Here’s a 50-item multiple-choice quiz on Cestodes with a mix of basic recall, situational,
and tricky questions. The correct answers are marked with a check (✓).
CESTODES QUIZ
1. Which of the following is a general characteristic of cestodes?
A. They have a complete digestive system
B. They absorb nutrients through the tegument ✓
C. They possess a true coelom
D. They are roundworms
2. The head of a cestode is called the:
A. Rostellum
B. Scolex ✓
C. Proglottid
D. Strobila
3. What structure may be found in the scolex to aid in attachment?
A. Teeth
B. Cilia
C. Suckers and hooks ✓
D. Spikes
4. The reproductive segments of a cestode are called:
A. Proglottids ✓
B. Scolex
C. Rostellum
D. Teguments
5. Which of the following cestodes can use humans as both intermediate and definitive host?
A. Diphyllobothrium latum
B. Taenia solium ✓
C. Taenia saginata
D. Echinococcus granulosus
6. What is the infective stage of Taenia saginata for humans?
A. Egg
B. Cysticercus ✓
C. Larva
D. Proglottid
7. A patient eats undercooked pork and develops taeniasis. What form was ingested?
A. Cysticercus ✓
B. Oncosphere
C. Egg
D. Adult worm
8. Which cestode is commonly known as the “broad fish tapeworm”?
A. Taenia saginata
B. Diphyllobothrium latum ✓
C. Taenia solium
D. Hymenolepis nana
9. Which of the following can cause megaloblastic anemia?
A. Taenia solium
B. Taenia saginata
C. Diphyllobothrium latum ✓
D. Echinococcus granulosus
10. What is the diagnostic stage of Taenia species in stool?
A. Scolex
B. Eggs or gravid proglottids ✓
C. Larvae
D. Cysticerci
11. In cysticercosis, the larval form of Taenia solium migrates and encysts in:
A. Tissues such as muscle and brain ✓
B. Colon
C. Lungs only
D. Small intestine only
12. A hydatid cyst is associated with which tapeworm?
A. Echinococcus granulosus ✓
B. Taenia saginata
C. Hymenolepis diminuta
D. Diphyllobothrium latum
13. The scolex of Diphyllobothrium latum has:
A. Four suckers
B. Hooks and suckers
C. Two sucking grooves ✓
D. No attachment organ
14. Which cestode infection is zoonotic and humans are accidental hosts?
A. Taenia solium
B. Diphyllobothrium latum
C. Echinococcus granulosus ✓
D. Taenia saginata
15. Which drug is commonly used to treat most cestode infections?
A. Praziquantel ✓
B. Albendazole
C. Metronidazole
D. Mebendazole
Situational and Tricky Questions
16. A patient has seizures and a CT scan shows cysts in the brain. Which cestode is likely
involved?
A. Diphyllobothrium latum
B. Echinococcus granulosus
C. Taenia solium (Neurocysticercosis) ✓
D. Taenia saginata
17. A 12-year-old girl developed severe abdominal pain. She has a pet dog and lives in a rural
area. What test would help detect possible hydatid disease?
A. Stool exam for ova
B. Skin test
C. Imaging studies like CT scan ✓
D. Blood smear
18. A lab tech mistakes Taenia eggs in a stool sample for Echinococcus eggs. Why is this
likely?
A. The eggs of both are morphologically similar ✓
B. Both have cysticerci
C. Echinococcus doesn't shed eggs
D. Taenia eggs are not seen in stool
19. A student ate raw fish while in Japan. Weeks later, he feels weak and pale. His labs show
low vitamin B12. What parasite might be the cause?
A. Echinococcus granulosus
B. Taenia saginata
C. Diphyllobothrium latum ✓
D. Taenia solium
20. Why should praziquantel be avoided in ocular cysticercosis?
A. It is not effective against adults
B. It can worsen inflammation when larvae die ✓
C. It causes blindness directly
D. It cannot cross the blood-ocular barrier
21. Which of the following is NOT a general feature of cestodes?
A. Possess a circulatory system ✓
B. Hermaphroditic
C. Flat and segmented
D. No digestive system
22. Which cestode has a centrally located rosette-shaped uterus?
A. Taenia saginata
B. Diphyllobothrium latum ✓
C. Hymenolepis nana
D. Taenia solium
23. The larval form of Echinococcus granulosus that infects humans is:
A. Cysticercus
B. Hydatid cyst ✓
C. Procercoid
D. Coracidium
24. Which statement is TRUE about Taenia solium?
A. Humans are only intermediate hosts
B. Pigs are definitive hosts
C. Autoinfection is possible ✓
D. It cannot infect humans through eggs
25. Which cestode passes proglottids that can crawl out of the anus, causing pruritus ani?
A. Taenia saginata ✓
B. Diphyllobothrium latum
C. Echinococcus granulosus
D. Hymenolepis diminuta
26. Which cestode has two intermediate hosts?
A. Taenia saginata
B. Diphyllobothrium latum ✓
C. Taenia solium
D. Hymenolepis nana
27. What is the first intermediate host of Diphyllobothrium latum?
A. Fish
B. Pig
C. Copepod (Cyclops) ✓
D. Sheep
28. Why are humans considered dead-end hosts for Echinococcus granulosus?
A. They do not pass the infection back to dogs ✓
B. They have no hydatid cysts
C. They serve as definitive hosts
D. They pass eggs in stool
29. Which cestode can cause allergic reactions when its cyst ruptures?
A. Taenia saginata
B. Echinococcus granulosus ✓
C. Diphyllobothrium latum
D. Hymenolepis nana
30. Which egg has an operculum and is ciliated in its larval stage?
A. Taenia saginata
B. Hymenolepis nana
C. Diphyllobothrium latum ✓
D. Echinococcus granulosus
31. Which species has a scolex with both suckers and a rostellum with hooks?
A. Taenia saginata
B. Taenia solium ✓
C. Diphyllobothrium latum
D. Hymenolepis diminuta
32. Which cestode is most commonly associated with vitamin B12 deficiency?
A. Taenia saginata
B. Taenia solium
C. Diphyllobothrium latum ✓
D. Echinococcus granulosus
33. What structure connects the scolex to the proglottids?
A. Strobila
B. Neck ✓
C. Rostellum
D. Hook
34. In which tissue is Diphyllobothrium latum most likely to mature?
A. Liver
B. Intestines ✓
C. Brain
D. Lung
35. What can differentiate Taenia solium eggs from Taenia saginata?
A. Shape of egg
B. Presence of hooks in scolex ✓
C. Color of egg
D. Shape of proglottids only
36. Which cestode is capable of self-fertilization?
A. All of the above ✓
B. Taenia saginata
C. Diphyllobothrium latum
D. Taenia solium
37. What is the main function of the rostellum?
A. Reproduction
B. Sensory perception
C. Attachment ✓
D. Nutrition absorption
38. Which cestode infection might require surgical removal of cysts?
A. Diphyllobothriasis
B. Taeniasis
C. Hydatid disease ✓
D. Cysticercosis
39. Which of the following infections is NOT transmitted by ingestion of undercooked meat or
fish?
A. Taeniasis
B. Diphyllobothriasis
C. Hydatid disease ✓
D. Cysticercosis
40. A man returns from a hunting trip with abdominal pain. Imaging shows liver cysts. Which is
the most likely parasite?
A. Diphyllobothrium latum
B. Echinococcus granulosus ✓
C. Taenia solium
D. Hymenolepis nana
41. How can you differentiate between gravid proglottids of T. saginata and T. solium?
A. Number of uterine branches ✓
B. Shape of scolex
C. Color of segments
D. Presence of hooks
42. Which of the following is found in pork but not in beef?
A. Diphyllobothrium latum
B. Taenia solium ✓
C. Taenia saginata
D. Hymenolepis nana
43. How are Diphyllobothrium latum eggs different from Taenia eggs?
A. They’re smaller
B. They have an operculum ✓
C. They have more hooks
D. They are brown in color
44. What is the usual site of infection for Echinococcus granulosus?
A. Intestine
B. Liver and lungs ✓
C. Brain
D. Skin
45. Which is NOT a recommended way to prevent taeniasis?
A. Cook meat thoroughly
B. Use insect repellent ✓
C. Practice good hygiene
D. Dispose of feces properly
46. A person was infected by ingesting copepods. Which parasite likely infected them?
A. Echinococcus granulosus
B. Diphyllobothrium latum ✓
C. Taenia solium
D. Taenia saginata
47. Which larval stage of D. latum is found in fish?
A. Coracidium
B. Plerocercoid ✓
C. Procercoid
D. Hydatid cyst
48. Which is true about Diphyllobothrium latum?
A. It causes cysticercosis
B. It can lead to anemia ✓
C. It has only one intermediate host
D. It has a scolex with hooks
49. Humans can become infected with hydatid cysts by:
A. Eating infected sheep
B. Ingesting dog feces-contaminated food or water ✓
C. Eating raw pork
D. Being bitten by dogs
50. Which statement is FALSE?
A. All cestodes are flatworms
B. Most cestodes are hermaphroditic
C. All cestodes have a circulatory system ✓
D. Eggs are used for diagnosis in many cestodes
Let me know if you want this as a printable PDF or editable Word document!
Here are 50 more multiple-choice questions on medically important Cestodes, including
situational and tricky ones. The correct answers are marked with a (✓).
51. A 6-year-old boy from a rural village presents with abdominal pain and proglottids in his
stool. His parents mention he often eats undercooked beef. What parasite is most likely?
A. Taenia solium
B. Taenia saginata (✓)
C. Hymenolepis nana
D. Echinococcus granulosus
52. What is the infective stage of Taenia solium to humans?
A. Cysticercoid
B. Cysticercus (✓)
C. Proglottid
D. Miracidium
53. A patient who consumed raw pork develops seizures. CT scan reveals cysts in the brain.
What condition is this?
A. Hydatid disease
B. Neurocysticercosis (✓)
C. Taeniasis
D. Giardiasis
54. Which cestode causes hydatid cyst disease in the liver?
A. Taenia solium
B. Taenia saginata
C. Echinococcus granulosus (✓)
D. Hymenolepis diminuta
55. The definitive host for Echinococcus granulosus is:
A. Sheep
B. Human
C. Pig
D. Dog (✓)
56. What diagnostic stage is used to confirm Taenia saginata infection?
A. Gravid proglottid (✓)
B. Ova with oncosphere
C. Cysticerci in muscle
D. Cysticercus in brain
57. Taenia saginata can be differentiated from T. solium by:
A. Number of uterine branches
B. Size of scolex hooks
C. Host preference
D. Absence of hooklets in scolex (✓)
58. A student finds a cestode in his stool with a scolex and 4 suckers but no hooklets. It likely
belongs to:
A. Taenia solium
B. Taenia saginata (✓)
C. Dipylidium caninum
D. Echinococcus multilocularis
59. In humans, accidental ingestion of Echinococcus granulosus eggs leads to:
A. Hydatid cyst formation (✓)
B. Adult worm in intestines
C. Neurocysticercosis
D. Toxoplasmosis
60. The intermediate host for Taenia saginata is:
A. Dog
B. Pig
C. Cattle (✓)
D. Sheep
61. Which cestode can complete its life cycle in a single host (human)?
A. Taenia solium
B. Hymenolepis nana (✓)
C. Diphyllobothrium latum
D. Echinococcus granulosus
62. What is the usual treatment for Taenia infections?
A. Metronidazole
B. Ivermectin
C. Albendazole
D. Praziquantel (✓)
63. The diagnostic feature of Hymenolepis nana egg is:
A. Polar filaments (✓)
B. Bipolar plugs
C. Hexacanth embryo
D. Operculum
64. A 4-year-old child is diagnosed with Hymenolepis nana. Which factor most likely
contributed?
A. Insect bite
B. Ingesting contaminated food with eggs (✓)
C. Eating raw beef
D. Swimming in freshwater
65. Why is Echinococcus granulosus a public health threat in sheep-raising regions?
A. It spreads through air
B. It causes diarrhea outbreaks
C. Its eggs from dog feces infect humans (✓)
D. It is transmitted by mosquito bites
66. The scolex of Taenia solium is:
A. Armed with hooklets (✓)
B. Unarmed with suckers only
C. Lacks both suckers and hooks
D. Bilobed
67. The larval stage of Echinococcus granulosus is known as:
A. Hydatid cyst (✓)
B. Cysticercus
C. Redia
D. Cercaria
68. A laboratory technician accidentally ingests eggs from a dog’s feces. What parasite is he at
risk of?
A. Taenia solium
B. Hymenolepis diminuta
C. Echinococcus granulosus (✓)
D. Diphyllobothrium latum
69. Hymenolepis diminuta uses which of the following as its intermediate host?
A. Flea or beetle (✓)
B. Pig
C. Snail
D. Human
70. The common name for Taenia saginata is:
A. Pork tapeworm
B. Beef tapeworm (✓)
C. Dog tapeworm
D. Dwarf tapeworm
71. What organ is most commonly affected by hydatid cysts?
A. Brain
B. Intestine
C. Liver (✓)
D. Lungs
72. Which cestode may cause autoinfection in humans?
A. Hymenolepis nana (✓)
B. Echinococcus granulosus
C. Dipylidium caninum
D. Taenia saginata
73. A key feature of Taenia egg is:
A. Lateral spine
B. Radial striations in the wall (✓)
C. Operculum
D. Hookless embryo
74. Ingestion of undercooked pork leads to which condition?
A. Neurocysticercosis
B. Taeniasis due to T. solium (✓)
C. Schistosomiasis
D. Fascioliasis
75. The intermediate host in Echinococcus multilocularis is usually:
A. Cattle
B. Rodents (✓)
C. Human
D. Pig
76. The most dangerous form of Echinococcus infection is:
A. Unilocular cyst
B. Alveolar hydatid cyst (✓)
C. Tapeworm in intestine
D. Cysticercosis
77. Which drug is preferred for hydatid cyst disease?
A. Mebendazole
B. Albendazole (✓)
C. Metronidazole
D. Niclosamide
78. A cyst with daughter cysts and hydatid sand is typical of:
A. Cysticercosis
B. Echinococcosis (✓)
C. Trichinellosis
D. Amoebiasis
79. Hymenolepis nana can be transmitted by:
A. Skin penetration
B. Fecal-oral route (✓)
C. Mosquito bites
D. Airborne spores
80. A person eats dog-contaminated vegetables. Months later, an abdominal ultrasound shows
a cystic lesion. What test would help confirm Echinococcus infection?
A. KOH prep
B. PCR for Taenia
C. Serologic ELISA (✓)
D. Liver biopsy immediately
81. A tricky feature about Hymenolepis nana is:
A. It causes anemia
B. It does not need an intermediate host (✓)
C. It requires a snail
D. It is zoonotic only
82. A child has itchy anal area and passes rice-like particles in stool. These are most likely:
A. Roundworm eggs
B. Pinworm eggs
C. Tapeworm proglottids (✓)
D. Liver fluke cysts
83. Echinococcus granulosus eggs resemble those of:
A. Hymenolepis nana
B. Taenia species (✓)
C. Hookworms
D. Schistosomes
84. What is the first organ reached by Echinococcus oncospheres after ingestion?
A. Brain
B. Lungs
C. Liver (✓)
D. Skin
85. Which test can best demonstrate a living scolex in a Taenia infection?
A. Stool microscopy
B. Recovery of intact worm during deworming (✓)
C. X-ray
D. WBC count
86. A person has a single tapeworm. What helps identify if it’s T. solium or T. saginata?
A. Shape of ova
B. Symptoms
C. Number of uterine branches (✓)
D. Host exposure history only
87. A stool sample contains ova with polar filaments. This suggests:
A. Hymenolepis nana (✓)
B. Taenia solium
C. Echinococcus granulosus
D. Diphyllobothrium latum
88. In neurocysticercosis, the major complication is:
A. Intestinal blockage
B. Hepatitis
C. Seizures (✓)
D. Ulcers
89. The infective form of Hymenolepis diminuta is:
A. Cysticercus
B. Cysticercoid (✓)
C. Egg
D. Hydatid cyst
90. Dipylidium caninum is acquired by:
A. Inhaling spores
B. Swallowing infected fleas (✓)
C. Dog bites
D. Waterborne cysts
91. The term “hydatid sand” refers to:
A. Tapeworm eggs
B. Protoscolices inside hydatid cysts (✓)
C. Adult worms
D. Hooklets in ova
92. A child infected with Hymenolepis nana may show:
A. Fever and joint pain
B. Mild diarrhea and abdominal discomfort (✓)
C. Seizures
D. Night blindness
93. Hymenolepis diminuta differs from H. nana by:
A. Host preference
B. Absence of polar filaments in eggs (✓)
C. Shape of proglottids
D. Causes more symptoms
94. Taenia solium is dangerous because it can cause:
A. Liver cysts
B. Neurocysticercosis via autoinfection (✓)
C. Heart failure
D. Chronic diarrhea
95. Cestodes are all of the following EXCEPT:
A. Flatworms
B. Roundworms (✓)
C. Hermaphrodites
D. Lack digestive tract
96. Which cestode may accidentally infect humans through fleas?
A. Dipylidium caninum (✓)
B. Hymenolepis nana
C. Taenia saginata
D. Echinococcus granulosus
97. A patient with a hydatid cyst should never undergo needle aspiration without precautions
because:
A. It may cause bleeding
B. It's ineffective
C. It may cause anaphylaxis (✓)
D. It's expensive
98. In Echinococcus multilocularis, the cysts are:
A. Invasive and multilocular (✓)
B. Benign and unilocular
C. Only found in intestines
D. Exclusive to sheep
99. What makes Hymenolepis nana unique among tapeworms?
A. Causes cancer
B. Completes lifecycle in one host (✓)
C. Requires snail
D. No eggs in stool
100. A stool exam with eggs having striated shell and six-hooked embryo suggests:
A. Diphyllobothrium latum
B. Taenia spp. (✓)
C. Trichuris trichiura
D. Ascaris lumbricoides
Let me know if you'd like this in a Word or PDF file!
Here are 50 more multiple-choice questions on medically important cestodes. Correct answers
are marked with a (✓).
Cestodes Quiz – Part 3 (Items 101–150)
101. Which cestode is known for causing neurocysticercosis in humans?
A. Dipylidium caninum
B. Echinococcus granulosus
C. Taenia solium (✓)
D. Hymenolepis diminuta
102. A patient presents with seizures and brain imaging reveals cysts. What is the most likely
diagnosis?
A. Hydatid disease
B. Cysticercosis
C. Neurocysticercosis (✓)
D. Ascariasis
103. The diagnostic stage of Taenia saginata in stool is:
A. Scolex
B. Proglottid
C. Cysticercus
D. Egg (✓)
104. Which tapeworm is associated with dogs as definitive hosts?
A. Hymenolepis nana
B. Echinococcus granulosus (✓)
C. Taenia saginata
D. Taenia solium
105. Hymenolepis nana is also known as:
A. Dwarf tapeworm (✓)
B. Dog tapeworm
C. Broad fish tapeworm
D. Pork tapeworm
106. The larval stage of Echinococcus granulosus is:
A. Hydatid cyst (✓)
B. Cysticercus
C. Coracidium
D. Procercoid
107. Which cestode can complete its life cycle without an intermediate host?
A. Hymenolepis nana (✓)
B. Taenia saginata
C. Taenia solium
D. Diphyllobothrium latum
108. A 6-year-old child presents with anal pruritus and rice-like segments in stool. The likely
parasite is:
A. Enterobius vermicularis
B. Hymenolepis nana
C. Dipylidium caninum (✓)
D. Taenia solium
109. Which of the following is a characteristic of Diphyllobothrium latum eggs?
A. Striated shell
B. Lacks operculum
C. Operculated with knob at opposite end (✓)
D. Dark brown and oval
110. What vitamin deficiency can result from Diphyllobothrium latum infection?
A. Vitamin A
B. Vitamin B12 (✓)
C. Vitamin D
D. Vitamin K
111. A child ingests infected fleas and develops a mild gastrointestinal infection. What parasite
is likely responsible?
A. Hymenolepis diminuta (✓)
B. Taenia solium
C. Echinococcus granulosus
D. Diphyllobothrium latum
112. Which of the following parasites is commonly acquired by eating raw or undercooked beef?
A. Taenia saginata (✓)
B. Taenia solium
C. Diphyllobothrium latum
D. Echinococcus granulosus
113. Cysticercosis occurs when humans ingest:
A. Eggs of Taenia solium (✓)
B. Eggs of Taenia saginata
C. Cysticerci of Taenia solium
D. Cysticerci of Taenia saginata
114. Echinococcus multilocularis differs from E. granulosus by:
A. Causing alveolar echinococcosis (✓)
B. Being larger
C. Having humans as intermediate hosts
D. Infecting cows
115. A hydatid cyst rupture may lead to:
A. Vomiting
B. Jaundice
C. Anaphylactic shock (✓)
D. Bradycardia
116. The intermediate host for Diphyllobothrium latum is:
A. Pig
B. Cow
C. Freshwater fish (✓)
D. Human
117. The adult worm of Hymenolepis nana has how many suckers?
A. Two
B. Four (✓)
C. Three
D. Six
118. What medication is most commonly used to treat tapeworm infections?
A. Mebendazole
B. Albendazole
C. Praziquantel (✓)
D. Metronidazole
119. The life cycle of Hymenolepis diminuta requires:
A. No intermediate host
B. A crustacean
C. An insect host (✓)
D. A mammalian host
120. Which cestode has bothria (sucking grooves) instead of suckers?
A. Taenia solium
B. Taenia saginata
C. Hymenolepis nana
D. Diphyllobothrium latum (✓)
121. Tricky: What would be the outcome if a human ingests a cysticercus of Taenia solium?
A. Hydatid cyst
B. Cysticercosis
C. Intestinal tapeworm (✓)
D. Liver abscess
122. Tricky: Which cestode has eggs that cannot be morphologically distinguished from each
other?
A. Taenia saginata and Taenia solium (✓)
B. Diphyllobothrium latum and Hymenolepis nana
C. E. granulosus and E. multilocularis
D. Dipylidium caninum and Hymenolepis diminuta
123. Situational: A patient who regularly eats freshwater sushi presents with megaloblastic
anemia. The suspected parasite is:
A. Diphyllobothrium latum (✓)
B. Taenia solium
C. Hymenolepis diminuta
D. Echinococcus granulosus
124. Situational: A patient with a pet dog and poor hygiene develops hydatid cysts in the liver.
This is caused by:
A. Taenia saginata
B. Dipylidium caninum
C. Echinococcus granulosus (✓)
D. Hymenolepis nana
125. Ingestion of Hymenolepis nana eggs leads to:
A. Hydatid disease
B. Cysticercosis
C. Intestinal infection (✓)
D. Liver cirrhosis
126. Adult Diphyllobothrium latum resides in the:
A. Small intestine (✓)
B. Colon
C. Liver
D. Stomach
127. Most common cestode in children:
A. Taenia saginata
B. Hymenolepis nana (✓)
C. Diphyllobothrium latum
D. Echinococcus granulosus
128. The longest human tapeworm is:
A. Taenia solium
B. Taenia saginata
C. Diphyllobothrium latum (✓)
D. Hymenolepis nana
129. Proglottids of Taenia saginata are described as:
A. Immature and small
B. Barrel-shaped
C. Actively motile and longer than wide (✓)
D. Irregular and twisted
130. Infective stage of Hymenolepis diminuta to humans:
A. Egg
B. Larva
C. Cysticercoid in insects (✓)
D. Cysticercus
131. What cestode has eggs with polar filaments?
A. Hymenolepis nana (✓)
B. Taenia solium
C. Diphyllobothrium latum
D. Hymenolepis diminuta
132. How many uterine branches are in Taenia solium's gravid proglottid?
A. 5–10
B. 11–14
C. 15–20
D. 7–13 (✓)
133. Taenia saginata is commonly acquired from:
A. Raw fish
B. Undercooked beef (✓)
C. Unwashed vegetables
D. Drinking river water
134. Tricky: Which cestode infection is zoonotic but not through direct ingestion of meat?
A. Taenia saginata
B. Taenia solium
C. Hymenolepis nana
D. Echinococcus granulosus (✓)
135. Intermediate host for Taenia solium:
A. Dog
B. Cow
C. Pig (✓)
D. Sheep
136. Larval stage of Taenia saginata:
A. Procercoid
B. Oncosphere
C. Cysticercus bovis (✓)
D. Hydatid cyst
137. Scolex of Taenia saginata has how many suckers?
A. Two
B. Three
C. Four (✓)
D. None
138. Dipylidium caninum eggs are typically found in:
A. Egg packets (✓)
B. Ova with polar filaments
C. Individual eggs
D. Operculated eggs
139. Diagnosis of Echinococcus granulosus usually involves:
A. Stool sample
B. Urine analysis
C. Imaging techniques like ultrasound (✓)
D. Saliva testing
140. Tricky: Which of the following cestodes is the only one capable of autoinfection?
A. Taenia saginata
B. Hymenolepis diminuta
C. Hymenolepis nana (✓)
D. Diphyllobothrium latum
141. Situational: A mother brings her child to the clinic, worried about worms seen crawling on
her child’s anus. What is the most likely parasite?
A. Taenia saginata
B. Dipylidium caninum (✓)
C. Echinococcus granulosus
D. Diphyllobothrium latum
142. Tricky: Which cestode infection can present without eosinophilia?
A. Cysticercosis (✓)
B. Hydatid disease
C. Diphyllobothriasis
D. Taeniasis
143. Hymenolepis diminuta infects humans through ingestion of:
A. Cysticerci
B. Infected beetles (✓)
C. Fleas
D. Mites
144. Taenia solium scolex is distinguished by the presence of:
A. Four suckers only
B. Bothria
C. Suckers and hooklets (✓)
D. No attachment organs
145. A unique feature of Hymenolepis nana eggs is:
A. Radial striations
B. Operculum
C. Polar filaments (✓)
D. Thick shell
146. The term “hydatid sand” refers to:
A. Immature proglottids
B. Degenerated eggs
C. Free scolices within a hydatid cyst (✓)
D. Larvae in stool
147. Cestodes are commonly diagnosed via:
A. Blood smear
B. Stool O&P examination (✓)
C. Sputum culture
D. Skin biopsy
148. Broadest proglottids among cestodes belong to:
A. Hymenolepis nana
B. Diphyllobothrium latum (✓)
C. Taenia solium
D. Dipylidium caninum
149. A cestode with a rostellum and hooklets:
A. Taenia saginata
B. Hymenolepis diminuta
C. Taenia solium (✓)
D. Diphyllobothrium latum
150. Definitive host of Diphyllobothrium latum:
A. Fish
B. Pig
C. Human (✓)
D. Insect
Let me know if you'd like the full 150 questions in a downloadable format like Word or PDF!
Here’s the next set of 50 multiple-choice questions (items 151–200) on medically important
cestodes. These include a mix of basic recall, situational, and tricky questions. Correct answers
are marked with a (✓).
151. What is the intermediate host for Echinococcus granulosus?
A. Cattle
B. Sheep (✓)
C. Dog
D. Human
152. A patient presents with cysticercosis. Which of the following parasites is most likely
involved?
A. Taenia saginata
B. Taenia solium (✓)
C. Hymenolepis nana
D. Dipylidium caninum
153. Which cestode is associated with autoinfection in humans?
A. Taenia saginata
B. Hymenolepis nana (✓)
C. Echinococcus multilocularis
D. Diphyllobothrium latum
154. Which is the largest human tapeworm?
A. Taenia solium
B. Hymenolepis diminuta
C. Diphyllobothrium latum (✓)
D. Echinococcus granulosus
155. A child who plays with stray dogs develops hydatid cysts in the liver. What is the definitive
host?
A. Pig
B. Dog (✓)
C. Cat
D. Human
156. Which cestode egg is bile-stained and striated?
A. Taenia species (✓)
B. Diphyllobothrium latum
C. Hymenolepis nana
D. Echinococcus granulosus
157. What is the infective form of Taenia saginata to humans?
A. Egg
B. Cysticercus bovis (✓)
C. Proglottid
D. Coracidium
158. A patient complains of abdominal discomfort and expels a white, motile segment in feces.
It is found to have 15–30 lateral uterine branches. Diagnosis?
A. Taenia solium
B. Taenia saginata (✓)
C. Diphyllobothrium latum
D. Echinococcus granulosus
159. What diagnostic stage is most commonly seen in stool in Hymenolepis nana infection?
A. Larva
B. Egg (✓)
C. Adult worm
D. Scolex
160. A 35-year-old fisherman with megaloblastic anemia is most likely infected with which
parasite?
A. Taenia solium
B. Hymenolepis diminuta
C. Diphyllobothrium latum (✓)
D. Echinococcus granulosus
161. Which parasite uses copepods and freshwater fish in its life cycle?
A. Taenia saginata
B. Diphyllobothrium latum (✓)
C. Hymenolepis nana
D. Echinococcus multilocularis
162. Which cestode causes multiple cysts that behave like a malignant tumor?
A. Taenia solium
B. Echinococcus multilocularis (✓)
C. Hymenolepis nana
D. Taenia saginata
163. The presence of hooklets on scolex is a feature of:
A. Taenia saginata
B. Taenia solium (✓)
C. Diphyllobothrium latum
D. Hymenolepis diminuta
164. Which of the following is not a typical feature of Hymenolepis nana?
A. Direct life cycle
B. Autoinfection
C. Scolex with four suckers and two rows of hooks (✓)
D. Eggs with polar filaments
165. What is the correct order of hosts in Diphyllobothrium latum infection?
A. Human → Fish → Dog
B. Copepod → Fish → Human (✓)
C. Fish → Human → Dog
D. Egg → Pig → Human
166. The presence of operculated eggs in stool indicates:
A. Taenia solium
B. Diphyllobothrium latum (✓)
C. Echinococcus granulosus
D. Hymenolepis nana
167. Which cestode has a rostellum with hooklets and causes neurocysticercosis?
A. Taenia saginata
B. Taenia solium (✓)
C. Hymenolepis diminuta
D. Diphyllobothrium latum
168. An adult worm with proglottids wider than long is seen. What is the likely parasite?
A. Hymenolepis diminuta
B. Diphyllobothrium latum (✓)
C. Taenia solium
D. Taenia saginata
169. A patient is diagnosed with neurocysticercosis. Which test is most useful?
A. Stool O&P
B. ELISA for ova
C. Brain imaging (CT or MRI) (✓)
D. Colonoscopy
170. Which of the following can infect without an intermediate host?
A. Taenia saginata
B. Taenia solium
C. Hymenolepis nana (✓)
D. Diphyllobothrium latum
171. Which worm’s proglottids detach singly and may be motile in stool?
A. Diphyllobothrium latum
B. Echinococcus granulosus
C. Taenia saginata (✓)
D. Hymenolepis nana
172. The egg of which cestode cannot be differentiated from another based on morphology
alone?
A. Diphyllobothrium latum
B. Hymenolepis nana
C. Taenia solium and saginata (✓)
D. Echinococcus granulosus
173. What is the treatment of choice for neurocysticercosis?
A. Metronidazole
B. Albendazole (✓)
C. Mebendazole
D. Praziquantel
174. Which cestode has an armed rostellum?
A. Taenia saginata
B. Taenia solium (✓)
C. Diphyllobothrium latum
D. Hymenolepis diminuta
175. Which cestode causes vitamin B12 deficiency?
A. Taenia solium
B. Hymenolepis nana
C. Diphyllobothrium latum (✓)
D. Taenia saginata
176. A stool sample reveals a spherical egg with polar filaments. Which is the likely parasite?
A. Hymenolepis nana (✓)
B. Taenia solium
C. Echinococcus granulosus
D. Diphyllobothrium latum
177. Which parasite’s hydatid cyst can rupture and cause anaphylaxis?
A. Taenia solium
B. Diphyllobothrium latum
C. Echinococcus granulosus (✓)
D. Hymenolepis nana
178. In which infection is man both the definitive and accidental intermediate host?
A. Diphyllobothrium latum
B. Taenia solium (✓)
C. Hymenolepis diminuta
D. Echinococcus granulosus
179. Which cestode has no rostellum and no hooks?
A. Taenia saginata (✓)
B. Taenia solium
C. Hymenolepis nana
D. Echinococcus multilocularis
180. A trick question: Which of the following tapeworms is acquired by ingesting larval forms?
A. Taenia solium
B. Taenia saginata
C. Diphyllobothrium latum
D. All of the above (✓)
181. The scolex of Diphyllobothrium latum has:
A. Bothria (✓)
B. Suckers and hooks
C. Acetabula
D. Tentacles
182. A patient with a history of pork consumption presents with seizures. The most likely
diagnosis is:
A. Toxoplasmosis
B. Neurocysticercosis (✓)
C. Ascariasis
D. Hydatid disease
183. The egg of Hymenolepis diminuta differs from H. nana by:
A. Absence of polar filaments (✓)
B. Presence of hooks
C. Presence of bile stain
D. Having lateral spines
184. Dipylidium caninum infection in children is associated with:
A. Raw pork
B. Contaminated water
C. Ingesting infected fleas (✓)
D. Freshwater fish
185. What is the larval form of Echinococcus granulosus?
A. Cysticercus
B. Hydatid cyst (✓)
C. Coenurus
D. Sparganum
186. Which parasite shows barrel-shaped eggs in stool?
A. Trichuris trichiura
B. Not a cestode parasite (✓)
C. Taenia solium
D. Diphyllobothrium latum
187. Which cestode has a double row of hooklets?
A. Taenia solium (✓)
B. Hymenolepis diminuta
C. Taenia saginata
D. Diphyllobothrium latum
188. A child accidentally swallows an infected flea. Which tapeworm might they acquire?
A. Taenia solium
B. Diphyllobothrium latum
C. Dipylidium caninum (✓)
D. Hymenolepis nana
189. Which cestode can be acquired by eating beetles or fleas?
A. Hymenolepis nana
B. Hymenolepis diminuta (✓)
C. Taenia solium
D. Echinococcus granulosus
190. Which cestode has the highest risk of causing a brain infection?
A. Diphyllobothrium latum
B. Taenia solium (✓)
C. Taenia saginata
D. Hymenolepis nana
191. Which tapeworm proglottids are passed in chains and are not motile?
A. Diphyllobothrium latum (✓)
B. Taenia saginata
C. Taenia solium
D. Hymenolepis nana
192. Which larval form of cestode resembles a bladder with internal scolices?
A. Hydatid cyst (✓)
B. Cysticercus
C. Coenurus
D. Sparganum
193. A trick: Which of the following can be asymptomatic in humans?
A. Taenia saginata
B. Hymenolepis nana
C. Diphyllobothrium latum
D. All of the above (✓)
194. Treatment for hydatid cysts includes:
A. Mebendazole only
B. Surgery only
C. Albendazole and surgery (✓)
D. Metronidazole
195. Hymenolepis nana can be diagnosed via:
A. Stool microscopy (✓)
B. Blood culture
C. Sputum microscopy
D. Skin biopsy
196. The scolex of Taenia saginata has:
A. Hooklets
B. Four suckers only (✓)
C. Bothria
D. Tentacles
197. Why is Hymenolepis nana more common in children?
A. Infected meat consumption
B. Autoinfection and poor hygiene (✓)
C. Insect bites
D. Fish handling
198. What part of the parasite absorbs nutrients in cestodes?
A. Mouth
B. Tegument (✓)
C. Proglottid
D. Scolex
199. What differentiates Taenia solium eggs from Ascaris?
A. Color
B. Embryo with hooklets (✓)
C. Presence of albumin coat
D. Size
200. Which of the following cestodes may cause allergic reactions upon rupture?
A. Taenia saginata
B. Echinococcus granulosus (✓)
C. Hymenolepis nana
D. Taenia solium
Let me know if you’d like the full 200-item quiz compiled in a single file (PDF or Word), or if you
want review questions next for trematodes or another topic.
