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Microbiology · Parasitology: pinworm household treatment
Sample itemA child has pinworm infection confirmed by an adhesive tape test. Which approach best prevents repeated infection in the family?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Treat all household members and repeat the dose after 2 weeks
Enterobius spreads easily within households through eggs on hands and fomites. Treating all contacts with a benzimidazole such as albendazole, repeating after two weeks to catch worms that hatch later, and hygiene measures prevent re-infection.
Option by option
A. Give metronidazole to the whole family
Metronidazole is not active against Enterobius.
B. Treat only symptomatic members for 3 days
Treating only symptomatic members misses asymptomatic carriers.
C. Treat all household members and repeat the dose after 2 weeks (correct)
Correct. Whole-household treatment with a repeat dose handles re-infection.
D. Treat the child alone with a single dose
Treating the child alone leaves untreated carriers who re-infect him.
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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