KROK 1 2019 – Question 59 · 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. Dicroceliasis
  3. C. Opisthorchiasis
  4. D. Schistosomiasis
  5. E. Paragonimiasis
Hint

Think about which organ wall the eggs must cross to reach the urine, and what the egg's size and the position of its spine tell you about the species.

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