PANCE Questions and Answers Graded A
Enterobius vermicularis- nematode - pyratel- treatment for enterbiasis/pinworm
causative agent of enterbiasis/pinworm that is preferred in pregnant women but avoided
in children < 2
enterbiasis- pinworm
pyratel-
children 5-10- MC population for treatment for ascariasis/roundworm that is
entbiasis/pinworm infection preferred in pregnant women but avoided in
children < 2
fecal oral- MC transmission of
enterbiasis/pinworm ascaris lumbricoides- nematode - causative
agent of ascariasis/roundworm infection of the
perianal itching (esp nocturnal) and erythema intestine
severe - abdominal pain, N/V- symptoms of
enterbiasis/pinworm contaminated food, water, or soil-
transmission of ascariasis/roundworm
cellophane tape test- diagnostic test of
enterbiasis/pinworm intestinal obstruction- MC symptoms of high
load ascariasis/roundworm infection
albendazole- treatment option for
enterbiasis/pinworm N/V abdominal pain
intestinal or bile duct obstruction
albendazole- treatment option for pneumonitis in early stage- symptoms of
ascariasis/roundworm ascariasis/roundworm infection
albendazole- treatment option for stool ova and parasite- diagnostic test of
trichinellosis/roundworm with CNS, cardiac, or ascariasis/roundworm
pulmonary presentation
Trichinella spiralis- nematode - causative
mebenazole- treatment option for agent of trichinellosis/roundworm
trichinellosis/roundworm with CNS, cardiac, or
pulmonary presentation raw, undercooked meat (esp pork, wild boar,
bear)- transmission of
prednisone - treatment option added to trichinellosis/roundworm
albendazole for trichinellosis in pregnancy
intestine → striated muscle- infection path
mebenazole- treatment option for of trichinellosis/roundworm
ascariasis/roundworm
intestine → blood → lungs → trachea → GI-
mebenazole- treatment option for infection path of ascariasis/giant
enterbiasis/pinworm roundworm
GI: abd pain, N/V
pyratel- treatment option for
muscle pain + fever
enterbiasis/pinworm
palpebral or circumorbital edema
subungual splinter hemorrhages
1/8
, PANCE Questions and Answers Graded A
myocarditis- symptoms of albendazole- treatment option for
trichinellosis/roundworm hookworm (+ iron and multivitamins)
clinical + serology Plasmodium spp- causative agent of
Eosinophilia malaria
increased CK and LDH
± muscle biopsy- diagnostics of falciparum- most dangerous Plasmodium
trichinellosis/roundworm
RBC lysis → cyclical fever- infection path of
periorbital edema, myositis, eosinophilia - Plasmodium/malaria
hallmark for consideration of
trichinellosis/roundworm in patients anopheles mosquito- transmission of
Plasmodium/malaria
support care- treatment option for mild
trichinellosis/roundworm HA, myalgias, fatigue, GI sxs
cyclical fever - every 48 or 72 hours
ancylostoma duodenale- nemotode - ± cerebral - AMS, delerium, sz, coma-
causative agent of hookworm symptoms of Plasmodium/malaria
necator americanus - nemotode - causative clinical ± giemsa stained blood smear (thick -
agent of hookworm detect, thin - specify)- diagnostic of
Plasmodium/malaria
human fecal contamination
favorable soil conditions - warmth, moisture, artemisinin como therapy- treatment option
shade for Plasmodium/malaria
contaminated soil contact with human skin-
transmission of hookworm primaquine- treatment option for
Plasmodium/malaria - chloriquine sensitive - add
skin → pulm caps → mouth → GI (suck blood)- on if in the liver
hookworm infection path
babesia microti- malaria like protazoa -
Phase 1: focal, pruritic red maculopap dermatitis causative agent of babesiosis
(feet, between toes, ankles)
Phase 2: transpulmonary - usually a/sxs -
tick - trasmission of babesiosis
transient pneumonitis
Phase 3: after 1 month - N/V/D, epigastric pain -
usually worse after food northeast US - location MC for babesiosis
Phase 4:chronic nutritional impairment - iron
deficiency, loss of blood and albumin- elderly > 50, asplenia, immunocomp, neonatal
symptoms of hookworm prematurity - population babesiosis MC in
stool exam via microscopy (with Kato Katz) a/sxs
eosinophilia fever, malaise, HA, sweats- symptoms of
iron def anemia- diagnostic for hookworm babesiosis
2/8
Enterobius vermicularis- nematode - pyratel- treatment for enterbiasis/pinworm
causative agent of enterbiasis/pinworm that is preferred in pregnant women but avoided
in children < 2
enterbiasis- pinworm
pyratel-
children 5-10- MC population for treatment for ascariasis/roundworm that is
entbiasis/pinworm infection preferred in pregnant women but avoided in
children < 2
fecal oral- MC transmission of
enterbiasis/pinworm ascaris lumbricoides- nematode - causative
agent of ascariasis/roundworm infection of the
perianal itching (esp nocturnal) and erythema intestine
severe - abdominal pain, N/V- symptoms of
enterbiasis/pinworm contaminated food, water, or soil-
transmission of ascariasis/roundworm
cellophane tape test- diagnostic test of
enterbiasis/pinworm intestinal obstruction- MC symptoms of high
load ascariasis/roundworm infection
albendazole- treatment option for
enterbiasis/pinworm N/V abdominal pain
intestinal or bile duct obstruction
albendazole- treatment option for pneumonitis in early stage- symptoms of
ascariasis/roundworm ascariasis/roundworm infection
albendazole- treatment option for stool ova and parasite- diagnostic test of
trichinellosis/roundworm with CNS, cardiac, or ascariasis/roundworm
pulmonary presentation
Trichinella spiralis- nematode - causative
mebenazole- treatment option for agent of trichinellosis/roundworm
trichinellosis/roundworm with CNS, cardiac, or
pulmonary presentation raw, undercooked meat (esp pork, wild boar,
bear)- transmission of
prednisone - treatment option added to trichinellosis/roundworm
albendazole for trichinellosis in pregnancy
intestine → striated muscle- infection path
mebenazole- treatment option for of trichinellosis/roundworm
ascariasis/roundworm
intestine → blood → lungs → trachea → GI-
mebenazole- treatment option for infection path of ascariasis/giant
enterbiasis/pinworm roundworm
GI: abd pain, N/V
pyratel- treatment option for
muscle pain + fever
enterbiasis/pinworm
palpebral or circumorbital edema
subungual splinter hemorrhages
1/8
, PANCE Questions and Answers Graded A
myocarditis- symptoms of albendazole- treatment option for
trichinellosis/roundworm hookworm (+ iron and multivitamins)
clinical + serology Plasmodium spp- causative agent of
Eosinophilia malaria
increased CK and LDH
± muscle biopsy- diagnostics of falciparum- most dangerous Plasmodium
trichinellosis/roundworm
RBC lysis → cyclical fever- infection path of
periorbital edema, myositis, eosinophilia - Plasmodium/malaria
hallmark for consideration of
trichinellosis/roundworm in patients anopheles mosquito- transmission of
Plasmodium/malaria
support care- treatment option for mild
trichinellosis/roundworm HA, myalgias, fatigue, GI sxs
cyclical fever - every 48 or 72 hours
ancylostoma duodenale- nemotode - ± cerebral - AMS, delerium, sz, coma-
causative agent of hookworm symptoms of Plasmodium/malaria
necator americanus - nemotode - causative clinical ± giemsa stained blood smear (thick -
agent of hookworm detect, thin - specify)- diagnostic of
Plasmodium/malaria
human fecal contamination
favorable soil conditions - warmth, moisture, artemisinin como therapy- treatment option
shade for Plasmodium/malaria
contaminated soil contact with human skin-
transmission of hookworm primaquine- treatment option for
Plasmodium/malaria - chloriquine sensitive - add
skin → pulm caps → mouth → GI (suck blood)- on if in the liver
hookworm infection path
babesia microti- malaria like protazoa -
Phase 1: focal, pruritic red maculopap dermatitis causative agent of babesiosis
(feet, between toes, ankles)
Phase 2: transpulmonary - usually a/sxs -
tick - trasmission of babesiosis
transient pneumonitis
Phase 3: after 1 month - N/V/D, epigastric pain -
usually worse after food northeast US - location MC for babesiosis
Phase 4:chronic nutritional impairment - iron
deficiency, loss of blood and albumin- elderly > 50, asplenia, immunocomp, neonatal
symptoms of hookworm prematurity - population babesiosis MC in
stool exam via microscopy (with Kato Katz) a/sxs
eosinophilia fever, malaise, HA, sweats- symptoms of
iron def anemia- diagnostic for hookworm babesiosis
2/8
