Froggy Jumps Viral Meningitis & Poliomyelitis QuizOnline version Test knowledge on viral meningitis, myelitis, and polio by Quader Ahmed Jalili 1 Which group is the most common cause of viral meningitis? a Arboviruses b Non-polio enteroviruses c Herpesviruses 2 Which virus is often the second most common cause of viral meningitis in adults? a Enterovirus 71 b Coxsackievirus c Herpes simplex virus (HSV) 3 What is Mollaret meningitis associated with? a Recurrent lymphocytic meningitis due to HSV or EBV b Acute bacterial meningitis c West Nile virus infection 4 Enteroviruses are primarily transmitted by which route? a Respiratory droplets b Fecal-oral route c Sexual contact 5 Which virus group often causes hand-foot-and-mouth disease? a Adenoviruses b Arenaviruses c Coxsackieviruses 6 Acute hemorrhagic conjunctivitis is commonly caused by which virus? a Adenovirus b Enteroviruses (A24) and Coxsackievirus 70 c Influenza virus 7 Which serotypes are involved in hand-foot-and-mouth disease? a Adenoviruses b Herpesviruses c Coxsackievirus A and Enteroviruses 8 Which virus is associated with Mollaret meningitis? a HSV (and sometimes EBV) b Poliovirus c Rhinovirus 9 What is the primary site of poliovirus infection before CNS invasion? a Lymph nodes only b Gastrointestinal tract/intestinal epithelium c Cerebral cortex 10 Which receptor mediates poliovirus entry into host cells? a ACE2 b CD155 c CD4 11 What is the typical initial clinical feature of paralytic poliomyelitis? a Spastic paralysis b Asymmetric flaccid paralysis c Sensory loss 12 Which poliovirus type has been globally eradicated? a WPV2 and WPV3 b WPV1 only c All WPVs remain 13 What does VAPP stand for? a Vaccine-assisted peripheral paralysis b Vaccine-associated paralytic poliomyelitis c Viral-associated poliomyelitis 14 Which type of poliovirus is most commonly associated with VAPP? a Sabin type 2 b Sabin type 1 c Sabin type 3 15 What does VDPV stand for? a Vaccine-derived poliovirus b Variant poliovirus c Virus-derived poliovirus 16 What is a key feature of circulating VDPVs (cVDPVs)? a They are non-infectious b They can spread in the community c They are identical to WPV 17 What is the typical incubation period for paralytic poliomyelitis? a 1–2 days b 30 days c 7–14 days 18 Which group is at higher risk for viral meningitis? a Newborns only b Children under 5 and older adults c Adults 20–40 only 19 Which diagnostic method is commonly used for poliovirus detection? a Virus isolation in monkey kidney cell line b Blood culture c CSF Gram stain 20 Which vaccine strategy is used to eradicate polio (global goal)? a Routine IPV only b Pulse Polio Immunization (PPI) with OPV c No vaccination required 21 What is the difference between WPV and VDPV in essence? a VDPV is synthetic; WPV is cell culture b WPV originates from vaccines c VDPV arises from OPV strains; WPV is wild virus 22 Echoviruses belong to which family group? a Orthomyxoviridae b Flaviviridae c Picornaviridae (enteroviruses) 23 Which virus group is the most common cause of aseptic meningitis? a Adenoviruses b Herpesviruses c Enteroviruses 24 HIV meningitis can present with which cranial nerve involvement more commonly? a V, VII, or VIII b II, III, IV c I, II, III 25 Which virus is linked to hand-foot-and-mouth disease and paralysis resembling poliomyelitis? a Coxsackievirus B b HSV-2 c Enterovirus 71 26 Which pathogen family includes rhinoviruses and enteroviruses? a Togaviridae b Coronaviridae c Picornaviridae 27 Which clinical feature is uncommon in viral meningitis? a Fever and neck stiffness b Photophobia c Seizures with profound altered consciousness
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