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BMS2037: Clinical Virology & Diagnostics Lectures
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BMS2037: Clinical Virology & Diagnostics Lectures

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Questions and Answers

In clinical virology, what is the significance of monitoring viral illnesses?

  • Limit spread or outbreak
  • Informs patient treatment and prognosis (correct)
  • Avoids further unnecessary testing
  • Screening of donated blood (HIV, HepB, HepC)
  • Why are virus diagnostics needed for routine public health measures?

  • Limit spread or outbreak
  • Are treatment strategies working (viral load testing)
  • Activate contact tracing (correct)
  • Informs patient treatment and prognosis
  • What is the purpose of surveillance in clinical virology?

  • Learning about the infectious cycle of virus replication mechanisms
  • To monitor the significance and prevalence of viruses in a community (correct)
  • Avoids unnecessary drug use (antibiotics)
  • Put mechanisms in place to contain and eradicate HEP B, C, E
  • What does the term 'sensitivity' refer to in clinical virology?

    <p>The ability of a test to identify true positive results</p> Signup and view all the answers

    How do virus diagnostics contribute to appropriate patient management in clinical virology?

    <p>Avoids further unnecessary testing</p> Signup and view all the answers

    What is the main method of clinical virology for identifying new viruses?

    <p>Metagenomic sequencing</p> Signup and view all the answers

    What is the primary reason for using a plaque assay in virology?

    <p>To quantify the virus on living cells</p> Signup and view all the answers

    Which type of microscopy provides high enough resolution to visualize viruses?

    <p>Electron microscopy</p> Signup and view all the answers

    What is the main consequence of rabies infection if left untreated?

    <p>Encephalitis</p> Signup and view all the answers

    What is the incubation period for rabies?

    <p>2 weeks to 3 months</p> Signup and view all the answers

    What is the primary recommendation by the World Health Organization (WHO) for diagnosing rabies?

    <p>Fluorescent microscopy</p> Signup and view all the answers

    What proportion of GPs in Europe are involved with sentinel surveillance of Influenza-like illness (ILI)?

    <p>~5%</p> Signup and view all the answers

    What is recommended by UK Health Safety Agency (UKHSA) regarding reporting of respiratory viruses?

    <p>Reporting weekly</p> Signup and view all the answers

    What percentage of all human viruses known today were unknown at the end of World War II?

    <p>90%</p> Signup and view all the answers

    Which method is impractical for large scale testing due to low sensitivity?

    <p>Negative staining</p> Signup and view all the answers

    What can a positive PCR result indicate?

    <p>Presence of viral DNA/RNA</p> Signup and view all the answers

    What is the significance of a lower cycle threshold value in qPCR?

    <p>Higher viral nucleic acids present</p> Signup and view all the answers

    Which technique has replaced ELISA in many instances for virus detection?

    <p>PCR</p> Signup and view all the answers

    Which method is known for its use in rapid, point-of-care testing for viruses?

    <p>Haemagglutination assay</p> Signup and view all the answers

    What is the main advantage of lateral flow tests for virus detection?

    <p>Low cost</p> Signup and view all the answers

    What do accurate and precise diagnostic tests refer to?

    <p>Repeatability and reproducibility of the test results</p> Signup and view all the answers

    Which method relies on the binding of sialic acid receptors on RBCs to influenza HA protein for virus detection?

    <p>Haemagglutination assay</p> Signup and view all the answers

    What is the main drawback of serology as a diagnostic technique?

    <p>Inability to detect viral antigens</p> Signup and view all the answers

    Which method allows for detection and differentiation of SARS-CoV-2 and influenza viruses?

    <p>Multiplex qPCR</p> Signup and view all the answers

    What was discovered in organisms living in hot springs that revolutionized PCR technology?

    <p>Heat stable polymerase (Taq)</p> Signup and view all the answers

    Appropriate management of patients is the primary reason for virus diagnostics in clinical virology.

    <p>True</p> Signup and view all the answers

    Routine public health measures include screening of donated blood for HIV, HepB, and HepC.

    <p>True</p> Signup and view all the answers

    Virus diagnostics are used to monitor the significance and prevalence of viruses in a community.

    <p>True</p> Signup and view all the answers

    The main purpose of surveillance in clinical virology is to inform patient treatment and prognosis.

    <p>False</p> Signup and view all the answers

    Zoonotic viruses are not included in the surveillance conducted using virus diagnostics.

    <p>False</p> Signup and view all the answers

    Virus diagnostics do not contribute to appropriate management of patients in clinical virology.

    <p>False</p> Signup and view all the answers

    Direct microscopy provides better resolution than fluorescent microscopy.

    <p>False</p> Signup and view all the answers

    The World Health Organization (WHO) recommends fluorescent microscopy for diagnosing rabies.

    <p>True</p> Signup and view all the answers

    Isolation of virus means viruses need cells from other organisms to infect and replicate.

    <p>True</p> Signup and view all the answers

    Metagenomic sequencing is used when the target virus is known.

    <p>False</p> Signup and view all the answers

    Rabies lyssavirus has a very limited host range.

    <p>False</p> Signup and view all the answers

    The incubation period for rabies is 2 weeks to 3 months.

    <p>True</p> Signup and view all the answers

    Postmortem diagnosis is not possible in patients infected via organ transplant.

    <p>False</p> Signup and view all the answers

    Direct immunofluorescence is used to detect viral antigen in fox brain.

    <p>True</p> Signup and view all the answers

    The primary purpose of surveillance in clinical virology is monitoring unusual patterns and circulating sub-types of viruses.

    <p>True</p> Signup and view all the answers

    Over 90% of all human viruses known today were already known at the end of World War II.

    <p>False</p> Signup and view all the answers

    Plaque Assay is a rapid technique suitable for all viruses.

    <p>False</p> Signup and view all the answers

    The type of sample for clinical virology largely depends on the age and gender of the patient.

    <p>False</p> Signup and view all the answers

    The scanning transmission electron microscope has a resolution of 50 pm, which is significantly higher than most light microscopes.

    <p>True</p> Signup and view all the answers

    PCR (Polymerase Chain Reaction) is a method that is impractical for large scale testing due to its low sensitivity.

    <p>False</p> Signup and view all the answers

    Serology, the study of serum and other body fluids, has completely replaced PCR in many instances for virus detection.

    <p>False</p> Signup and view all the answers

    The fluorescent signal for each fluorophore in multiplex qPCR is not measured in the detection of different viral nucleic acids.

    <p>False</p> Signup and view all the answers

    Cycle Threshold (Ct) refers to the number of cycles of PCR needed until the sample is undetectable.

    <p>False</p> Signup and view all the answers

    Lateral flow tests are more sensitive than ELISA for virus detection.

    <p>False</p> Signup and view all the answers

    Haemagglutination assay involves the binding of sialic acid receptors on RBCs to the HA protein on the surface of influenza for virus detection.

    <p>True</p> Signup and view all the answers

    A good diagnostic test needs to be accurate, but precision is not necessary.

    <p>False</p> Signup and view all the answers

    Immunochromatography lateral flow tests can incorporate a positive and negative control.

    <p>True</p> Signup and view all the answers

    Agglutination is a serology method used for detection of viral antigens by causing antigens to clump together.

    <p>True</p> Signup and view all the answers

    Study Notes

    • Dr. Carlos Maluquer de Motes is a Reader in Molecular Virology, teaches Clinical Virology & Diagnostics in BMS2037.
    • Importance of clinical virology: aids in patient management, public health measures, and surveillance.
    • Clinical virology identifies new viruses and virus-disease associations, e.g., SARS-CoV-2, COVID-19.
    • Clinical virology relies on good sampling, often determined by symptoms and organ systems involved.
    • Methods include: isolation of virus, cultivation, direct and indirect detection, serology, and microscopy.
    • Isolation of viruses: viruses are obligate intracellular parasites, require cells from other organisms to infect and replicate.
    • Viruses can be titrated using plaque assay, a key technique in virology.
    • Microscopy methods include light, fluorescent, and electron microscopy, each with unique advantages.
    • Diagnostic tools for specific viruses, like rabies, involve microscopy, PCR assay, and Negri bodies.
    • Electron microscopy is highly resolution and used for examining the structure of virions.
    • PCR is a quick and sensitive method for detecting viral nucleic acids; qPCR can be quantitative and multiplexed.
    • Cycle Threshold (Ct) is a measure of viral nucleic acid presence in a sample.
    • Controversy around COVID-19 PCR testing: the CDC encourages adoption of multiplexed methods for detection and differentiation.
    • Clinical virology employs various techniques like ELISA, agglutination, precipitation, and complement fixation.
    • Serology methods detect viral antigens in a patient's serum using tests like ELISA.

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    Prepare for BMS2037: Clinical Virology & Diagnostics with this quiz covering virology lectures, virus structure and classification, clinical virology and diagnostics, infectious cycle of virus replication mechanisms, and more.

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