D. Scotch tape technique
B. Swimming in freshwater
C. Improper contact lens hygiene 37. Which parasite causes African sleeping
D. Blood transfusions sickness?
A. Plasmodium falciparum
30. Which parasite is diagnosed using a thick B. Trypanosoma brucei
and thin blood smear? C. Leishmania tropica
A. Giardia lamblia D. Giardia lamblia
B. Trypanosoma brucei
C. Plasmodium spp. 38. The characteristic motility of Naegleria
D. Leishmania donovani fowleri trophozoite is:
A. Spinning
31. What is the vector for Trypanosoma cruzi? B. Zigzag
A. Sandfly C. Slug-like
B. Kissing bug D. Wave-like
C. Tsetse fly
D. Anopheles mosquito 39. The diagnostic stage of Entamoeba
histolytica is found in:
32. Toxoplasma gondii can be transmitted A. Blood
through all EXCEPT: B. Urine
A. Cat feces C. Stool
B. Undercooked meat D. Skin
C. Transplacental transmission
D. Mosquito bite 40. The disease caused by Trichinella spiralis
primarily affects:
33. The infective stage of Strongyloides A. Brain
stercoralis enters through: B. Lungs
A. Inhalation C. Muscles
B. Skin penetration D. Liver
C. Oral ingestion
D. Transfusion 41. What staining method is commonly used for
intestinal protozoan cysts?
34. What organ is primarily affected in hepatic A. Gram stain
amoebiasis? B. Acid-fast stain
A. Kidney C. Trichrome stain
B. Liver D. Giemsa stain
C. Intestine
D. Lung 42. The sedimentation technique in stool exams
is based on:
35. Clonorchis sinensis is also known as: A. Color change
A. Lung fluke B. Parasite size
C. Specific gravity B. Flotation
D. Absorption C. Direct smear
D. Wet mount
43. What parasite is associated with bladder
cancer? 50. What is the treatment of choice for
A. Plasmodium vivax Entamoeba histolytica?
B. Schistosoma haematobium A. Tinidazole
C. Clonorchis sinensis B. Iodoquinol
D. Ancylostoma duodenale C. Albendazole
D. Metronidazole
44. The infective form of Toxoplasma gondii in
undercooked meat is: 51.Which protozoan is known for causing
A. Sporozoite keratitis in contact lens wearers?
B. Cyst A. Giardia lamblia
C. Oocyst B. Entamoeba histolytica
D. Tachyzoite C. Acanthamoeba spp.
D. Naegleria fowleri
45. The parasite Leishmania donovani primarily
infects: 52. What is the main diagnostic form of
A. RBCs Plasmodium in human blood?
B. WBCs A. Sporozoite
C. Macrophages B. Trophozoite
D. Hepatocytes C. Cyst
D. Amastigote
46. Paragonimus westermani is primarily
diagnosed from: 53. Which parasite lacks a cyst stage and is
A. Stool transmitted via sexual contact?
B. Blood A. Trichomonas vaginalis
C. Urine B. Giardia lamblia
D. Sputum C. Entamoeba histolytica
D. Balantidium coli
47. Which of the following is the definitive
host for Taenia saginata? 54. What is the infective stage of Trypanosoma
A. Pig cruzi?
B. Dog A. Epimastigote
B. Trypomastigote
C. Cow
C. Amastigote
D. Human D. Promastigote
48. Ancylostoma duodenale larvae enter the 55. What is the intermediate host for Taenia
body through: solium?
A. Ingestion A. Cow
B. Skin B. Pig
C. Mosquito bite C. Human
D. Genital contact D. Dog

49. A test tube showing parasites in the top 56. Which of the following specimens is
layer after centrifugation indicates which appropriate for diagnosing Schistosoma
technique? haematobium?
A. Blood
A. Sedimentation
B. Sputum C. Eating raw fish
C. Urine D. Drinking contaminated water
D. Stool
64. Which parasite causes granulomatous
57. Which free-living amoeba causes rapidly amebic encephalitis (GAE)?
fatal brain infection (PAM)? A. Giardia lamblia
A. Acanthamoeba B. Acanthamoeba spp.
B. Balantidium coli C. Trypanosoma brucei
C. Naegleria fowleri D. Leishmania donovani
D. Giardia lamblia
65. Which class of protozoa moves by means of
58. Which diagnostic method is most sensitive cilia?
for detecting Trichomonas vaginalis? A. Flagellates
A. Wet mount B. Sporozoa
B. Culture C. Ciliates
C. PCR D. Amoebae
D. Serology
66. The best specimen for detecting Loa loa
59. What is the infective stage of Entamoeba microfilariae is:
histolytica? A. Stool
A. Trophozoite B. Sputum
B. Sporocyst C. Urine
C. Cyst D. Blood
D. Sporozoite
67. Which diagnostic stage of malaria parasite is
60. Which of the following parasites is found inside red blood cells?
associated with lymphatic filariasis? A. Cyst
A. Plasmodium vivax B. Trophozoite
B. Brugia malayi C. Promastigote
C. Entamoeba coli D. Sporozoite
D. Trichinella spiralis
68. Leishmania amastigotes are typically found
61. What is the preferred stain for identifying inside:
Cryptosporidium oocysts? A. Erythrocytes
A. Trichrome B. Neurons
B. Hematoxylin C. Macrophages
C. Acid-fast D. Enterocytes
D. Gram stain
69. The specimen of choice for diagnosing
62. The definitive host for Toxoplasma gondii is: Enterobius vermicularis is:
A. Dog A. Stool
B. Pig B. Urine
C. Human C. Scotch tape
D. Cat D. Vaginal swab

63. In Diphyllobothrium latum infection, 70. What laboratory procedure is used to

71. What is the main transmission route for 78. Which parasite’s larvae migrate through the
Giardia lamblia? lungs during their life cycle?
A. Vector bite A. Giardia lamblia
B. Fecal-oral B. Entamoeba histolytica
C. Inhalation C. Ascaris lumbricoides
D. Sexual contact D. Trichomonas vaginalis

72. Trypanosoma brucei is transmitted by which 79. The “nurse cell” is a histologic hallmark of
vector? which parasite?
A. Sandfly A. Toxoplasma gondii
B. Mosquito B. Trichinella spiralis
C. Tsetse fly C. Leishmania donovani
D. Reduviid bug D. Trypanosoma cruzi

73. Which parasitic disease is diagnosed by 80. Which parasite has a scolex with four
xenodiagnosis? suckers but no hooks?
A. Malaria A. Taenia saginata
B. Chagas disease B. Taenia solium
C. Amoebiasis C. Diphyllobothrium latum
D. Giardiasis D. Echinococcus granulosus

74. Which parasite’s eggs are flattened on one 81. Which helminth can cause rectal prolapse in
side? heavy infections?
A. Ascaris lumbricoides A. Hookworm
B. Trichuris trichiura B. Trichuris trichiura
C. Enterobius vermicularis C. Ascaris lumbricoides
D. Taenia solium D. Enterobius vermicularis

75. Clonorchis sinensis infection is associated 82. What is the mode of transmission for
with eating: Strongyloides stercoralis?
A. Undercooked beef A. Ingestion of contaminated meat
B. Contaminated water B. Skin penetration from soil
C. Raw freshwater fish C. Bite of a mosquito
D. Unwashed vegetables D. Inhalation of eggs

76. What diagnostic form of Plasmodium is seen 83. The infective form of Leishmania
in thick blood smears? transmitted by sandflies is:
A. Sporozoite A. Promastigote
B. Gametocyte B. Amastigote
C. Trophozoite C. Sporozoite
D. Ring stage D. Cyst

77. Which parasite causes cutaneous larva 84. Which parasite is associated with
migrans? megaloblastic anemia?
A. Necator americanus A. Ascaris lumbricoides
B. Ancylostoma braziliense B. Diphyllobothrium latum
C. Giardia lamblia A. Entamoeba histolytica
D. Ancylostoma duodenale B. Giardia lamblia
C. Plasmodium falciparum
85. Which parasite has a diagnostic stage called “egg D. Trichomonas vaginalis
with polar plugs”?
A. Trichuris trichiura 93. The diagnostic stage of Trichomonas vaginalis is
B. Enterobius vermicularis the:
C. Ascaris lumbricoides A. Cyst
D. Taenia saginata B. Trophozoite
C. Egg
86. What is the infective stage of Schistosoma D. Sporocyst
species?
A. Miracidium 94. The vector for Leishmania spp. is:
B. Cercaria A. Tsetse fly
C. Sporocyst B. Kissing bug
D. Metacercaria C. Sandfly
D. Mosquito
87. Which protozoan has a "falling leaf" motility
under the microscope? 95. The term "erratic parasite" refers to:
A. Entamoeba histolytica A. A parasite found in an unusual organ
B. Giardia lamblia B. A parasite that lives outside the body
C. Trichomonas vaginalis C. A parasite that does not harm the host
D. Balantidium coli D. A parasite with no intermediate host

88. The reservoir host of Balantidium coli is 96. Which helminth is transmitted through ingestion
typically: of embryonated eggs?
A. Human A. Strongyloides stercoralis
B. Cow B. Ancylostoma duodenale
C. Pig C. Ascaris lumbricoides
D. Dog D. Schistosoma haematobium

89. Which protozoan is known to cause a brain 97. What intestinal parasite can lead to vitamin B12
abscess? deficiency?
A. Entamoeba histolytica A. Hookworm
B. Giardia lamblia B. Giardia lamblia
C. Trichomonas vaginalis C. Diphyllobothrium latum
D. Cryptosporidium spp. D. Trichuris trichiura

90. Which helminth is known for causing 98. Which method is used to detect motile
autoinfection? trophozoites in liquid stool?
A. Trichuris trichiura A. Sedimentation
B. Ascaris lumbricoides B. Concentration
C. Strongyloides stercoralis C. Direct wet mount
D. Taenia saginata D. Acid-fast stain

91. What is the laboratory method used to detect 99. The presence of Charcot-Leyden crystals in stool
pinworm eggs? is associated with:
A. Fecal flotation B. Parasitic infection with eosinophilia
B. Blood smear
C. Cellophane tape technique
D. Urinalysis 100. Which parasite is associated with congenital
infection risk?
92. Which of the following is a blood protozoan B. Toxoplasma gondii
parasite?