RBC’s are enlarged in infection with -a) P. vivaxb) P. malariaec) P. ovaled) P. falciparum

## **Core Concept**
The question tests the understanding of the morphological changes in red blood cells (RBCs) due to infections with different species of Plasmodium, which are the causative agents of malaria. Each species has distinct effects on RBC size and appearance.

## **Why the Correct Answer is Right**
Infections with *Plasmodium vivax* and *Plasmodium ovale* are characterized by the enlargement of red blood cells. This is a key diagnostic feature, as these parasites cause the infected RBCs to become larger than normal. The correct answer, therefore, involves identifying which of the options is associated with enlarged RBCs.

## **Why Each Wrong Option is Incorrect**
- **Option B: P. malariae** - This parasite does not cause significant enlargement of RBCs; instead, it often results in RBCs appearing normal in size or slightly smaller.
- **Option D: P. falciparum** - Infections with *P. falciparum* typically do not cause enlargement of RBCs; the infected cells often remain normal in size or may even appear smaller.

## **Clinical Pearl / High-Yield Fact**
A key point to remember is that *P. vivax* and *P. ovale* infections are associated with enlarged RBCs, while *P. malariae* and *P. falciparum* infections do not cause significant enlargement. This distinction is crucial for the microscopic diagnosis of malaria.

## **Correct Answer:** A. *P. vivax*.