Home MCQs Nursing Question #9278
Back to Questions
Nursing QUESTION #9278
Question 1
A 7-year-old child is screened for worm infestation. He complains of perianal itching at night. Microscopy of adhesive tape pressed against the perianal region at night reveals eggs. The MOST likely organism and treatment is:
  • Ascaris lumbricoides; albendazole 400 mg single dose
  • Enterobius vermicularis (pinworm); mebendazole 100 mg single dose, repeat after 2 weeks✔️
  • Trichuris trichiura; mebendazole 200 mg twice daily for 3 days
  • Strongyloides stercoralis; ivermectin single dose
Correct Answer Explanation

Enterobiasis (Pinworm/Threadworm) caused by Enterobius vermicularis — most common helminth infection in school-age children worldwide.

Key features:

  • Perianal/perineal pruritus at night (female migrates to perianal region at night to deposit eggs)
  • Restless sleep, irritability
  • Vaginal pruritus in girls (retrograde migration)
  • Diagnosis: Scotch tape/adhesive tape test — applied perianally early morning before bathing or defecation → microscopy reveals ova

Treatment:

  • Mebendazole 100 mg single dose OR Albendazole 400 mg single dose
  • Repeat dose after 2 weeks (kills hatched worms from eggs not affected by first dose)
  • Treat ALL household members simultaneously (highly contagious — fecal-oral + auto-inoculation)

Hygiene measures:

  • Short fingernails, frequent handwashing
  • Wash underwear/bedlinen in hot water
  • Avoid nail-biting

Albendazole dosing in helminths: \(400\,\text{mg}\) single dose (Ascaris, hookworm, Enterobius); \(400\,\text{mg}\) daily × 3 days (Trichuris)