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Microbiology · Parasitology: Dracunculus medinensis
Sample itemIn a village, several adults develop a painful blister on the lower leg from which a long thread-like worm emerges when the foot is immersed in a pond. Which measure interrupts transmission?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Filtering drinking water to remove infected copepods and preventing patients from entering water sources
Dracunculus medinensis, the guinea worm, is acquired by swallowing water containing copepods (Cyclops) carrying infective larvae. The gravid female emerges through the skin and releases larvae into water. Filtering water, protecting sources and preventing infected people from bathing in ponds interrupt the cycle, and India was certified free of the disease in 2000.
Option by option
A. Cooking pork thoroughly
Pork is relevant to Taenia solium and Trichinella, not to guinea worm.
B. Mass ivermectin treatment of the population
Ivermectin is used for onchocerciasis and does not stop copepod-borne infection.
C. Insecticide spraying to control blackflies
Blackflies transmit onchocerciasis, not dracunculiasis.
D. Filtering drinking water to remove infected copepods and preventing patients from entering water sources (correct)
Correct. Removing copepods and preventing contamination of the water source interrupts the life cycle.
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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