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Pharmacology · Anthelmintics: praziquantel
Sample itemA farmer from an endemic area has schistosomiasis. Which drug acts by increasing calcium permeability in the worm, causing spastic paralysis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Praziquantel
Praziquantel increases tegumental calcium influx, causing contraction, paralysis and tegument damage, and it is the drug of choice for schistosomiasis and most cestode and trematode infections. Ivermectin acts on glutamate-gated chloride channels.
Option by option
A. Ivermectin
Ivermectin opens glutamate-gated chloride channels.
B. Pyrantel pamoate
Pyrantel is a depolarising neuromuscular blocker.
C. Praziquantel (correct)
Correct. Praziquantel increases calcium permeability.
D. Albendazole
Albendazole inhibits microtubules.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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