Viral Structure And Replication

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USMLE Step 1 › Viral Structure And Replication

Questions 1 - 10
1

The oncogenic potential of this virus is primarily mediated by viral proteins that functionally inactivate which of the following host proteins?

p53 and Rb

RAS and MYC

BRCA1 and BRCA2

p21 and p27

Explanation

High-risk HPV strains (e.g., 16 and 18) promote carcinogenesis through the actions of two main oncoproteins: E6 and E7. The E6 protein binds to the tumor suppressor protein p53, targeting it for ubiquitin-mediated degradation. The E7 protein binds to the retinoblastoma tumor suppressor protein (Rb), disrupting its ability to inhibit the E2F transcription factor. The inactivation of these two key cell cycle regulators (p53 and Rb) leads to uncontrolled cell proliferation and malignant transformation. A, C, and D are all important proteins in cell cycle regulation and cancer, but they are not the primary targets of HPV oncoproteins E6 and E7.

2

The translation of the poliovirus genome results in which of the following initial products?

Multiple individual proteins from segmented mRNA

A single large polyprotein that is subsequently cleaved

An antisense RNA template for viral protein synthesis

A DNA copy of the genome via reverse transcription

Explanation

Poliovirus, like other picornaviruses, has a positive-sense single-stranded RNA genome that functions directly as an mRNA upon entering the host cell. The entire genome is translated by host ribosomes into a single, large polyprotein. This polyprotein is then cleaved by viral proteases (also part of the polyprotein) into the final, functional structural and non-structural viral proteins. A: This describes viruses with segmented genomes like influenza. C: This is characteristic of retroviruses. D: The positive-sense genome is translated directly; an antisense template is made for genome replication, not for initial protein synthesis.

3

Which structural feature of Norovirus most contributes to its stability and ease of transmission via fomites and contaminated food?

Absence of a lipid envelope

Helical capsid symmetry

Segmented RNA genome

Presence of a lipid envelope

Explanation

Norovirus is a non-enveloped (naked) virus. Non-enveloped viruses are generally more resistant to environmental stressors such as drying, acid, detergents, and heat compared to enveloped viruses. This stability allows them to persist on surfaces (fomites) and in contaminated food and water, facilitating fecal-oral transmission. A: A segmented genome (like in influenza virus) facilitates reassortment but does not directly contribute to environmental stability. B: Capsid symmetry (helical vs. icosahedral) does not determine environmental resistance. C: A lipid envelope is sensitive to detergents, acid, and drying, making enveloped viruses less stable in the environment.

4

This ability for immediate translation implies which of the following characteristics about the Rhinovirus genome?

It is a negative-sense, single-stranded RNA.

It is a positive-sense, single-stranded RNA.

It is a double-stranded DNA.

It is a double-stranded RNA.

Explanation

Rhinovirus is a picornavirus. Its genome is a positive-sense, single-stranded RNA molecule. The term "positive-sense" means that the viral RNA sequence is equivalent to mRNA and can be directly recognized and translated by the host cell's ribosomes upon entry. This allows for the immediate synthesis of viral proteins without the need for prior transcription. A: Negative-sense RNA must first be transcribed into positive-sense mRNA by a viral polymerase. C: DNA must be transcribed into mRNA. D: Double-stranded RNA must be transcribed to produce mRNA.

5

After the replication of its double-stranded DNA genome, where does the assembly of the HSV-1 nucleocapsid primarily occur?

Within the nucleus

In the cytoplasm

At the plasma membrane

Inside the Golgi apparatus

Explanation

Herpesviruses, including HSV-1, are DNA viruses that replicate their genome inside the host cell nucleus. Following DNA replication and synthesis of capsid proteins (which are translated in the cytoplasm and imported into the nucleus), the viral genome is packaged into newly formed capsids. This assembly of the nucleocapsid occurs within the nucleus. The completed nucleocapsid then buds through the inner nuclear membrane to acquire its initial envelope, which is later modified as it traverses the Golgi and is released from the cell. A: Poxviruses assemble in the cytoplasm. B: Assembly for some viruses occurs at the plasma membrane during budding. D: The Golgi is involved in modifying viral glycoproteins and transport, but not primary nucleocapsid assembly.

6

Replication of the hepatitis D virus is entirely dependent on the co-infection with hepatitis B virus. What essential component does HBV provide for the HDV life cycle?

A reverse transcriptase for its RNA genome

A DNA polymerase for genome replication

Nuclear transcription factors to activate viral genes

The surface antigen for viral packaging and entry

Explanation

Hepatitis D virus (HDV), also known as the delta agent, is a defective virus. It has a small, circular single-stranded RNA genome and its own antigen (delta antigen), but it cannot produce its own envelope protein. To be infectious, HDV must co-opt the hepatitis B surface antigen (HBsAg) from a co-infecting Hepatitis B virus (HBV) to serve as its outer envelope. This allows the HDV particle to attach to and enter new hepatocytes. Therefore, HDV can only infect and replicate in individuals who are also infected with HBV. The other options describe functions that HDV does not require from HBV.

7

Which of the following best describes a key step in the replication of this virus's genetic material?

It requires a virally encoded RNA-dependent RNA polymerase.

It occurs exclusively within the cytoplasm of the host cell.

It depends on host cell DNA polymerase during the S phase.

It utilizes a reverse transcriptase to create a DNA intermediate.

Explanation

The causative agent of erythema infectiosum (fifth disease) is Parvovirus B19, a single-stranded DNA virus. Because it is one of the simplest DNA viruses, it lacks its own DNA polymerase and is dependent on the host cell's machinery for replication. Specifically, it must infect mitotically active cells (like erythrocyte precursors) and utilizes the host's DNA polymerase during the S phase of the cell cycle to replicate its genome. A: Poxviruses are the main DNA viruses that replicate in the cytoplasm; most, including Parvovirus B19, replicate in the nucleus. B: RNA-dependent RNA polymerase is used by RNA viruses, not DNA viruses. D: Reverse transcriptase is used by retroviruses (like HIV) and Hepadnaviruses (like HBV).

8

To initiate infection of B lymphocytes, the surface glycoproteins of EBV bind to which of the following host cell receptors?

ICAM-1

CD4

Sialic acid

CD21

Explanation

Epstein-Barr virus (EBV), a herpesvirus, primarily infects B lymphocytes and epithelial cells. The major viral glycoprotein, gp350/220, mediates attachment to the host cell by binding to CD21 (also known as the C3d complement receptor, CR2). This interaction is the primary determinant of the virus's tropism for B cells. A: CD4 is the primary receptor for HIV. C: ICAM-1 is the receptor for Rhinovirus. D: Sialic acid is the receptor for Influenza virus.

9

Within which of the following structures does the Varicella-Zoster Virus (VZV) typically establish latency following the primary infection?

Dorsal root ganglia

Mononuclear cells

Epithelial cells of the skin

B lymphocytes

Explanation

Varicella-Zoster Virus (VZV), a member of the herpesvirus family, causes chickenpox (varicella) as a primary infection. Following this, the virus travels up sensory nerves and establishes a lifelong latent infection in the neurons of the dorsal root or trigeminal ganglia. Reactivation later in life, often due to waning cell-mediated immunity, results in herpes zoster (shingles). A: EBV establishes latency in B lymphocytes. B: VZV replicates in epithelial cells during active infection but does not establish latency there. D: CMV establishes latency in mononuclear cells.

10

Unlike most other DNA viruses, where does the replication of the variola virus genome occur?

Exclusively within the host cell nucleus

Within the host cell cytoplasm

During budding from the plasma membrane

Attached to the outer mitochondrial membrane

Explanation

Poxviruses, including the variola virus (smallpox) and vaccinia virus, are unique among DNA viruses because their entire replication cycle occurs within the cytoplasm of the host cell. They are large and complex enough to encode their own machinery for DNA replication and transcription (e.g., DNA-dependent DNA polymerase and DNA-dependent RNA polymerase), making them independent of the host cell's nucleus. A: Most DNA viruses (e.g., Herpesviruses, Adenoviruses, Papillomaviruses) replicate in the nucleus. B and D are not primary sites of viral genome replication.

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