VI pdf quiz part 1
Mastering Viral Infections Quiz
Test your knowledge on viral infections with our comprehensive quiz! Explore various aspects of virology, including viral structure, replication, and immunity. Perfect for students and professionals alike.
Join now and challenge yourself with 68 insightful questions covering:
- Viral Biology
- Virus Classification
- Viral Pathogenesis
- Vaccine Development
Viruses usually initiate infection by first interacting with receptors on the surface of cells. Which of the following statements is most accurate about cellular receptors for viruses?
Cellular receptors for viruses have no known cellular function
All viruses within a given family use the same cellular receptor
All cells in a susceptible host express the viral receptor
Successful infection of a cell by a virus may involve interaction with more than one type of receptor
Which of the following can be used to quantitate the titer of infectious viruses?
Plaque assay
Electron microscopy
Hemagglutination
Polymerase chain reaction
Enzyme immunoassay
Which one of the following states a principle regarding viral nucleic acid?
Viruses contain both RNA and DNA
Some viruses contain a segmented genome
Purified viral nucleic acid from any virus is usually infectious
Viral genome sizes are similar among known human viruses.
Two mutants of poliovirus have been isolated, one (MutX) with a mutation in gene X and the second (MutY) with a mutation in gene Y. If cells are infected with each mutant alone, no virus is produced. If a cell is coinfected with both MutX and MutY, which one of the following is most likely to occur?
Reassortment of genome segments may occur and give rise to a viable wild-type virus
The genomes may be reverse transcribed to DNA and both MutX and MutY viruses produced
Complementation between the mutant gene products may occur and both MutX and MutY viruses produced
The cells will transform at high frequency because they will not be killed by the poliovirus mutants.
Which one of the following viruses possesses an RNA genome that is infectious when purified?
Influenza virus
Poliovirus
Papillomavirus
Measles virus
Rotavirus
Viruses belonging to which of the following groups are likely to establish latent infections?
Poxviruses
Filoviruses
Herpesviruses
Influenza viruses
Caliciviruses
Some viruses are characterized by helical symmetry of the viral nucleocapsid. Which of the following statements about viruses with helical symmetry is most accurate?
Helical nucleocapsids are found primarily in DNA-containing viruses
All enveloped viruses with helical symmetry are classified into the same virus family.
All human viruses with helical nucleocapsids possess an envelope.
Excess empty helical particles containing no nucleic acid are commonly produced in infected cells
Virus-infected cells often develop morphologic changes referred to as cytopathic effects. Which of the following statements about virus-induced cytopathic changes is most accurate?
They are pathognomonic for an infecting virus
They are rarely associated with cell death.
They may include giant cell formation.
They can only be seen with an electron microscope.
Some viruses encode for a viral RNA-dependent RNA polymerase. Which of the following states a principle about viral RNA polymerases?
All RNA viruses carry RNA polymerase molecules inside virus particles because they are needed to initiate the next infectious cycle.
Antibodies against the viral RNA polymerase neutralize virus infectivity
Negative-strand RNA viruses supply their own RNAdependent RNA polymerase because eukaryotic cells lack such enzymes.
The viral RNA polymerase protein also serves as a major core structural protein in the virus particle.
Arboviruses are classified into several different virus families but are grouped together based on which of the following common characteristics?
Are transmitted by vectors
Replicate only in humans
) Contain both RNA and DNA
Cause hemorrhagic fevers
Cause encephalitis
Many viruses can be grown in the laboratory. Which of the following statements about virus propagation is not true?
Some viruses can be propagated in cell-free media.
Some mammalian viruses can be cultivated in hen’s eggs.
Some viruses with broad host ranges can multiply in many types of cells.
Some human viruses can be grown in mice.
Most virus preparations have particle-to-infectious unit ratios greater than 1.
Laboratory infections can be acquired when working with viruses unless good laboratory safety practices are followed. Which of the following is not a good biosafety practice?
Use of laboratory coats and gloves
Use of biosafety hoods
Avoidance of pipetting by mouth
Not eating or drinking in the laboratory
Flushing experimental waste down laboratory sink
Small viruses are in the same size range as which of the following?
Staphylococcus species
Serum globulin
Red blood cells
Eukaryotic ribosomes
Mitochondria
Which one of the following is a fundamental principle of viral disease causation?
Many viral infections are subclinical and do not produce clinical disease.
The type of disease produced by a virus can be predicted by the morphology of that virus.
One virus type induces a single disease syndrome.
A particular disease syndrome has a single viral cause.
The skin is a formidable barrier to virus entry, but a few viruses are able to breach this barrier and initiate infection of the host. Which of the following is an example of a virus that enters through skin abrasions?
Adenovirus
Rotavirus
Rhinovirus
Papilloma virus
Influenza virus
A 40-year-old man has HIV/AIDS characterized by a low CD4 count and a high viral load. Highly active antiretroviral therapy (HAART) will be initiated. One of the drugs under consideration is a nucleoside analog that inhibits viral reverse transcriptase and is active against both HIV and hepatitis B virus. That drug is
Acyclovir
Amantadine
Ribavirin
Saquinavir
Lamivudine
Fuzeon
. Interferons are an important part of the host defense against viral infections. What is interferon’s principal mode of action?
) It is present in the serum of healthy individuals, providing a viral surveillance role
It coats viral particles and blocks their attachment to cells
It induces synthesis of one or more cellular proteins that inhibit translation or transcription.
It protects the virus-infected cell that produced it from cell death.
A 9-month-old girl is taken to the emergency room because of fever and persistent cough. Rales are heard in her left chest on physical examination. An infiltrate in her left lung is seen on the chest radiograph. Pneumonia is diagnosed. Which of the following is the most likely cause?
Rotavirus
Rhinovirus
Adenovirus
Respiratory syncytial virus
Coxsackievirus
A 63-year-old woman is hospitalized for treatment of leukemia. One day after admission she develops chills, fever, cough, headache, and myalgia. She states that her husband had a similar illness a few days earlier. There is major concern about a respiratory virus outbreak in the staff of the chemotherapy ward and in the patients on that ward. A synthetic amine that inhibits influenza A virus by blocking viral uncoating is chosen for prophylactic treatment of the staff and patients. That drug is
Acyclovir
Amantadine
Ribavirin
Saquinavir
Lamivudine
Fuzeon
Which one of the following statements describes an advantage of killed-virus vaccines over attenuated live-virus vaccines?
Killed-virus vaccines induce a broader range of immune responses than do attenuated live-virus vaccines
Killed-virus vaccines more closely mimic natural infections than do attenuated live-virus vaccines
) Killed-virus vaccines pose no risk that vaccine virus might be transmitted to susceptible contacts.
Killed-virus vaccines are efficacious against respiratory virus infections because they induce good mucosal immunity
What type of hepatitis B vaccine is currently in use in the United States?
Synthetic peptide vaccine
Killed-virus vaccine
Attenuated live-virus vaccine
Subunit vaccine produced using recombinant DNA
Which one of the following phrases accurately describes viral neutralizing antibodies?
Directed against viral protein determinants on the outside of the virus particle
Appear in the host sooner after viral infection than interferon
Directed against viral nucleic acid sequences
Induced only by disease-causing viruses
Of little importance to immunity to viral infection
Many viruses use the respiratory tract as the route of entry to initiate infections. Which of the following virus groups does not?
Adenovirus
Coronavirus
Hepadnavirus
Paramyxovirus
Poxvirus
. Which of the following licensed virus vaccines is a subunit vaccine prepared using recombinant DNA technology?
Papilloma
Measles–mumps–rubella
Varicella
Hepatitis A
Rabies
Rotavirus
Which of the following viruses is the most common cause of neonatal infections in the United States?
Rubella
Parvovirus B19
Hepatitis B
Cytomegalovirus
Varicella
Human immunodeficiency virus
Which one of the following statements concerning interferons is least accurate?
Interferons are proteins that influence host defenses in many ways, one of which is the induction of an antiviral state.
Interferons are synthesized only by virus-infected cells.
Interferons inhibit a broad range of viruses, not just the virus that induced the interferon.
Interferons induce the synthesis of a ribonuclease that degrades viral mRNA.
Each of the following statements concerning viral vaccines is correct except
In live attenuated vaccines, the virus has lost its ability to cause disease but has retained its ability to induce neutralizing antibody.
In live attenuated vaccines, the possibility of reversion to virulence is of concern.
With inactivated vaccines, IgA mucosal immunity is usually induced.
With inactivated vaccines, protective immunity is mainly caused by the production of IgG.
Which one of the following best describes a physicochemical property of parvoviruses?
Enveloped virus particle
Single-stranded DNA genome
Infectivity is inactivated by ether treatment
Virion exhibits helical symmetry.
Virion is about the same size as herpesviruses.
An 8-year-old child recently had erythema infectiosum. Her 33-year-old mother subsequently developed arthralgia followed by painful arthritis with swelling in the small joints of both hands. In addition to the apparent tropism for joints, human parvovirus B19 is highly tropic for which cell type?
CD4 T lymphocytes
Renal tubule cells
Erythroid cells
Glial cells
Peyer patches
Which of the following is available as a treatment or preventive for parvovirus B19 infections?
Commercial immunoglobulin
Vaccine containing recombinant VP2 viral antigen
Bone marrow transplantation
Antiviral drug that blocks virus–receptor interaction
Human erythroviruses and bocaviruses share the following properties except for which one?
Small, nonenveloped virus particles.
Difficult to culture.
Cause anemia
Global distribution.
No vaccine exists.
A 42-year-old man with HIV/AIDS presented with aplastic anemia. Using the PCR, parvovirus B19 was detected in his serum. The patient presumably acquired his parvovirus B19 infection from another person. The most likely route of transmission is
By contact with respiratory secretions or droplets
By contact with a skin rash
Through sexual activity
Through a recent blood transfusion
Which one of the following is a disease in which the role of parvovirus B19 has not been established?
Erythema infectiosum (fifth disease)
Transient aplastic crisis
Hydrops fetalis
Fulminant hepatitis
Which one of the following best describes the replication of human parvovirus B19?
Stimulates resting cells to proliferate
Uses blood group antigen P as cellular receptor
Readily establishes persistent infections
Entire replication cycle occurs in cytoplasm
Production of infectious progeny requires the presence of a helper virus
Which one of the following statements is most accurate concerning human infections by parvovirus B19?
Parvovirus B19 is transmitted readily by sexual intercourse
Patients with disseminated disease caused by parvovirus B19 should be treated with acyclovir
Parvovirus B19 does not cause any human disease
There is no vaccine for human parvovirus
Human bocavirus is a newly discovered parvovirus. It has been detected most frequently in which type of sample?
Cord Blood
Urine
Respiratory secretions
Fetal liver
Bone marrow
What adenovirus protein or proteins regulate early transcription of the viral genes and modulate the cell cycle?
Fiber
Hexon
Penton
Terminal protein
E1 region protein
Cysteine proteinase
E3 region protein
What adenovirus protein serves as primer for initiation of viral DNA synthesis?
Fiber
Hexon
Penton
Terminal protein
E1 region protein
Cysteine proteinase
E3 region protein
What adenovirus protein comprises the majority of capsomeres making up the virus capsid?
Fiber
Hexon
Penton
Terminal protein
E1 region protein
Cysteine proteinase
E3 region protein
A 3-month-old infant had watery diarrhea and fever for 10 days. Rotavirus or adenovirus types 40 and 41 are the suspected agents. What type of specimen would be most appropriate for detection of adenovirus types 40 and 41 infection in this patient?
Blood
Urine
Stool
Conjunctival swab
Throat swab
Cerebrospinal fluid
Which of the following human diseases has not been associated with adenoviruses?
Cancer
Common colds
Acute respiratory diseases
Keratoconjunctivitis
Gastroenteritis
Hemorrhagic cystitis
A 2½-year-old child attending nursery school acquires a mild respiratory infection. Other children in the nursery school have similar illnesses. Which adenovirus types are the most likely causes of the illnesses?
Types 40 and 41
Types 8, 19, and 37
Types 1, 2, 5, and 6
Types 3, 4, and 7
Types 21, 22, 34, and 35
Which adenovirus types are frequent causes of acute respiratory disease among military recruits?
Types 40 and 41
Types 8, 19, and 37
Types 1, 2, 5, and 6
Types 3, 4, and 7
Types 21, 22, 34, and 35
Which of the following events led to reappearance of acute respiratory disease outbreaks among U.S. Military recruits in the late 1990s?
Emergence of a new virulent strain of adenovirus
Cessation of adenovirus vaccination program for recruits
Change in military housing and training conditions for recruits
Cessation of adenovirus antiviral drug therapy program for recruits
Which of the following groups of individuals is at the lowest risk of adenovirus disease?
Young children
Healthy adults
Bone marrow transplant recipients
Military recruits
AIDS patients
Adenoviruses can cause eye infections that are highly contagious. Which of the following is least likely to be a means of transmission during an outbreak of epidemic keratoconjunctivitis?
Swimming pools
Hand towels
Mosquito bites
Hand-to-eye
Contaminated ophthalmic equipment
There are 57 known sero types of human adenoviruses. Which of the following statements is most accurate?
Types cannot be distinguished serologically.
All cause respiratory infections in children.
Most types replicate well in T lymphocytes
Two types can cause gastroenteritis.
Each of the following statements concerning adenoviruses is correct except
Adenoviruses are composed of a double-stranded DNA genome and a capsid without an envelope.
Adenoviruses cause both sore throat and pneumonia.
Adenoviruses have only one serologic type.
Adenoviruses are implicated as a cause of tumors in animals but not humans.
Which of the following conditions is least likely to be caused by adenoviruses?
Conjunctivitis
Pneumonia
Pharyngitis
Glomerulonephritis
A previously healthy 3-year-old boy develops a classic viral childhood illness. Which of the following primary viral infections of childhood is usually symptomatic?
Cytomegalovirus
Epstein-Barr virus
Hepatitis B virus
Varicella-zoster virus
Parvovirus B19
Which one of the following is a recommended therapy for herpes simplex virus genital infection?
Acyclovir
Attenuated live virus vaccine
Herpes immune globulin
Interferon-α
Ribavirin
Most herpesvirus infections are endemic worldwide. Which one of the following viruses shows marked geographic differences in seroprevalence?
Cytomegalovirus
Epstein-Barr virus
Herpes simplex virus type 2
Kaposi sarcoma herpesvirus
Varicella-zoster virus
A 19-year-old female college student has a fever, sore throat, and lymphadenopathy accompanied by lymphocytosis with atypical cells and an increase in sheep cell agglutinins. The diagnosis is most likely
Infectious hepatitis
Infectious mononucleosis
Chickenpox
Herpes simplex infection
Viral meningitis
A Tzanck smear of a scraping obtained from a vesicle on the skin demonstrates multinucleated giant cells. Multinucleated giant cells are associated with which of the following viruses?
Varicella-zoster
Variola major
Coxsackievirus
Molluscum contagiosum
Which of the following statements about betaherpesviruses is not true?
They establish latent infections and persist indefinitely in infected hosts.
They are reactivated in immunocompromised patients.
Most infections are subclinical
They can infect lymphoid cells
They have short, cytolytic growth cycles in cultured cells
A 28-year-old woman has recurrent genital herpes. Which of the following statements about genital herpes infections is true?
Recurrent episodes caused by reactivation of latent virus tend to be more severe than the primary infection
They can be caused by either herpes simplex virus type 1 or type 2.
Virus cannot be transmitted in the absence of apparent lesions
Reactivation of latent virus during pregnancy poses no threat to the newborn
) Latent herpes simplex virus can be found in dendritic cells
Which of the following viruses causes a mononucleosis-like syndrome and is excreted in the urine?
Cytomegalovirus
Epstein-Barr virus
Human herpesvirus 6
Varicella-zoster virus
Herpes simplex virus type 2
A 53-year-old woman develops fever and focal neurologic signs. Magnetic resonance imaging shows a left temporal lobe lesion. Which of the following tests would be most appropriate to confirm a diagnosis of herpes simplex encephalitis in this patient?
Brain biopsy
Tzanck smear
Polymerase chain reaction assay for viral DNA in cerebrospinal fluid
Serologic test for viral IgM antibody
Which of the following tumors is caused by a virus other than Epstein-Barr virus?
Posttransplant lymphomas
Hodgkin disease
Kaposi sarcoma
AIDS-related central nervous system non-Hodgkin lymphomas
Burkitt lymphoma
An outbreak of a rash called “mat herpes” occurred among high school students who had competed in a wrestling tournament. Which of the following statements is most accurate?
The rash is not contagious among wrestlers.
The causative agent is herpes simplex virus type 1.
The causative agent is varicella-zoster virus.
Lesions typically last 1 month or longer
Students should be vaccinated before participating in wrestling tournaments.
The shingles vaccine is recommended for which of the following groups?
Healthy adolescents
Individuals older than age 60 years
Pregnant women
Those who never had chickenpox
The most common congenital infection is caused by
Varicella-zoster virus
Herpes simplex virus type 2
Human herpesvirus 8 (Kaposi sarcoma herpesvirus)
Cytomegalovirus
Parvovirus
Which of the following groups are at increased risk for herpes zoster?
Persons at advanced age
Patients with atopic dermatitis
Pregnant women
Persons who have been vaccinated with varicella vaccine
Infants with congenital infections
Which one of the following is the best explanation for the selective action of acyclovir (acycloguanosine) in herpes simplex virus (HSV)-infected cells?
Acyclovir is phosphorylated by a virus-encoded phosphokinase only within HSV-infected cells
Acyclovir binds specifically to viral receptors only on the surface of the HSV-infected cell
Acyclovir selectively inhibits the RNA polymerase in the HSV virion.
Acyclovir specifically blocks the matrix protein of HSV, thereby preventing release of progeny HSV
Each of the following statements concerning herpesvirus latency is correct except
Exogenous stimuli can cause reactivation of latent infection, with induction of symptomatic disease
) During latency, antiviral antibody is not demonstrable in the sera of infected individuals
Reactivation of latent herpesviruses is more common in patients with impaired cell-mediated immunity than in immunocompetent patients
Virus can be recovered from latently infected cells by cocultivation with susceptible cells
Vaccines have been demonstrated to be efficacious in preventing herpesvirus disease in which one of the following situations?
Herpes simplex virus type 1 primary infection
Herpes simplex virus type 2 reactivation
Varicella-zoster reactivation
Cytomegalovirus primary infection
Epstein-Barr virus reactivation
Herpes simplex virus type 1 (HSV-1) is distinct from herpes simplex virus type 2 (HSV-2) in several different ways. Which one of the following is the least accurate statement?
HSV-1 causes lesions above the umbilicus more frequently than HSV-2 does
Infection by HSV-1 is not associated with any tumors in humans
Antiserum to HSV-1 neutralizes HSV-1 much more effectively than HSV-2
Whereas HSV-1 causes frequent recurrences, HSV-2 infection rarely recurs
Each of the following statements concerning Epstein-Barr virus is correct except
Many infections are mild or inapparent
The earlier in life primary infection is acquired, the more likely the typical picture of infectious mononucleosis will be manifest
Latently infected lymphocytes regularly persist after an acute episode of infection
Infection confers immunity against second episodes of infectious mononucleosis
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