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Microbiology · Parasitology
Sample itemA man presents with new-onset seizures and CT shows a ring-enhancing cystic lesion with an eccentric dot. How is neurocysticercosis acquired?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Ingestion of Taenia solium eggs
Neurocysticercosis results when humans ingest eggs of Taenia solium through faecally contaminated food or water or through autoinfection. Oncospheres penetrate the gut and form cysticerci in brain and muscle; the dot is the scolex.
Option by option
A. Ingestion of Taenia solium eggs (correct)
Egg ingestion allows larval cysts to develop in human tissues.
B. Contact with dog faeces containing Echinococcus eggs
Echinococcus eggs cause hydatid cysts, usually large unilocular cysts in liver or lung rather than a small cyst with an eccentric dot.
C. Eating undercooked pork containing cysticerci
Eating cysticerci in pork produces intestinal taeniasis, not tissue cysts.
D. Skin penetration by filariform larvae
Skin penetration by larvae is the route of hookworm and Strongyloides.
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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