WorksheetsVirology MCQs and MSQs (Grade 12)
Total questions: 137
Worksheet time: 1hrs 9mins
Which one of the following diseases has not been established to be caused by parvovirus B19?
Erythema infectiosum (fifth disease)
Transient aplastic crisis
Hydrops fetalis
Fulminant hepatitis
The Herpesviridae can be subdivided into three ______ based on the type of cells most often infected and the site of ______. Choose the option that correctly completes both blanks.
species; persistence
genera; size of virion
subfamilies; latency
subfamilies; persistence
A 20-year-old female college student presents with fever, sore throat, and lymphadenopathy, accompanied by lymphocytosis featuring atypical cells. What is the most likely diagnosis?
Infectious hepatitis
Infectious mononucleosis
Chickenpox
Herpes simplex infection
Viral meningitis
Women with genital herpes reactivated in the last weeks of pregnancy can most likely avoid passing HSV-2 to their newborns if she undergoes cesarian section.
True
False
Which of the following best describes the currently licensed smallpox vaccines?
Live attenuated smallpox virus
Inactivated smallpox virus
Live vaccinia virus
Inactivated vaccinia virus
Reassortant vaccine containing both vaccinia and smallpox viruses
Which 3 of the following poxviruses can infect humans? Select all that apply.
Monkeypox
Smallpox
Tanapox
Cowpox
Yaba tumor virus
Smallpox vaccination is not protective in case of a monkeypox infection outbreak.
True
False
How did Jenner use cowpox to defend against smallpox?
By giving material to people that was contaminated with cowpox, people developed an immunity against smallpox, which is similar.
By discovering a vaccine for cowpox, which he altered so that it could defend against smallpox as well.
By performing most of his scientific tests on the safer cowpox so that he wouldn't endanger himself during experiments.
By performing most of his scientific tests on the safer cowpox so that he wouldn't endanger his subjects during experiments.
Smallpox virus is a potential biothreat agent because the human population today has little or no immunity.
True
False
Poxviruses are like other DNA viruses in that the entire multiplication cycle takes place in the cytoplasm of infected cells; however, nuclear factors may be involved in transcription and virion assembly.
True
False
Herpesviruses are large viruses with a double-stranded DNA genome. Which genome size range is correct?
25-35 kbp
70-80 kbp
100-135 kbp
125-250 kbp
About 50 different herpesviruses are known to infect various animals.
True
False
Based on sequence analysis and serologic assays, the most likely origin of the SARS coronavirus is which of the following?
Recombination between a human and an animal coronavirus that created a new virus
Mutation of a human coronavirus that resulted in increased virulence
Acquisition of human cellular genes by a human coronavirus that allowed viral evasion of the host immune response
Jump of an animal coronavirus into humans
Which 2 of the following statements reflect the pathogenesis of influenza? Select all that apply.
The virus enters the host in airborne droplets.
Viremia is common.
The virus frequently establishes persistent infections in the lungs.
Pneumonia is often associated with secondary bacterial infections.
Viral infection does not kill cells in the respiratory tract.
Coronavirus infections in humans usually cause a common cold syndrome. However, the outbreak of SARS in 2002–03 was characterized by pneumonia and progressive respiratory failure. The control of this disease was achieved primarily due to
A live-attenuated vaccine for coronaviruses
The antiviral drug amantadine
Infection control measures, including isolation and wearing of personal protective equipment (PPE)
The antiviral drug acyclovir
Influenza drug Tamiflu
The antigenic drifts of influenza A virus cause worldwide epidemics.
True
False
Influenza virus A neuraminidase forms a spike structure composed of 6 identical monomers, each with enzyme activity.
True
False
The following are common characteristics of coronaviruses, except for one. Which is NOT correct?
Possess cross-reactive antigens with influenza viruses
Contain the largest genomes among RNA viruses
Can cause gastroenteritis
Are distributed worldwide
What is the primary route of transmission for the majority of human coronaviruses?
Fecal-oral
Respiratory
Blood transfusion
Perinatal mother-to-infant
Surgical manipulations
There is currently an approved antiviral treatment for COVID-19 coronaviruses, but no vaccine yet.
True
False
The type-specific antigen (A, B, or C) of influenza viruses is found on the viral nucleocapsid.
True
False
Diagnosis of an influenza virus infection can be made through various methods, including isolating the virus.
True
False
Which 2 of the following statements regarding the prevention and treatment of influenza are correct? Select all that apply.
Booster doses of vaccine are not recommended.
Drugs that inhibit neuraminidase are active only against influenza A.
As with some other live vaccines, the attenuated influenza vaccine should not be given to pregnant women.
The influenza vaccine contains several serotypes of virus.
The virus strains in the influenza vaccine vary from year to year.
The amount of HIV in the blood (viral load) measured by Western Blot assay is of prognostic value and is crucial for monitoring the effectiveness of drug therapy.
True
False
The member of the Lentivirus genus (classified in the Retroviridae family) HIV-1 is characterized by which of the following?
Contain a DNA genome
Cause tumors in mice
Infect cells of the immune system
Have related sequences endogenous in normal cells
Cause rapidly progressive neurologic disease
HAART treatment results in long-term suppression of HIV in the body, even during the period when (and if) the drugs are stopped.
True
False
A practitioner nurse had an accident with an inserted needlestick with blood from an HIV-positive patient. Six months later, the nurse's serum was positive in 2 repeated EIA tests but negative by Western blot. What suggestion would be more correct about the nurse's condition?
Is probably infected with HIV
Is in the window between acute infection with HIV and seroconversion
Is probably not infected with HIV
May be infected with a drug-resistant strain of HIV
May be a long-term progressor
The following statements concerning HIV infection are correct except which two? Select the two incorrect statements.
Screening tests for antibodies and nucleic acid are useful to prevent transmission of HIV through transfused blood.
Zidovudine (azidothymidine) is widely used in AIDS treatment as a protease inhibitor.
There is evidence that an individual is protected against HIV by application of the HTLV vaccine.
The opportunistic infections seen in AIDS are primarily the result of a loss of cell-mediated immunity.
Fever and malaise are the most common symptoms of acute HIV infection.
Vertical transmission may mainly occur through the transplacental route and also during the birth process. The role of postnatal transmission through breast milk can be excluded.
True
False
The treatment of HIV infection using HAART usually includes a protease inhibitor. Which feature of such protease inhibitors is correct?
Seldom gives rise to resistant mutants of HIV
Inhibits a late step in virus replication
Subacute sclerosing panencephalitis (SSPE) develops many years after a mumps infection contracted in childhood.
True
False
In hosts with prion diseases, no innate immune response, such as the induction of interferons, has been registered.
True
False
Hepatitis A virus is assigned to the genus Hepatovirus in the family Hepadnaviridae; only one serotype is known for HAV.
True
False
In the nucleus, the partially double-stranded HBV viral genome is converted to covalently closed circular double-stranded DNA (CCCDNA), which serves as a template for all viral transcripts.
True
False
Which antigenic type of hepatitis B virus is present in the envelope?
HBsAg
HBcAg
HBeAg
HBxAg
All of the following persons are recommended to receive hepatitis B vaccine because they have a risk factor for HBV infection except:
Sexually active persons who are not in long-term, mutually monogamous relationships
Injection drug users
Pregnant women
Persons who live in a household with a person who is HBsAg positive
The diagnosis of hepatitis A virus infection is primarily based on which of the following?
Aminotransferase levels
Detection of faecal HAV by immunoelectron microscopy
Both (a) and (b)
Which two of the following statements about HBV are false?
Replication involves reverse transcriptase.
Infected persons may have large numbers of noninfectious viral particles circulating in their bloodstream.
Infection can result in cirrhosis.
The majority of HCV infections lead to chronic infections when infected early in childhood.
True
False
Which of the following specimens contain hepatitis B virus in an infected person?
Blood
Semen
Saliva
Which of the following viral infections can result in a chronic carrier state?
HBV
HCV
What is the main clinical picture of hepatitis A?
Rash
Limb paralysis
Jaundice and abdominal discomfort
HCV-associated liver disease is the major cause for liver transplantation.
True
False
Sandfly fever virus, which belongs to the Phleboviridae family, causes infection with fever, headache and photophobia.
True
False
Following statements are true regarding Yellow Fever (YF) disease except which two:
YF occurs primarily in the tropical areas of Africa and South America.
Causative agent of YF is a Flavivirus.
West Nile virus and Japanese encephalitis virus both cause initially flu-like syndrome followed by hepatitis and hemorrhages.
True
False
Dengue hemorrhagic fever occurs as a secondary infection in the presence of preexisting antibodies from a primary infection by a different viral serotype.
True
False
Transmission of Marburg virus between humans does not occur.
True
False
Dengue virus is transmitted by the Aedes aegypti mosquito, which is also the vector of yellow fever virus.
True
False
Arboviral diseases occur primarily in the tropics and have been found in northern temperate zones such as Alaska and Siberia.
True
False
West Nile virus disease may be transmitted from an infected bird to a person by a mosquito. This is an example of (select two answers):
Endogenous infection
Fomite-borne disease
Which statement about Hantaviruses is not correct?
Rodents are the natural hosts for hantaviruses.
Two main manifestations are HFRS and HCPS.
The group name Arboviruses highlights the fact that these viruses are transmitted by arthropods, primarily by mosquitoes, ticks and human lice.
True
False
Togaviruses are characterized by the following properties except:
Icosahedral nucleocapsid surrounded by an envelope
Single-stranded, positive-polarity RNA genome
In arbovirus infections, only the female individuals serve as the vector of the virus because they require a blood meal in order for progeny to be produced.
True
False
Tumor viruses may have the following characteristics:
No special shape, chemical composition or size
Large, enveloped viruses
Which statement regarding viral carcinogenesis is not correct?
Viruses can cause cancer in animals and humans.
Tumor viruses frequently establish persistent infections in natural hosts.
No association of adenoviruses with human neoplasms has been found.
True
False
Following DNA-containing viruses have proved potential in development of human malignancies except which two:
Epstein-Barr virus (human)
Papillomavirus
Genital warts can be routinely treated by application of the following except:
Cryotherapy
Laser therapy
Human cancer viruses include the following viruses or virus groups except:
Hepatitis B and Hepatitis C viruses
Papillomaviruses
HIV is also considered a cancer agent because virus-associated immune suppression supports cancer development.
True
False
Tumor viruses establish persistent infections in hosts, with up to several months latent between initial infection and tumor appearance.
True
False
A 35-year-old woman is diagnosed with cervical cancer. This cancer is common worldwide and has a sexually transmitted viral etiology. The causative agent of human cervical cancer is
Hepatitis C virus
Hepatitis B virus
Human papillomaviruses, high-risk types
Polyomaviruses
Herpesviruses
No association of adenoviruses with human neoplasms has been found
True
False
Which statement regarding HTLV-1 virus is not correct?
Transmission occurs primarily by breastfeeding
The source of virus is contaminated blood used for transfusions
Virus can be spread between intravenous drug users
Virus can be acquired by sexual contact
All of the above is correct
Retroviruses that contain oncogenes are slower transforming viruses, while the viruses with oncogenes that are highly oncogenic.
True
False
Which of the following is not characteristic of paramyxoviruses?
Genome is negative-sense RNA
Envelope contains a glycoprotein with fusion activity
Paramyxoviruses do not undergo genetic reassortment
Replication cycle occurs in cytoplasm of susceptible cell
Genome is segmented
Which statement about parainfluenza viruses is not correct?
Replication of parainfluenza viruses is limited to respiratory epithelium
Reinfection with parainfluenza viruses is common
Type 3 parainfluenza virus causes bronchiolitis and pneumonia in infants
Viremia is developed in all parainfluenza infections
Serious bronchiolitis or pneumonia related to respiratory syncytial virus occurs most often in children under 2 years of age.
True
False
For rabies, there can be a long incubation period (months to years) from time of exposure to appearance of symptoms
True
False
Domestic animals are the source of most human rabies in the United States
True
False
For which of the following paramyxoviruses is an effective vaccine available?
Parainfluenza virus type 1
Measles virus
Respiratory syncytial virus
Mumps virus
Metapneumovirus
Which of the following statements is more likely to be true of measles (rubeola) than German measles (rubella)?
Koplik spots are present
It causes birth defects
It causes only a mild illness
Human beings are the only natural host
Attenuated virus vaccine is available for prevention
Which of the following paramyxoviruses has an HN surface glycoprotein lacking hemagglutinin activity?
Measles virus
Mumps virus
Parainfluenza virus type 1
Respiratory syncytial virus
Rubella virus
Which of the following statements about the congenital rubella syndrome is correct?
The disease can be prevented by vaccination of school-age children with measles vaccine
A woman can be infected at any time during pregnancy
Deafness is a common defect associated with congenital rubella syndrome
Only rare strains of the rubella virus are teratogenic
None of the above
The measles virus gains access to the human body via the respiratory tract, where it multiplies locally. No systemic spread occurs
True
False
A runner reports an "unprovoked bite" from a neighborhood dog. The dog was captured by local animal control authorities, and it appears healthy. What is the appropriate action?
Confine and observe the dog for 10 days for signs suggestive of rabies
Begin postexposure prophylaxis of the bitten person
Immediately euthanize the dog
Because canine rabies has been eliminated in the United States, dog bites are no longer an indication for postexposure prophylaxis, and no further action is needed
Test the dog for rabies antibody
A 30-year-old man who is HIV-antibody positive with a CD4 count of 100 has a diagnosis of disseminated histoplasmosis. Which one of the following is the best choice of drug to treat his disseminated histoplasmosis?
Amphotericin B
Caspofungin
Clotrimazole
Flucytosine
Terbinafine
Arthrospores of Coccidioides are very light and are easily carried by the wind
True
False
Subcutaneous mycosis is caused by endogenous fungi that are part of the normal human microbiota.
True
False
Most fungi grow well in acidic culture conditions and tolerate low moisture conditions
True
False
Which of the following fungi is most likely to be found within reticuloendothelial cells?
Histoplasma capsulatum
Sporothrix schenckii
Cryptococcus neoformans
Candida albicans
Molds are routinely speciated by a battery of physiologic tests, such as the ability to assimilate various sugars
True
False
All the statements regarding the dermatophytes are correct except which 2
Dermatophytes utilize keratin as a nutrient and energy source
Dermatophytes infect the keratinized outer layer of the scalp, glabrous skin, and nails
Dermatophyte infections do not induce an allergic and inflammatory eczematous response in the host
Characteristic lesions on skin and nails are formed in a circular pattern
Dermatophytes can grow well at human body temperature
What term refers to fungal infections deep within the body?
Systemic mycoses
Cutaneous mycoses
Subcutaneous mycoses
Superficial mycoses
Regarding Blastomyces dermatitidis, which one of the following is most accurate?
It forms a mycelium in culture at 37∘ C in the clinical lab
Humoral immunity is the main host defense against this organism
The most important virulence factor of this organism is endotoxin in its cell wall
It is a dimorphic fungus that exists as a mold in the soil and a yeast in the body
Which statement regarding fungi is correct?
All fungi are able to grow as yeasts
Although fungi are eukaryotes, they lack mitochondria
Fungi are photosynthetic
Fungi have one or more nuclei and chromosomes
Few fungi possess cell membranes
Which of the following pairs is mismatched?
Teleomorph—produces both sexual and asexual spores
Dermatomycosis—fungal infection of the skin
Dimorphic fungus—grows as a yeast or a mold
Systemic mycosis—fungal infection of body organs
Coenocytic hyphae—hyphae without cross-walls
Cryptosporidium parvum is one of the major causes of epidemic diarrhea, with domestic animals as reservoirs. It manifests as short-term mild diarrhea in AIDS patients.
True
False
Balantidium coli is primarily a zoonotic intestinal parasite that infects farmers through contact with horses, cows, and pigs. It causes diseases similar to amebiasis, including the formation of extra-intestinal abscesses.
True
False
Which of the following parasites is transmitted by sandflies?
Leishmania donovani
Wuchereria bancrofti
Plasmodium falciparum
Plasmodium vivax
In malaria, the form of plasmodia that is transmitted from mosquito to human is
Hypnozoite
Merozoite
Gametocyte
Sporozoite
Laboratory microbiological diagnosis of a patient with a suspected liver abscess due to Entamoeba histolytica primarily should include
Indirect hemagglutination test and skin test
Culture for intestinal bacteria
Stool examination and blood smear
Stool examination and serological test for amebic antibodies in the blood
Which statement regarding T. solium is not correct?
Adult worm size is 2–4 meters long
Scolex armed with six suckers and a circle of hooks
Regarding Toxoplasma gondii, which one of the following is most accurate?
To prevent this infection, pregnant women are advised not to drink pasteurized milk.
The most important definitive host (the host in which the sexual cycle occurs) for Toxoplasma is the domestic cat.
Infection in people with reduced cell‑mediated immunity, such as AIDS patients, is characterized by persistent watery (nonbloody) diarrhea.
Ascaris lumbricoides is the longest and largest roundworm.
True
False
Hookworm disease is expressed as anemia with iron deficiency (malabsorption syndrome).
True
False
Each of the following parasites is transmitted by insects EXCEPT:
Trypanosoma gambiense
Trypanosoma cruzi
Leishmania donovani
Giardia and Trichomonas are unusual eukaryotes because they
are motile.
lack mitochondria.
do produce cysts.
Subacute sclerosing panencephalitis (SSPE) develops many years after a measles infection contracted yearly in childhood.
True
False
HIV uses the CD4 receptor expressed on macrophages and T lymphocytes. Coreceptors include the chemokine receptors CXCR4 (for macrophage-tropic strains of HIV-1) and CCR5 (for lymphocyte-tropic strains of the virus).
True
False
Which of the following factors can be involved in the development of slow virus diseases and most clearly has immunosuppression in its pathogenesis?
Progressive multifocal leukoencephalopathy
Subacute sclerosing panencephalitis
Creutzfeldt‑Jakob disease
Regarding the structure and replication of human immunodeficiency virus (HIV), which two of the following is most accurate?
Viral mRNA is the template for the synthesis of the genome RNA.
During entry of HIV into the cell, the viral p24 protein interacts with the CD4 protein on the cell surface.
The initial symptom of HIV infection is
loss of T cells.
lymphadenopathy.
Which 2 of the following statements reflect the pathogenesis of influenza? Select two.
The virus enters the host in airborne droplets.
Viremia is common.
The virus frequently establishes persistent infections in the lungs.
Pneumonia is often associated with secondary bacterial infections.
Viral infection does not kill cells in the respiratory tract.
The following are common characteristics of coronaviruses, except for one. Which is NOT correct?
Possess cross-reactive antigens with influenza viruses
Contain the largest genomes among RNA viruses
Can cause gastroenteritis
Are distributed worldwide
There is currently an approved antiviral treatment for Covid-19 coronaviruses, but no vaccine yet.
True
False
The type-specific antigen (A B, or C) of influenza is found on the viral nucleocapsid.
True
False
Influenza virus A neuraminidase forms a spike structure composed of 6 identical monomers, each with enzyme activity.
True
False
What is the primary route of transmission for the majority of human coronaviruses?
Fecal-oral
Respiratory
Blood transfusion
Perinatal mother-to-infant
Surgical manipulations
The antigenic drifts of influenza A virus cause worldwide epidemics.
True
False
Which 2 of the following statements regarding the prevention and treatment of influenza are correct? Select two.
Booster doses of vaccine are not recommended.
Drugs that inhibit neuraminidase are active only against influenza A.
As with some other live vaccines, the attenuated influenza vaccine should not be given to pregnant women.
The influenza vaccine contains several serotypes of virus.
The virus strains in the influenza vaccine vary from year to year.
Diagnosis of flu can be easily done since clinical symptoms reliably distinguish influenza from other respiratory illnesses.
True
False
"Solar corona" of Coronaviruses are formed by 8-nm-long club- or petal-shaped projections that are widely spaced on the outer surface of the envelope.
True
False
An epidemic of severe acute respiratory virus infections occurred among the elderly residents of a nursing home. Influenza viruses A -B and/or COVID19 coronaviruses are suspected. The treatment and prevention of these diseases before the results of virology lab investigations are obtained can be accomplished by use of which 2 of the options below? Select two.
An experimental subunit vaccine for coronavirus
A live attenuated flu vaccine
The antiviral drug amantadine
Strict infection control measures including isolation and wearing of protective means
The antiviral drug oseltamivir
For COVID-19 infection, it usually takes 5–6 days from infection for symptoms to show; however, it can last up to 30 days.
True
False
The neuraminidase of influenza viruses facilitates the release of virus particles from infected cells.
True
False
The origin of the SARS coronavirus most likely is a mutation(s) of a human coronavirus that resulted in increased virulence.
True
False
Which of the following statements concerning antigenic drift in influenza viruses is correct?
It is caused by genetic reassortment of genome segments
It results in new subtypes over time
It affects predominantly the matrix protein
It results in major antigenic changes
It is exhibited only by influenza A viruses
The incidence of coronavirus infections varies markedly from year to year, although it is estimated that coronaviruses cause, on average, 50% of all infections.
True
False
The type-specific antigen (A, B, or C) of influenza viruses is found on which viral constituent?
Hemagglutinin
Neuraminidase
Nucleocapsid
Polymerase complex
Lipid in the viral envelope
Each of the following statements concerning the prevention and treatment of influenza is correct except.
The inactivated influenza vaccine contains H1N1 virus but the live attenuated influenza vaccine contains H3N2 virus.
The flu vaccine is a cocktail of one or two type A viruses and one or two type B virus strains.
The vaccine is recommended to be given each year because the permanent drifts of the virus drifts.
Oseltamivir is effective against both influenza A and B viruses influenza.
The main antigen in the vaccine that induces protective antibody is the hemagglutinin.
Risk factors for severe MERS coronavirus infection include which of the following?
Recent camel exposure
Prior coronavirus infection
Seasonal allergies
Chronic obstructive pulmonary disease
Influenza C causes mild, sporadic respiratory disease but sometimes can reach epidemic spread levels.
True
False
A woman with insulin-dependent diabetes occasionally broke the dorsal side of her right hand. After a month of treatment with penicillin the ulcer had not healed, and the doctor decided to culture a swab of the wound at 35°C on blood agar. In parallel a smear was made for Gram staining where large (10 μm) cells were shown. Brownish, waxy colonies grew on the blood agar. Slide cultures incubated at 25°C showed septate hyphae and single conidia. The most likely cause of the infection is
gram-negative bacterium
dimorphic fungus
parasitic algae
yeast
protozoan
Which statement regarding fungal growth and morphology is correct?
Pseudohyphae are produced by all yeasts.
Molds produce hyphae that may or may not be partitioned with cross-walls or septa.
Conidia are produced by sexual reproduction.
Most yeasts reproduce by budding and lack cell walls.
Most pathogenic dimorphic fungi produce hyphae in the host and yeasts at 30°C.
Fungi are characterized by which 3 out of the properties listed below? Select three.
are mainly aerobic or also facultatively anaerobic
Fungal spores are used for reproduction
prefer a neutral environment (pH 7)
are chemoheterotrophs
cannot tolerate high osmotic pressure
Around 50 species are responsible for more than 90% of the fungal infections in humans and other animals.
True
False
White piedra is often acquired by penetrating wounds sustained while gardening.
True
False
Histoplasmosis occurs primarily in the tropical areas of Central and South America.
True
False
Fungal cells that reproduce by budding are observed in the infected tissues of patients with which condition?
Candidiasis, cryptococcosis, and sporotrichosis
Mycetoma, candidiasis and mucormycosis
Tinea corporis, tinea unguium, and tinea versicolor
A pregnant woman in her third trimester of pregnancy, lives in the Central Valley of California. She complains of severe low back pain of several weeks in duration. An X-ray reveals a lesion in the fourth lumbar vertebra. Material from a needle biopsy of the lesion is examined by a pathologist who concluded that the patient has coccidioidomycosis. Of the following, which one did the pathologist see in the biopsy?
Nonseptate hyphae
Septate hyphae
Spherules containing endospores
Yeasts with a single bud
Yeasts with multiple buds
The patient, a young woman, applied to a physician complaining on a vaginal discharge. Which one of the following statements is LEAST accurate or appropriate?
Antibiotics predispose to Candida vaginitis by killing the normal flora lactobacilli that keep the vaginal pH low.
A Gram stain of the discharge should reveal budding yeasts.
This is a normal flora of oral cavity, genitalia, large intestine or skin of 20% of humans.
Culture of the discharge on Sabouraud's agar should produce a white mycelium with aerial conidia.
What type of infection is caused by Malassezia furfur?
Superficial
Cutaneous
Subcutaneous
Systematic
Opportunistic
Chitin, a main component of fungal cell wall, is a polymer of N-acetylglucosamine.
True
False
Following statements regarding Retroviruses are true except.
The viral genome consists of two identical molecules of positive strand
Virion contains an enzyme reverse transcriptase
Many vertebrates, including humans, possess multiple copies of endogenous reproviral RNA sequences
