Virology — MCQs

Virology Indian Medical PG Practice Questions and MCQs

Question 1351: Which is not a DNA virus?

A. Rhabdovirus (Correct Answer)
B. Poxvirus
C. Papovavirus
D. Parvovirus

Explanation: ***Rhabdovirus*** - Rhabdoviruses, such as the rabies virus, are characterized by their **single-stranded RNA genome** and distinctive bullet-shaped morphology. - They replicate in the cytoplasm of infected cells, using their **RNA-dependent RNA polymerase** to transcribe their genome. *Papovavirus* - Papovaviruses (now split into Papillomaviridae and Polyomaviridae) are **DNA viruses** known for causing warts and some cancers. - They possess a small, **double-stranded, circular DNA genome**. *Poxvirus* - Poxviruses are large, complex **DNA viruses** that replicate entirely within the cytoplasm of the host cell. - They have a **double-stranded DNA genome** and are notable for causing diseases like smallpox and molluscum contagiosum. *Parvovirus* - Parvoviruses are among the smallest viruses, characterized by their **single-stranded DNA genome**. - They require actively dividing host cells to replicate their **linear DNA**.

Question 1352: Most common type of HPV associated with cervical cancer?

A. 6, 11
B. 5, 8
C. 16, 18 (Correct Answer)
D. 6, 8

Explanation: ***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.

Question 1353: Macrophage tropic strains of HIV use which co-receptor?

A. CCR5 (Correct Answer)
B. CXCR4
C. CCR3
D. CCR2

Explanation: ***CCR5*** - **Macrophage-tropic** HIV strains, also known as **R5 strains**, primarily use the **CCR5 co-receptor** to enter target cells. - These strains are typically involved in the **initial infection** and transmission of HIV. - CCR5-tropic viruses are usually the **predominant strains transmitted** during sexual transmission. *CXCR4* - **T-cell-tropic** HIV strains, or **X4 strains**, preferentially utilize the **CXCR4 co-receptor** for cell entry. - These strains are associated with a **more rapid decline in CD4+ T-cell counts** during later stages of HIV infection. - Emergence of X4 strains is linked to **disease progression**. *CCR3* - While a chemokine receptor, **CCR3** is not a primary co-receptor used by common HIV strains for entry into macrophages or T cells. - CCR3 is primarily involved in **eosinophil chemotaxis** and allergic responses. *CCR2* - **CCR2** is another chemokine receptor but is **not a major co-receptor** for HIV entry. - While some laboratory-adapted strains may show minor usage, it is not clinically significant for macrophage-tropic HIV strains.

Question 1354: Which gene of the hepatitis B virus has the longest coding sequence?

A. P gene (Correct Answer)
B. X gene
C. S gene
D. C gene

Explanation: ***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.

Question 1355: How many segments of RNA does the Influenza virus have?

A. 5 segments of single-stranded RNA
B. 8 segments of double-stranded DNA
C. 8 segments of single-stranded DNA
D. 8 segments of single-stranded RNA (Correct Answer)

Explanation: ***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.

Question 1356: Exanthema subitum is caused by which virus?

A. HHV-6 (Correct Answer)
B. HCV
C. HPV
D. HIV

Explanation: ***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**.

Question 1357: Which poxvirus does not grow in eggs or animal cells?

A. Cow pox
B. Vaccinia
C. Variola
D. Molluscum contagiosum (Correct Answer)

Explanation: ***Molluscum contagiosum*** - This poxvirus is unique among human poxviruses as it **cannot be propagated in cell culture** or embryonated eggs. - It specifically replicates in **human epidermal cells**, causing characteristic skin lesions. *Cow pox* - Cowpox virus can be readily grown in **cell cultures** (e.g., Vero cells) and in **embryonated eggs**, where it produces pocks on the chorioallantoic membrane (CAM). - It is known for its ability to **infect a wide range of host cells and animals**. *Vaccinia* - Vaccinia virus is a widely studied poxvirus that grows efficiently in various **mammalian cell lines** (e.g., Hela, Vero cells) and on the **chorioallantoic membrane of embryonated eggs**. - Its broad host range and ease of culture make it a popular **viral vector** for research and vaccine development. *Variola* - Variola virus, the causative agent of smallpox, was successfully propagated in **cell cultures** (e.g., primary human embryonic kidney cells) and in **embryonated chicken eggs**, producing characteristic pock lesions. - Its ability to grow in these systems was crucial for **vaccine production** and research before its eradication.

Question 1358: Which virus is known for its brick-shaped morphology?

A. Chickenpox
B. Smallpox (Correct Answer)
C. CMV
D. EBV

Explanation: ***Smallpox*** - The **variola virus**, responsible for smallpox, is a type of **poxvirus** which characteristically exhibits a **brick-shaped** or ovoid morphology. - This distinctive shape is due to its **large, complex virion structure** containing a dumbbell-shaped core. *Chickenpox* - Chickenpox is caused by the **varicella-zoster virus (VZV)**, which is a member of the **herpesviridae family**. - Herpesviruses are typically **spherical** with an icosahedral capsid. *CMV* - **Cytomegalovirus (CMV)** is another member of the **herpesviridae family**, sharing the characteristic **spherical shape** with an icosahedral capsid. - Its morphology is not brick-shaped. *EBV* - **Epstein-Barr virus (EBV)** is also a **herpesvirus** and thus possesses a **spherical, icosahedral capsid morphology**. - Its structure is distinct from the brick-shaped poxviruses.

Question 1359: Coxsackie virus is classified as which type of virus?

A. Pox virus
B. Enterovirus (Correct Answer)
C. Myxovirus
D. Herpes virus

Explanation: ***Enterovirus*** - **Coxsackie virus** belongs to the genus *Enterovirus* within the family *Picornaviridae*. - Enteroviruses are characterized as **non-enveloped, positive-sense, single-stranded RNA viruses** and typically infect the gastrointestinal tract. *Herpes virus* - Herpes viruses are **enveloped, double-stranded DNA viruses** known for causing latent infections. - Examples include HSV-1 (oral herpes) and VZV (chickenpox), which are distinct from Coxsackie. *Pox virus* - Pox viruses are **large, enveloped, double-stranded DNA viruses** that replicate in the cytoplasm of infected cells. - Smallpox and molluscum contagiosum are caused by pox viruses, which have different genetic and structural characteristics than Coxsackie virus. *Myxovirus* - **Myxovirus** is an older classification that once included viruses now categorized into *Orthomyxoviridae* (e.g., influenza) and *Paramyxoviridae* (e.g., measles, mumps). - These are **enveloped, negative-sense, single-stranded RNA viruses**, a different viral structure and replication strategy compared to Coxsackie virus.

Question 1360: Which of the following statements about p24 is false?

A. Cannot be detected after seroconversion (Correct Answer)
B. Cannot be seen in the first week
C. All of the above
D. Can be detected after 3 weeks of infection

Explanation: ***Cannot be detected after seroconversion*** - This statement is **FALSE** and is the correct answer to this question. - **p24 antigen levels do decrease** after seroconversion due to immune complex formation with antibodies, but p24 can still be detected using modern assays. - In **advanced HIV disease** with declining CD4 counts, p24 antigen often becomes detectable again due to high viral loads. - Fourth-generation HIV tests detect both antibodies and p24 antigen throughout the infection course. *Cannot be seen in the first week* - This statement is **TRUE** (not the answer). - p24 antigen typically appears around **10-14 days** (1.5-2 weeks) after infection, which is after the first week (days 1-7). - The eclipse period (first 7-10 days) precedes p24 detection. *Can be detected after 3 weeks of infection* - This statement is **TRUE** (not the answer). - p24 antigen is consistently detectable at 3 weeks post-infection during the acute viremic phase. - Peak p24 levels occur around **2-4 weeks** after infection. *All of the above* - This is a distractor option and is incorrect since only one statement is false.

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Virus Structure and Classification

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Viral Replication

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Pathogenesis of Viral Infections

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DNA Viruses: Herpesviruses

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DNA Viruses: Poxviruses and Adenoviruses

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Hepatitis Viruses

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RNA Viruses: Orthomyxoviruses

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RNA Viruses: Paramyxoviruses

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Enteroviruses and Rhinoviruses

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Arboviruses

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HIV and Retroviruses

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Oncogenic Viruses

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Virology — MCQs

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