75 下列何種人體寄生蟲可以藉由母親哺乳途徑傳染給嬰兒？

東方毛線蟲（Trichostrongylus orientalis） 肝毛線蟲（Capillaria hepatica）

糞小桿線蟲（Strongyloides stercoralis） 旋毛蟲（Trichinella spiralis）

ANS STRONGYLOIDES STERCORALIS

IT IS SO STRONG THAT IT CAN GET TO HUMAN BREAST MILK

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77 下列關於曼森血吸蟲（Schistosoma mansoni）的敘述，何者正確？

又名東方血吸蟲（Oriental blood fluke） 成蟲寄生於下腸繫膜靜脈小分枝

糞便檢查可看到蟲卵 淡水螺是第二中間宿主

S. MANSONI, WITH CHARACTERISTIC LATERAL SPINE

ANS B/C

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80 隔壁老王回山東老家探親，回來後開始腹瀉、發燒、貧血、並伴有肝脾腫大，髂骨穿刺在骨髓巨噬細胞中發現無鞭毛體（amastigotes），血液及糞便檢查沒有其他發現，老王沒去過台灣及山東以外其他地方，他最可能感染的寄生蟲病是：

黑熱病 間日瘧

日本血吸蟲症 恰氏症（Chagas’ disease）

ANS A

黑熱病:KALA AZAR: VISCERAL LEISHMANIASIS: VIA SAND FLY: SPLENOMEGALY

Cutaneous leishmaniasis is the most common form of leishmaniasis. Visceral leishmaniasis is a severe form in which the parasites have migrated to the vital organs.

In clinical medicine, leishmaniasis is considered one of the classic causes of a markedly enlarged (and therefore palpable) spleen; the organ, which is not normally felt during examination of the abdomen, may become larger even than the liver in severe cases.

An amastigote is a cell that does not have any flagella or cilia. The term is used mainly to describe a certain phase in the life-cycle of trypanosome protozoans. It is also called the leishmanial stage, since in Leishmania it is the form the parasite takes in the vertebrate host, but occurs in all trypanosome genera.

間日瘧: TERTIAN MALARIA

日本血吸蟲症: SCHISTOSOMIA JAPONICUM DISEASE

CHAGAS DISEASE: AMERICAN TRYPNASOMIASIS