NHM UP Staff Nurse-2023 shift 1st
Medical & Surgical Nursing
Easy

What can result from Taenia solium tapeworm infection?

Appeared in: NHM UP Staff Nurse-2023 shift 1st

Explanation

  • Infection with the pork tapeworm, Taenia solium, can result in two distinct conditions: taeniasis and cysticercosis.
  • Cysticercosis occurs when humans ingest the eggs of T. solium, typically from food or water contaminated with feces from a human tapeworm carrier.
  • After ingestion, the eggs hatch into larvae which penetrate the intestinal wall and migrate to various tissues, including skeletal muscle, the brain (neurocysticercosis), and eyes, where they form cysts.
  • Neurocysticercosis is a particularly severe form of the disease and is a leading preventable cause of epilepsy in endemic areas.

Why Other Options Were Wrong

  • Option A: Spleen disorders are not a typical feature of Taenia solium infection.
  • Option B: Lung asthma is an allergic inflammatory condition of the airways and is not caused by tapeworm infections.
  • Option D: While it is possible for cysts to form in the liver, significant liver problems are not a primary or common manifestation of cysticercosis.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: Knowing Pathophysiology and clinical manifestations of Taenia solium infection helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
  • Patient education is a key nursing role in preventing T. solium infection. This includes teaching about the importance of thorough cooking of pork and practicing good hand hygiene, especially after using the toilet and before handling food.
  • Nurses must be aware of the signs of neurocysticercosis, such as new-onset seizures, headaches, and altered mental status, especially in patients from endemic areas, as it is a medical emergency.
  • In India, cysticercosis is a significant public health problem, particularly in northern states. Nurses play a vital role in community health programs aimed at improving sanitation and food safety to break the transmission cycle.
How to Approach the Question
  • First, identify the key term in the question: 'Taenia solium'. This is the pork tapeworm.
  • Recall the two distinct diseases caused by this parasite. Differentiate between infection from eating larvae (in meat) and infection from ingesting eggs (from fecal contamination).
  • Ingesting larvae in undercooked pork causes taeniasis (the adult tapeworm in the intestine).
  • Ingesting eggs causes cysticercosis (larval cysts in body tissues).
  • Evaluate the options based on this knowledge. 'Cysticercosis' is the direct result of infection with the larval stage that develops from ingested eggs.
  • Eliminate the other options as they are not characteristic results of T. solium infection.
Concept Tested & Keywords
  • Concept Tested: Pathophysiology and clinical manifestations of Taenia solium infection.
  • Stem keywords: Taenia solium, tapeworm infection
  • Lead-in keywords: result from

Question ID

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Reference Book

E6 Medicine Harrison 22e Part 1 p. 1874-1876

E6 Parks TextBook of Preventive & Social Medicine part 1 — Subpart B (pp 202-403 of 604) p. 165-167

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