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Microbiology · Parasitology: unfertilised Ascaris egg
Sample itemStool microscopy in a child shows elongated oval eggs with a thin shell, a scanty irregular outer coat and a mass of refractile granules inside. What is the correct interpretation?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Unfertilised Ascaris egg, so only female worms are present
Unfertilised Ascaris eggs are longer and narrower than fertilised ones, with a thin shell and internal refractile granules instead of a developing embryo. They are found when only female worms are present and they are not infective.
Option by option
A. Fasciola egg suggesting watercress ingestion
Fasciola eggs are very large and operculated.
B. Immature hookworm egg that will hatch in the gut
Hookworm eggs are thin-shelled ovals with a clear space and early cleavage cells, not granular contents.
C. Unfertilised Ascaris egg, so only female worms are present (correct)
Correct. Elongated granular eggs indicate unfertilised eggs from female-only infection.
D. Fertilised Ascaris egg that is immediately infective
Fertilised eggs are rounded, with a thick mamillated shell, and need days in soil to become infective.
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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