Virology Practice Questions

Q: Most common pox virus infection in humans is?

Molluscum contagiosum. ***Molluscum contagiosum*** - This is a common, **benign viral skin infection** that causes small, pearl-like papules with central umbilication. - It is highly prevalent, especially in children, sexually active adults, and immunocompromised individuals, making it the most frequent human poxvirus infection. *Smallpox* - While historically significant, **smallpox** was eradicated globally in 1980 through widespread vaccination efforts. - It is no longer a naturally occurring infection in humans. *Monkeypox* - **Monkeypox** is a zoonotic disease that has recently seen outbreaks, but it is not as widespread or common as molluscum contagiosum. - It is characterized by fever, lymphadenopathy, and a distinctive rash, often with a more severe clinical presentation than molluscum. *Cowpox* - **Cowpox** is a rare disease primarily found in animals (e.g., cats, rodents) and occasionally transmitted to humans, typically through contact with infected animals. - Human infections are sporadic and far less common than molluscum contagiosum.

Q: Virus causing oropharyngeal carcinoma?

Human Papillomavirus (HPV). ***Human Papillomavirus (HPV)*** - **HPV** is a well-established cause of **oropharyngeal carcinoma**, particularly HPV type 16. - The virus integrates its DNA into host cells, leading to overexpression of **oncoproteins E6 and E7**, which inactivate tumor suppressor genes like p53 and Rb. *Epstein-Barr Virus (EBV), which is linked to certain head and neck cancers.* - **EBV** is associated with **Nasopharyngeal Carcinoma (NPC)**, not typically oropharyngeal carcinoma. - While both are in the head and neck region, NPC has distinct epidemiology and genetic associations compared to oropharyngeal cancers linked to HPV. *Human T-lymphotropic virus (HTLV), a virus with potential oncogenic properties.* - **HTLV-1** is primarily associated with **Adult T-cell Leukemia/Lymphoma** and HTLV-1-associated myelopathy/tropical spastic paraparesis (HAM/TSP). - It does not have a recognized role in the causation of oropharyngeal carcinoma. *Human Herpesvirus 8 (HHV-8), implicated in some malignancies.* - **HHV-8** is most famously known as the causative agent of **Kaposi's sarcoma**, primarily affecting immunocompromised individuals. - It is also linked to certain lymphoproliferative disorders but not oropharyngeal carcinoma.

Q: Coxsackievirus A16 is associated with which of the following conditions?

Hand-foot-mouth disease. ***Hand-foot-mouth disease*** - **Coxsackievirus A16** is one of the most common causative agents of **hand-foot-mouth disease**, characterized by fever, oral ulcers, and a rash on the hands and feet. - This viral infection is highly contagious and frequently seen in young children. *Herpangina* - While also caused by **Coxsackieviruses** (primarily **Coxsackievirus A** types like A10 or A2), **herpangina** typically presents with lesions restricted to the posterior oropharynx, without the characteristic hand and foot rash seen in HFMD. - It involves sudden onset of fever, sore throat, and small vesicles or ulcers on the **soft palate, tonsillar pillars, and uvula**. *Yellow fever* - **Yellow fever** is caused by the **yellow fever virus**, a flavivirus, and is transmitted by mosquitoes. - It presents with fever, jaundice, and hemorrhagic symptoms, completely distinct from enteroviral infections. *Myocarditis* - **Myocarditis** can be caused by various viruses, including other **enteroviruses** like **Coxsackievirus B** types (e.g., B1-B5), along with adenoviruses and parvovirus B19. - However, **Coxsackievirus A16** is not a primary cause of myocarditis; its association is predominantly with hand-foot-mouth disease.

Q: Rubella virus belongs to which family?

Togavirus. ***Togavirus*** - The **Rubella virus** is categorized under the family **Togaviridae**, specifically within the genus *Rubivirus*. - This classification is based on its genetic structure, being an **enveloped, positive-sense, single-stranded RNA virus**. *Rheovirus* - **Reoviruses** are characterized by a **double-stranded segmented RNA genome** and are typically non-enveloped. - This contrasts with Rubella's single-stranded, non-segmented RNA and enveloped structure. *Picornavirus* - **Picornaviruses** are a family of **non-enveloped, positive-sense, single-stranded RNA viruses** that are structurally different from Rubella. - Examples include species like **poliovirus** and **rhinovirus**, which do not share the distinct biological properties of Rubella. *Orthomyxovirus* - **Orthomyxoviruses** are a family of **enveloped, negative-sense, segmented RNA viruses**, which includes influenza viruses. - Their genomic organization and replication strategy are fundamentally different from those of the Rubella virus.

Q: Acute Hemorrhagic Conjunctivitis is primarily caused by which type of Enterovirus?

Enterovirus type 70. ***Enterovirus type 70*** - **Enterovirus type 70** is the most common cause of **Acute Hemorrhagic Conjunctivitis (AHC)**, particularly in epidemic outbreaks. - AHC presents with rapid onset of **ocular pain**, **redness**, **swelling**, and **subconjunctival hemorrhages**. *Enterovirus type 68* - **Enterovirus D68 (EV-D68)** is primarily known for causing **respiratory illnesses**, ranging from mild to severe, and is associated with acute flaccid myelitis. - While it can cause respiratory symptoms, it is not a primary cause of **Acute Hemorrhagic Conjunctivitis**. *Enterovirus type 69* - **Enterovirus type 69** is a rare serotype and is not typically associated with specific human diseases or large-scale outbreaks. - Unlike EV70, it is not recognized as a significant cause of **conjunctivitis**. *Enterovirus type 71* - **Enterovirus A71 (EV-A71)** is a common cause of **hand, foot, and mouth disease (HFMD)**, especially in children, and can also lead to severe neurological complications. - While it causes various infections, it is not the primary cause of **hemorrhagic conjunctivitis**.

Q: What is the Australian antigen for hepatitis B?

HBsAg. ***HBsAg*** - **HBsAg** stands for **Hepatitis B surface antigen**, which was originally discovered by Baruch Blumberg in 1965 and was initially called the **Australia antigen** due to its discovery in the serum of an Australian aboriginal. - Its presence indicates an **active hepatitis B infection**, either acute or chronic. *HBeAg* - **HBeAg** (Hepatitis B e-antigen) is a marker of **viral replication** and **infectivity**. - It is distinct from HBsAg and indicates a high level of **transmissibility** of the virus. *HBDAg* - **HBDAg** is not a standard or recognized antigen for hepatitis B. - The correct antigen for hepatitis D is **HDAg** (Hepatitis D antigen), which is only found in individuals co-infected with hepatitis D virus and hepatitis B virus. *HBV DNA* - **HBV DNA** refers to the viral genetic material of the hepatitis B virus. - While its presence indicates active viral replication and is used to monitor **viral load**, it is not an antigen but rather the **viral genome** itself.

Q: Genital warts are caused by which virus?

Human Papillomavirus (HPV). ***Human Papillomavirus (HPV)*** - **HPV** is the causative agent of **genital warts**, which are benign epithelial growths. - Specific low-risk HPV types, primarily **HPV types 6 and 11**, are responsible for the vast majority of genital wart cases. *Herpes simplex virus (HSV)* - **HSV** causes **genital herpes**, characterized by painful blisters and ulcers, not warts. - There are two main types: **HSV-1** (often oral herpes) and **HSV-2** (primarily genital herpes). *Cytomegalovirus (CMV)* - **CMV** is a common virus that usually causes **asymptomatic infection** in healthy individuals but can lead to severe disease in immunocompromised patients or neonates. - It is not associated with the formation of genital warts. *Varicella zoster virus (VZV)* - **VZV** is responsible for **chickenpox** (varicella) in primary infection and **shingles** (herpes zoster) during reactivation. - It does not cause genital warts.

Q: Which of the following viruses is a member of the Herpesviridae family?

Herpes Simplex Virus. ***Herpes Simplex Virus*** - **Herpes Simplex Virus (HSV)** is the type species of the *Herpesviridae* family, which includes other common human pathogens such as **cytomegalovirus** and **Epstein-Barr virus**. - Members of this family are characterized by a **double-stranded DNA genome**, an icosahedral capsid, and an envelope, and they typically cause **latent infections**. *Variola* - **Variola virus** is a member of the *Poxviridae* family, known for causing **smallpox**, a historically devastating disease. - Unlike herpesviruses, poxviruses are **large and complex DNA viruses** that replicate entirely in the cytoplasm of infected cells. *Adenovirus* - **Adenovirus** belongs to the *Adenoviridae* family and is a **non-enveloped DNA virus** known for causing a variety of conditions, including respiratory infections and conjunctivitis. - Its structure and replication cycle differ significantly from the enveloped *Herpesviridae*. *HPV* - **HPV (Human Papillomavirus)** is a member of the *Papillomaviridae* family, which are small **non-enveloped DNA viruses** associated with warts and certain cancers. - It is distinct from herpesviruses in its genomic organization, capsid structure, and disease manifestations.

Q: Which of the following statements about paramyxoviruses is false?

Are DNA viruses. ***Are DNA viruses*** - Paramyxoviruses are characterized by their **single-stranded, negative-sense RNA genome**, not DNA. - Their replication and transcription processes occur in the cytoplasm, which is typical for RNA viruses. *Belong to the family Paramyxoviridae* - This statement is correct; paramyxoviruses are indeed classified under the **family Paramyxoviridae**. - This family includes important human pathogens like measles, mumps, and respiratory syncytial virus (RSV). *Have linear nucleic acid* - This statement is correct as paramyxoviruses possess a **linear, non-segmented RNA genome**. - The linear nature differentiates them from viruses with segmented genomes, such as influenza viruses. *Are RNA viruses* - This statement is correct; paramyxoviruses are characterized by their **RNA genome**. - Specifically, they are **negative-sense, single-stranded RNA viruses**.

Q: Von Magnus phenomenon:

Virus yields have high hemagglutination but low infectivity. ***Virus yields have high hemagglutination but low infectivity*** - The **von Magnus phenomenon** describes the serial passaging of influenza virus at high multiplicity of infection, leading to the production of **defective interfering particles (DIPs)**. - These DIPs retain their ability to **hemagglutinate** (due to intact hemagglutinin proteins) but have lost significant portions of their genome, resulting in **low infectivity**. *Is a normal replicative cycle* - The von Magnus phenomenon is characterized by an **abnormal replicative cycle** and the accumulation of defective viral particles. - A normal replicative cycle involves the production of **fully infectious** viral progeny. *Virus yield has low hemagglutination* - The abnormal particles produced during the von Magnus phenomenon, known as **defective interfering particles (DIPs)**, typically retain their **hemagglutinin protein**. - This allows them to still induce **hemagglutination**, despite their reduced infectivity. *Virus has high infectivity* - A hallmark of the von Magnus phenomenon is the production of virus particles with **significantly reduced infectivity**. - This is due to the deletion or mutation of essential genetic material necessary for a productive infection.

Question 1

Most common pox virus infection in humans is?

Accepted Answer

Molluscum contagiosum

Answer

Smallpox

Answer

Monkeypox

Answer

Cowpox

Question 2

Virus causing oropharyngeal carcinoma?

Accepted Answer

Human Papillomavirus (HPV)

Answer

Human T-lymphotropic virus (HTLV)

Answer

Epstein-Barr Virus (EBV)

Answer

Human Herpesvirus 8 (HHV-8)

Question 3

Coxsackievirus A16 is associated with which of the following conditions?

Accepted Answer

Hand-foot-mouth disease

Answer

Herpangina

Answer

Yellow fever

Answer

Myocarditis

Question 4

Rubella virus belongs to which family?

Accepted Answer

Togavirus

Answer

Orthomyxovirus

Answer

Rheovirus

Answer

Picornavirus

Question 5

Acute Hemorrhagic Conjunctivitis is primarily caused by which type of Enterovirus?

Accepted Answer

Enterovirus type 70

Answer

Enterovirus type 68

Answer

Enterovirus type 69

Answer

Enterovirus type 71

Question 6

What is the Australian antigen for hepatitis B?

Accepted Answer

HBsAg

Answer

HBeAg

Answer

HBDAg

Answer

HBV DNA

Question 7

Genital warts are caused by which virus?

Accepted Answer

Human Papillomavirus (HPV)

Answer

Cytomegalovirus (CMV)

Answer

Herpes simplex virus (HSV)

Answer

Varicella zoster virus (VZV)

Question 8

Which of the following viruses is a member of the Herpesviridae family?

Accepted Answer

Herpes Simplex Virus

Answer

Variola

Answer

Adenovirus

Answer

HPV

Question 9

Which of the following statements about paramyxoviruses is false?

Accepted Answer

Are DNA viruses

Answer

Belong to the family Paramyxoviridae

Answer

Are RNA viruses

Answer

Have linear nucleic acid

Question 10

Von Magnus phenomenon:

Accepted Answer

Virus yields have high hemagglutination but low infectivity

Answer

Virus has high infectivity

Answer

Is a normal replicative cycle

Answer

Virus yield has low hemagglutination

Virology — MCQs

Virology — MCQs

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