Virology Practice Questions

Q: Most common type of HPV associated with cervical cancer?

16, 18. ***16, 18*** - **HPV types 16 and 18** are considered **high-risk HPV types** and are responsible for approximately **70% of all cervical cancer cases** globally. - These types produce **oncoproteins E6 and E7** that interfere with tumor suppressor genes (p53 and Rb), leading to uncontrolled cell growth and malignancy. *6, 11* - **HPV types 6 and 11** are considered **low-risk HPV types** and are primarily associated with **genital warts (condyloma acuminata)**. - While they can cause benign lesions, they are **rarely associated with cervical cancer**. *5, 8* - **HPV types 5 and 8** are **cutaneous HPV types** primarily associated with **epidermodysplasia verruciformis**, a rare genetic condition predisposing to skin cancers. - These types affect the **skin** and are **not associated with cervical cancer**, making them incorrect for this question. *6, 8* - This combination includes **HPV 6**, which is a **low-risk type** primarily associated with genital warts. - **HPV 8** is a cutaneous type associated with skin lesions, not cervical cancer. - This pairing does not represent the most common types responsible for cervical cancer.

Q: Which gene of the hepatitis B virus has the longest coding sequence?

P gene. ***P gene*** - The **P gene** (polymerase gene) encodes the viral **reverse transcriptase**, which is crucial for replicating the HBV genome. - This enzyme is very large and complex, requiring the **longest coding sequence** to accommodate all its functional domains. *X gene* - The **X gene** encodes the **HBx protein**, which is a transcriptional transactivator and plays a role in hepatocarcinogenesis. - It has a relatively **short coding sequence** compared to the P gene. *S gene* - The **S gene** encodes the **surface antigens (HBsAg)**, which are involved in viral entry and immune evasion. - It has a **shorter coding sequence** than the P gene, as it primarily codes for structural proteins. *C gene* - The **C gene** encodes the **core protein (HBcAg)**, which forms the viral nucleocapsid, and the **HBeAg**. - Its coding sequence is also **shorter** than that of the P gene, reflecting its role in structural and regulatory functions.

Q: Which gene of Hepatitis B virus (HBV) is most commonly associated with mutations causing antiviral drug resistance?

P gene. ***P gene*** - The **P gene** (polymerase gene) of HBV encodes the viral reverse transcriptase which is essential for viral replication. - Mutations in the P gene can lead to **antiviral drug resistance**, particularly to nucleos(t)ide analogues. *X gene* - The **X gene** encodes the X protein (HBx), a **transcriptional transactivator** involved in viral replication and pathogenesis. - While important for viral function, it is not the primary target for antiviral therapy, and mutations are less frequently associated with drug resistance. *S gene* - The **S gene** encodes the **surface antigens (HBsAg)**, which are crucial for viral entry and immune evasion. - Mutations in the S gene can lead to **vaccine escape mutants** or alter HBsAg detection, but not directly responsible for antiviral resistance. *C gene* - The **C gene** encodes the **core protein (HBcAg)** and the precore protein (HBeAg). - These proteins are involved in **viral particle assembly** and immune modulation, but mutations in this gene are not typically associated with resistance to antiviral drugs.

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

Viruses are capable of independent motility.. ***Viruses are capable of independent motility.*** - Viruses are **acellular infectious agents** and lack the cellular machinery required for independent movement or motility. - They rely on host cell processes or environmental factors for their dissemination and entry into cells. *Viruses lack ribosomes.* - Viruses are **obligate intracellular parasites**; they lack ribosomes and other cellular organelles necessary for protein synthesis. - They hijack the host cell's ribosomes and metabolic machinery to replicate their genetic material and produce viral proteins. *Viruses lack mitochondria.* - Viruses lack mitochondria, as they are **not capable of generating their own ATP** through cellular respiration. - They depend on the host cell's energy-generating systems to provide the ATP required for their replication cycle. *Viruses contain nucleic acid.* - All viruses contain a **nucleic acid genome**, which can be either DNA or RNA. - This genetic material carries the instructions for viral replication and is enclosed within a protein coat called a **capsid**.

Q: How many segments of RNA does the Influenza virus have?

8 segments of single-stranded RNA. ***8 segments of single-stranded RNA*** - The **Influenza virus** is characterized by its segmented genome, which consists of **eight distinct negative-sense single-stranded RNA (ssRNA)** molecules. - This segmentation is crucial for its high mutation rate and ability to undergo **antigenic shift** and **antigenic drift**, leading to new strains. *5 segments of single-stranded RNA* - This option is incorrect because the Influenza virus specifically has **eight segments**, not five. - While it is a single-stranded RNA virus, the number of segments is a key characteristic. *8 segments of double-stranded DNA* - This option is incorrect as Influenza is an **RNA virus**, not a DNA virus, and its genetic material is single-stranded, not double-stranded. - No known influenza viruses have a **double-stranded DNA genome**. *8 segments of single-stranded DNA* - This option is incorrect because Influenza is an **RNA virus**, not a DNA virus. - Its genetic material is composed of **RNA**, specifically negative-sense single-stranded RNA.

Q: Exanthema subitum is caused by which virus?

HHV-6. ***HHV-6*** - **Human Herpesvirus 6 (HHV-6)** is the primary cause of **exanthema subitum**, also known as **roseola infantum**. - This viral infection typically affects young children and is characterized by a **high fever** followed by a **maculopapular rash** once the fever subsides. *HIV (Human Immunodeficiency Virus)* - HIV causes **acquired immunodeficiency syndrome (AIDS)**, a condition characterized by a progressive failure of the immune system. - While HIV can cause various skin manifestations, it is not responsible for **exanthema subitum**. *HCV (Hepatitis C Virus)* - HCV is the primary cause of **hepatitis C**, a liver disease that can lead to chronic liver inflammation, cirrhosis, and liver cancer. - Skin manifestations associated with HCV are generally different from exanthema subitum, such as **porphyria cutanea tarda** or **lichen planus**. *HPV (Human Papillomavirus)* - HPV is a group of viruses that cause **warts** (papillomas) and can lead to certain types of **cancers**, including cervical cancer. - It does not cause **exanthema subitum**.

Q: What is the role of p24 in HIV?

Core antigen of HIV. ***Core antigen of HIV*** - **p24** is a **structural protein** that forms the viral capsid, which is the shell enclosing the genetic material of the virus. - Due to its abundance and immunogenicity, **p24** serves as a crucial **biomarker** for initial **HIV infection** and is targeted in diagnostic tests. *Envelop antigen in HIV* - The **envelope antigens** of HIV are typically **glycoproteins** like **gp120** and **gp41**, which are involved in viral attachment and entry into host cells. - These envelope proteins are distinct from **p24**, which is an internal core protein. *Genome of HIV* - The **genome of HIV** consists of **two copies of single-stranded RNA**, not a protein. - This **RNA genome** is contained within the viral capsid, which is primarily composed of **p24 protein**. *Shell antigen* - While **p24** does form a "shell" (the capsid) around the viral genome, the term **shell antigen** is not a standard specific classification in virology for p24. - The more precise term for its location and function is **core antigen**.

Q: What is the primary function of the Nef gene in HIV?

Enhancing viral pathogenesis. ***Enhancing viral pathogenesis*** - The **Nef protein** is critical for efficient viral replication and disease progression in HIV-infected individuals, significantly increasing **viral load** and contributing to immune evasion. - It achieves this by downregulating **CD4** and **MHC class I** molecules on the surface of infected cells, thereby preventing immune recognition and increasing viral infectivity. *Enhancing the expression of host genes* - While Nef interacts with various host proteins, its primary function is not to globally enhance the expression of host genes but rather to modulate specific host pathways to favor viral replication. - Instead, Nef often leads to **downregulation** of specific host proteins important for immune response, such as CD4 and MHC class I. *Decreasing viral replication* - Nef's role is to **increase**, not decrease, viral replication and spread within the host. - Viruses lacking a functional Nef gene show **attenuated replication** in vivo and often reduced pathogenicity. *Promoting host cell apoptosis* - While Nef can influence cellular processes, its direct and primary function is not to promote host cell apoptosis. - In fact, Nef can sometimes prevent early apoptosis of infected cells, allowing more time for virus production and release, thereby contributing to viral persistence.

Q: A patient with sore throat has a positive Paul Bunnell test, indicating infectious mononucleosis. The causative organism is?

EBV. ***Correct: EBV*** - The **Paul-Bunnell test** (monospot test) detects **heterophile antibodies**, which are characteristic of acute **Epstein-Barr virus (EBV)** infection. - **EBV** is the primary causative agent of **infectious mononucleosis**, commonly known as "mono." *Incorrect: Adenovirus* - **Adenoviruses** can cause various infections, including **pharyngitis** and **conjunctivitis**, but are not associated with a positive **Paul-Bunnell test** or heterophile antibodies. - While it can cause sore throat, the presence of a **positive Paul-Bunnell test** differentiates it from EBV. *Incorrect: CMV* - **Cytomegalovirus (CMV)** can cause a mononucleosis-like syndrome, but it typically results in a **negative Paul-Bunnell test** (i.e., it is heterophile antibody-negative). - CMV mononucleosis is often seen in individuals who are **immunocompromised** or in infants as a congenital infection. *Incorrect: HSV (Herpes Simplex Virus)* - **Herpes simplex virus (HSV)** causes infections such as **oral herpes (cold sores)** and **genital herpes**, and in some cases, **pharyngitis**. - HSV infection is not associated with a positive **Paul-Bunnell test** or the production of heterophile antibodies.

Q: Virus quantification is done by-

Plaque assay. ***Plaque assay*** - The **plaque assay** is a widely used and quantitative method to determine the number of **infectious viral particles** in a sample. - It involves infecting a monolayer of host cells with serially diluted virus samples, leading to the formation of visible **plaques** (zones of lysed cells), which are then counted. *Studying virus-cell interactions* - Studying **virus-cell interactions** helps understand the mechanisms of viral entry, replication, and egress but does not directly quantify the number of viral particles. - While critical for understanding viral pathogenesis, this approach is qualitative rather than quantitative in nature. *Visualizing virus particles* - **Visualizing virus particles** (e.g., using electron microscopy) allows for counting individual virions, but it quantifies both infectious and non-infectious particles. - This method provides a total particle count rather than a measure of infectivity. *Virus isolation using eggs* - **Virus isolation using eggs** (e.g., embryonated chicken eggs) is a method for propagating and isolating certain viruses, particularly influenza. - While it can be optimized for relative comparisons, it is not primarily a direct quantitative method like the plaque assay for determining infectious viral titers.

Question 1

Most common type of HPV associated with cervical cancer?

Accepted Answer

16, 18

Answer

6, 11

Answer

5, 8

Answer

6, 8

Question 2

Which gene of the hepatitis B virus has the longest coding sequence?

Accepted Answer

P gene

Answer

X gene

Answer

S gene

Answer

C gene

Question 3

Which gene of Hepatitis B virus (HBV) is most commonly associated with mutations causing antiviral drug resistance?

Accepted Answer

P gene

Answer

X gene

Answer

S gene

Answer

C gene

Question 4

Which of the following statements about viruses is false?

Accepted Answer

Viruses are capable of independent motility.

Answer

Viruses contain nucleic acid.

Answer

Viruses lack mitochondria.

Answer

Viruses lack ribosomes.

Question 5

How many segments of RNA does the Influenza virus have?

Accepted Answer

8 segments of single-stranded RNA

Answer

5 segments of single-stranded RNA

Answer

8 segments of double-stranded DNA

Answer

8 segments of single-stranded DNA

Question 6

Exanthema subitum is caused by which virus?

Accepted Answer

HHV-6

Answer

HCV

Answer

HPV

Answer

HIV

Question 7

What is the role of p24 in HIV?

Accepted Answer

Core antigen of HIV

Answer

Envelope antigen in HIV

Answer

Genome of HIV

Answer

Shell antigen

Question 8

What is the primary function of the Nef gene in HIV?

Accepted Answer

Enhancing viral pathogenesis

Answer

Enhancing the expression of host genes

Answer

Decreasing viral replication

Answer

Promoting host cell apoptosis

Question 9

A patient with sore throat has a positive Paul Bunnell test, indicating infectious mononucleosis. The causative organism is?

Accepted Answer

EBV

Answer

Adenovirus

Answer

CMV

Answer

HSV (Herpes Simplex Virus)

Question 10

Virus quantification is done by-

Accepted Answer

Plaque assay

Answer

Studying virus-cell interactions

Answer

Visualizing virus particles

Answer

Virus isolation using eggs

Virology — MCQs

Virology — MCQs

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