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Microbiology · Parasitology: Entamoeba coli cyst
Sample itemA stool concentration smear shows a cyst with eight nuclei and splinter-shaped chromatoid bodies. What is the correct interpretation?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Entamoeba coli, a harmless commensal
Mature Entamoeba coli cysts have up to eight nuclei and splinter-like chromatoid bodies, whereas E. histolytica cysts have four nuclei and rounded chromatoid bars. E. coli is a non-pathogenic commensal and needs no treatment.
Option by option
A. Entamoeba coli, a harmless commensal (correct)
Correct. Eight nuclei and splinter chromatoid bodies identify E. coli, a commensal.
B. Giardia lamblia needing tinidazole
Giardia cysts are oval with four nuclei and axonemes.
C. Endolimax nana, which causes dysentery
Endolimax nana cysts are small with four nuclei and it is non-pathogenic.
D. Entamoeba histolytica needing a luminal amoebicide
E. histolytica cysts have a maximum of four nuclei with rounded-end chromatoid bars.
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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