KROK 1 2018 – Question 138 · KROK (Medicine) · Biology

A young woman, a foreign student from Tehran, has made an appointment with the urologist. She complains of the sensation of heaviness in her lower abdomen and a small amount of blood being excreted with urine at the end of each urination. Microscopy of urine detects the presence of parasite eggs, approximately 140x70 micron in size, with a terminal spike. What diagnosis can be made by the infectious diseases specialist?

  1. A. Fascioliasis
  2. B. Paragonimiasis
  3. C. Schistosomiasis
  4. D. Opisthorchiasis
  5. E. Dicroceliasis
Hint

Combine the geography, the finding of eggs in urine and the size and spine of the egg to decide which group of flukes is involved.

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