HPV and Cervical Cancer Quiz
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Questions and Answers

Which of the following is NOT a common mode of HPV transmission, according to the material?

  • Contaminated fomites
  • Airborne droplets (correct)
  • Sexual transmission
  • Close personal contact
  • Which HPV strains are commonly associated with condyloma acuminatum (genital warts)?

  • HPV 6 and 11 (correct)
  • HPV 1 and 2
  • HPV 31 and 33
  • HPV 16 and 18
  • Which of the following is a characteristic of HPV virions that contributes to their transmissibility?

  • Sensitivity to drying
  • Instability in the environment
  • Susceptibility to common disinfectants
  • Resistance to inactivation (correct)
  • Which of the following is NOT a risk factor for the progression of HPV infection to cervical dysplasia or cancer?

    <p>High fiber diet (C)</p> Signup and view all the answers

    Which of the following is the primary mechanism by which the HPV E6 protein promotes cell transformation?

    <p>Targeting p53 for degradation (A)</p> Signup and view all the answers

    What is the function of the E7 protein in HPV-mediated cell transformation?

    <p>It binds and inactivates pRb. (D)</p> Signup and view all the answers

    What is the effect of E5, E6, and E7 oncogenes on cell proliferation and DNA repair?

    <p>Increase cellular proliferation and prevent DNA repair (C)</p> Signup and view all the answers

    In HPV-induced cervical cancer, what role does the disruption of the E2 gene play?

    <p>It is a necessary event that can lead to the development of carcinoma. (B)</p> Signup and view all the answers

    What percentage of PAP smears are estimated to contain HPV?

    <p>5% (C)</p> Signup and view all the answers

    What is the effect of E5 on cellular epidermal growth factor receptor (EGFR)?

    <p>It stabilizes cellular EGFR, making it more sensitive to growth signals (C)</p> Signup and view all the answers

    What type of RNA is found inside the icosahedral core of Hepatitis C Virus?

    <p>Positive-sense RNA (B)</p> Signup and view all the answers

    Which glycoprotein interacts with the host cell receptor for Hepatitis C Virus entry?

    <p>E2 (B)</p> Signup and view all the answers

    What process facilitates the entry of Hepatitis C Virus into host cells?

    <p>Receptor-mediated endocytosis (B)</p> Signup and view all the answers

    Which agent could inhibit the processing of polyproteins in the Hepatitis C Virus lifecycle?

    <p>Protease inhibitors (B)</p> Signup and view all the answers

    What percentage of Hepatitis C Virus infections typically progress to chronic infections?

    <p>70-75% (B)</p> Signup and view all the answers

    What type of virus is Hepatitis B classified as?

    <p>DNA virus (A)</p> Signup and view all the answers

    What is a common acute symptom of Hepatitis B infection?

    <p>Jaundice (B)</p> Signup and view all the answers

    Chronic Hepatitis B infection can lead to which of the following conditions?

    <p>Cirrhosis (B)</p> Signup and view all the answers

    Which of the following is NOT a route of transmission for Hepatitis B?

    <p>Airborne particles (D)</p> Signup and view all the answers

    What do IgM antibodies indicate in the context of hepatitis viruses?

    <p>Acute infection (B)</p> Signup and view all the answers

    What is the primary function of the upper respiratory epithelium?

    <p>To trap debris and clean inhaled air. (C)</p> Signup and view all the answers

    What happens to the epithelial cells as you move from the upper to the lower respiratory tract?

    <p>The cells become shorter and lose cilia and mucus-producing capabilities. (D)</p> Signup and view all the answers

    Which component of the SARS-CoV-2 virus is responsible for binding to the ACE2 receptor?

    <p>Spike glycoprotein's RBD. (B)</p> Signup and view all the answers

    Where are ACE2 receptors primarily located?

    <p>In the respiratory system, kidney, and myocardium of the heart. (C)</p> Signup and view all the answers

    What can help neutralize debris trapped in the mucus of the upper respiratory tract?

    <p>Acid in the stomach. (D)</p> Signup and view all the answers

    What is the role of the nucleic acid in a virus?

    <p>Encodes information to produce new progeny virions (C)</p> Signup and view all the answers

    Which component of a virus serves as a protective protein shell?

    <p>Capsid (C)</p> Signup and view all the answers

    What type of virus is known for its segmented RNA structure?

    <p>Influenza (D)</p> Signup and view all the answers

    Which of the following viruses primarily targets T cells and macrophages?

    <p>HIV-1 (C)</p> Signup and view all the answers

    What type of proteins facilitate viral replication and disease progression?

    <p>Non-structural proteins (A)</p> Signup and view all the answers

    Which virus is associated with respiratory epithelial cells and binds to sialic acid?

    <p>Influenza (C)</p> Signup and view all the answers

    What does the E2 gene primarily encode?

    <p>A transcription factor that regulates oncoproteins (C)</p> Signup and view all the answers

    How is respiratory disease most commonly transmitted?

    <p>Respiratory droplets and hand transfer (B)</p> Signup and view all the answers

    What effect does E6 have on the p53 protein?

    <p>It binds to p53 and promotes its degradation (B)</p> Signup and view all the answers

    What is the average number of respiratory illnesses per year for a person?

    <p>3-4 illnesses (A)</p> Signup and view all the answers

    What is the function of the HPV E7 protein?

    <p>It binds to pRb and promotes its degradation (C)</p> Signup and view all the answers

    Which family does the SARS-CoV-1 virus belong to?

    <p>Coronaviridae (A)</p> Signup and view all the answers

    Which protein is primarily responsible for HIV-1 attachment to its receptor?

    <p>gp120 (B)</p> Signup and view all the answers

    What occurs in the absence of the E2 gene?

    <p>Increased synthesis of E6 and E7 proteins (C)</p> Signup and view all the answers

    What is a consequence of the degradation of p53 and pRb proteins?

    <p>Increased risk of cancer development (C)</p> Signup and view all the answers

    What is hyperkeratosis?

    <p>A condition marked by increased keratin production (C)</p> Signup and view all the answers

    What defines a koliocyte?

    <p>An enlarged keratinocyte with a clear halo around the nucleus (B)</p> Signup and view all the answers

    Which ligase does E7 recruit to assist with the degradation of pRb?

    <p>Cullin 2 (B)</p> Signup and view all the answers

    Flashcards

    Upper Respiratory Epithelium

    The part of the respiratory tract above the larynx, characterized by taller cells with cilia and mucus-producing cells.

    Function of Cilia in Respiratory Epithelium

    Cilia help to move debris trapped in mucus towards the gastrointestinal tract.

    Lower Respiratory Epithelium

    The respiratory tract below the larynx, featuring shorter cells with less cilia and mucus cells to improve gas diffusion.

    SARS-CoV-2 Entry Points

    SARS-CoV-2 primarily enters the body through the upper respiratory tract, targeting nasopharyngeal and oropharyngeal cells.

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    ACE2 Receptors

    Receptors found in the respiratory system, kidney, and heart that SARS-CoV-2 binds to for entry into cells.

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    Nucleic acid

    The genetic material in a virus, either DNA or RNA, necessary for replication.

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    Capsid

    A protein shell that protects viral nucleic acid and may contain viral attachment proteins (VAP).

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    Structural proteins

    Proteins forming the capsid, packaging the genome, and aiding attachment to host cells.

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    Non-structural proteins

    Proteins essential for viral replication and assembly, not forming part of the virus itself.

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    Envelope

    A lipid layer that surrounds some viruses, helping with attachment to host cells.

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    Respiratory viruses

    Viruses that primarily cause respiratory diseases, accounting for most acute illnesses.

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    Transmission methods

    Ways viruses spread, primarily via respiratory droplets or hand transfer.

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    Viral Attachment Protein (VAP)

    Surface proteins on viruses that bind to specific receptors on host cells.

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    Cell tropism

    The specificity of a virus for a particular cell type, influenced by receptors.

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    Common respiratory viruses

    Viruses causing acute respiratory diseases, including influenza, RSV, and coronaviruses.

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    HPV Transmission

    HPV is transmitted via stable virions on fomites and close contacts.

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    Common Warts

    Typically caused by HPV strains 2 and 4, prevalent in children.

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    Cervical Carcinoma Strains

    HPV types 16, 18, 31, and 33 are linked to cervical cancer.

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    E5 Oncogene Function

    E5 stabilizes EGFR, enhancing cell growth signals.

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    E6 Action

    E6 binds p53, targeting it for degradation, affecting cell cycle.

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    E7 Role

    E7 inactivates pRb, leading to uncontrolled cell growth.

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    HPV and Cervical Dysplasia

    10% of women with high-risk strains develop cervical dysplasia.

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    Risk Factors for HPV Progression

    Family history, multiple sexual partners, smoking, and immunosuppression.

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    Integration of HPV DNA

    Integration of HPV genome with disrupted E2 gene can lead to cancer.

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    HPV as STI

    HPV may be the most common sexually transmitted infection.

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    Hepatitis B Virus (HBV)

    A DNA virus that belongs to the Hepadnavirus family, known for causing liver disease.

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    Acute vs Chronic Infection

    Acute infections produce IgM antibodies; chronic infections produce IgG antibodies against HBV.

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    Transmission routes of HBV

    HBV can be transmitted through blood, mother-child, transfusions, and organ transplants.

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    Effects of Chronic HBV Infection

    Chronic infection can lead to cirrhosis and hepatocellular carcinoma, severe liver conditions.

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    Dane Particle

    The 42 nm particle known as the Dane particle represents the infectious form of HBV.

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    E2 Glycoprotein

    A viral protein in HCV that binds to host cell receptors.

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    Receptor-mediated endocytosis

    The process by which HCV enters host cells by binding to receptors.

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    Replication complex

    A structure formed by viral RNA and proteins for replicating HCV.

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    Chronic Infection Statistics

    70-75% of HCV infections become chronic, leading to liver complications.

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    E2 Gene Function

    Encodes a transcription factor that regulates HPV E6 and E7 oncoproteins.

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    Oncogenes E6 and E7

    Proteins produced by HPV that interfere with tumor suppressor proteins p53 and pRb.

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    Role of E6 Protein

    Binds to p53 and recruits E6AP to mark p53 for degradation.

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    Role of E7 Protein

    Binds to pRb and recruits cullin 2 to ubiquitinate pRb, promoting its degradation.

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    Effect of E6 and E7

    Loss of p53 and pRb allows cells with DNA damage to proliferate excessively.

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    Hyperproliferation

    The excessive division of cells due to loss of tumor suppressors.

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    Hyperkeratosis

    Excess production of keratin observed microscopically with HPV infection.

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    Koliocyte

    An enlarged keratinocyte with a clear halo around the nucleus due to HPV.

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    Study Notes

    MABS Microbiology

    • Virology, Respiratory, Hepatitis, Papilloma and Polyoma Viruses, Human Retroviruses are covered
    • Course instructional objectives are outlined for each subject

    Course Instructional Objectives

    • Mcro 3.1: Describes the taxonomy, structure, function, transmission, pathogenesis, stages of viral infection, viral gene expression, viral replication, and effects at the cellular level or human immune response for Coronaviruses.
    • Mcro 3.2: Describes the taxonomy, structure, function, transmission, pathogenesis, stages of viral infection, viral gene expression, viral replication and effects at the cellular level, human immune response and treatment for influenza viruses.
    • Mcro 3.3: Describes the taxonomy, structure, function, transmission, pathogenesis, effects on cellular level, and human immune response for RSV, Paramyxoviridae
    • Mcro 3.4: Describes the taxonomy, structure, function, transmission, pathogenesis, stages of viral infection, viral gene expression, viral replication, and effects at the cellular level or human immune response for Adenovirdae
    • Mcro 3.5: Describes the taxonomy, structure, function of retroviruses (especially HIV-1), including transmission, pathogenesis, stages of viral infection, viral gene expression, viral replication, effects at the cellular level, human immune response and/or treatment.
    • Mcro 3.6: Describes the taxonomy, structure, and function of Papillomaviridae, including transmission, pathogenesis, stages of viral infection, viral gene expression, viral replication, effects at the cellular level and which HPV forms are more/less likely to cause cancer.
    • Mcro 3.7: Describes the taxonomy, structure, and function of hepatitis viruses (specifically HVA, HVB, and HVC), including transmission, pathogenesis, and effects on the cellular level or human immune response.

    Review: Components of a Virus

    • Viral Component: Nucleic acid, Capsid, Structural proteins, Non-structural proteins, Envelope
    • Role in Viral Life Cycle: Encodes information for progeny virions, protein shell protecting viral nucleic acid, forms capsid and packages the genome, attachment proteins, required for replication or disease progression, lipid bilayer facilitating attachment and host cell membrane penetration
    • Examples: DNA/RNA, icosahedral/helical, Matrix/Nucleocapsid, Polymerase/Helicase,Lipid bilayer

    Respiratory Viruses

    • Respiratory disease accounts for 75-80% of acute morbidity in the US
    • Most respiratory illnesses are estimated at 80% caused by viruses: including incubation periods from 1-14 days.
    • Common respiratory illnesses include: Parainfluenza viruses, influenza viruses, respiratory syncytial virus (RSV), coronaviruses (including COVID-19), adenoviruses, rhinoviruses, human metapneumovirus (hMPV), and bocaviruses.
    • Average per person = 3-4 episodes annually

    VAP and Cell Receptor Pairs

    • Overview of various viruses, their families, structure, and associated receptors, and cell tropism
    • Viruses, families, VAP, receptor, and cell tropism are listed (e.g., HIV-1, Retroviridae, gp120/CD4, T-cells, macs)

    Summary: Coronaviruses

    • Coronaviruses are the largest RNA viruses.
    • Genome is positive sense RNA, helical nucleocapsid, and a lipid bilayer envelope containing viral spike protein (S), membrane glycoprotein, and envelope glycoprotein.
    • Viral replication in the cytoplasm
    • Three novel human coronaviruses causing Severe Acute Respiratory Syndrome (SARS-CoV-1, MERS-CoV, and SARS-CoV-2) in 2019 (COVID-19).
    • Transmission by respiratory droplets, spikes,ACE-2 receptor.

    Respiratory Epithelium

    • Explains the structure and function of upper and lower respiratory tract epithelium, specifically the role in cleaning air, mucus production, trapping debris, and facilitating gas exchange.

    Severe Acute Respiratory Syndrome (SARS) Viruses

    • Caused by zoonotic coronaviruses
    • Spread commonly by respiratory droplets
    • Virus infects and destroys respiratory epithelial cells
    • Causes atypical pneumonia, high fever, chills, headache, dizziness, shortness of breath, and diarrhea.
    • Mortality rate is age-related variations
    • Immune-mediated cytokine storm

    Review: Viral Infection and the Immune System

    • Describes the general viral infection process and the immune system's response.

    Immune System & Coronaviruses

    • High leukocytes recruitment, especially CD8 cytotoxic T cells, monocytes and neutrophils
    • Cell-mediated immunity helps control infection
    • Damage caused by COVID-19, both viral and immune-mediated.
    • Inflammation in lung, alveolar epithelial cells, vascular endothelial cells

    Summary: Influenza

    • Influenza viruses belong to Orthomyxoviridae family, enveloped, pleomorphic, helical, single-stranded RNA virus, segmented.
    • Classified into 3 types: A, B, and C based on antigenic variation. Influenza A causes more severe & extensive epidemics than B or C.
    • Two virus-specific glycoproteins, hemagglutinin (HA), and neuraminidase (NA). These are crucial proteins for virus infection & their function.
    • An important note, influenza B viruses are relatively stable.

    Influenza Virus

    • Family Orthomyxoviridae, linear ssRNA genome, enveloped, helical capsid
    • Transmission: respiratory droplets,
    • Tropism: respiratory epithelium.
    • Major surface glycoproteins-hemagglutinin (HA), which binds to sialic acid glycoprotein receptor on host cell, and neuraminidase (NA), which is required for viral release in the host.
    • There are 18 subtypes and 11 subtypes in human influenza virus.

    Influenza, Transcription & Replication

    • Overview of the influenza A virus replication cycle and the role of the virus's RNA-dependent RNA polymerase (RdRp) in transcription ,replication, & assembly.
    • Influenza A viruses replicate within the nucleus, using viral mRNA & the host cell's mechanisms.

    Pathogenicity & Virulence

    • Pathogenicity: the ability of a microbial species to cause disease
    • Virulence: the ability of a microbial strain to cause disease

    Antigenic Drift vs Antigenic Shift

    • Antigenic drift refers to the gradual accumulation of mutations in the influenza virus; which causes minor changes to the Hemagglutinin & Neuraminidase spike proteins.
    • Antigenic shift refers to the abrupt change in the influenza virus due to reassortment of genome segments.

    Influenza Virus (Features)

    • Influenza structure (and components e.g. glycoproteins, hemagglutinin spikes (HA) & neuraminidase spikes (NA))
    • Antigenic sites, which are binding sites on the surface proteins (HA and NA), that are targeted by antibodies after infection or vaccine.
    • Antibodies that recognize & bind these sites help neutralize the virus.

    Influenza Life Cycle

    • Explains step by step the replication cycle of influenza virus within the host cell
    • Describes how the virus makes copies of itself, transcribes itself to prepare for translation, translates viral proteins, pack the DNA, then buds from the cytoplasm leaving the cell.

    Influenza Disease

    • Disease symptoms, complications and treatment
    • The severity of the symptoms depends on the patient’s immune status, underlying medical conditions, and the specific influenza strain.
    • Common symptoms include fever, cough, sore throat, muscle aches, and fatigue; and complications from severe disease, including pneumonia, and death.

    Immune System & Influenza

    • Interferon release from natural killer cells & macrophages, and cytotoxic T cell responses.
    • Antibody-mediated immunity also, antibodies to hemagglutinin or neuraminidase.
    • Antibody-mediated immunity which develops over a few days from the body's response to infection.
    • The influenza virus will damage the tissue creating a chance for a secondary (bacterial) respiratory infection.

    Influenza Treatment & Prevention

    • Methods used to treat and prevent influenza infection
    • Symptomatic treatments e.g., Antihistamines , Acetominaphen,
    • Inhibiting attachment (e.g. antibodies elicited by vaccines),
    • Inhibiting viral uncoating (e.g, amantadine or rimantadine),
    • Inhibiting viral release (e.g. zanamivir, or oseltamivir, and peramivir).
    • Prevention: Vaccination

    Classification of RNA Viruses

    • Discusses the classification scheme for RNA viruses based on genome structure and capsid features.

    Paramyxoviridae

    • Respiratory syncytial virus (RSV) belongs to Paramyxoviridae family.
    • Enveloped, helical, negative-sense linear RNA virus.
    • Its name & derivation from the ability to produce cell fusion in tissue culture (syncytium formation).
    • Primarily infects the bronchi, bronchioles, and alveoli of the lung.
    • RSV infection occurs through respiratory route (infective secretions). A 4-6 day incubation.

    Respiratory Syncytial Virus (RSV)

    • Viral attachment proteins – G and F glycoproteins.
    • Tropism for respiratory epithelium.
    • Transmission – large droplets & direct contact.
    • Common in infants (and children aged 0-2).
    • High risk populations (premature infants, elderly, and transplant recipients)

    VAP and Cell Receptor Pairs

    • Overview and more detailed descriptions of different Viruses, families, VAPs, and respective receptors along with the cell tropism.

    Classification of DNA Viruses

    • DNA viruses are part of the HHAPPPPY classification system used for further grouping; including Hepadnaviridae, Herpesviridae, Adenoviridae, Parvoviridae, Poxviridae, Papillomaviridae & Polyomaviridae.
    • DNA viruses have double-stranded genomes, except Parvoviridae which have single-stranded genomes.

    Human Papillomavirus (HPV)

    • HPV is a non-enveloped, double-stranded DNA virus that infects human genital & cutaneous tracts.
    • Icosahedral outer shell
    • Associated with various diseases including skin warts & cervical cancer

    HPV Transformation

    • HPV's oncoproteins (e.g., E5, E6, and E7) inactivating tumor suppressor proteins (e.g., p53 and Rb)
    • Leads to uncontrolled cell growth & transformation.

    HPV Diagnosis

    • Indicates that HPV diagnosis is made through microscopy, pap smears and specific grading system.

    Hepatitis Viruses

    • Hepatitis refers to inflammation of the liver - caused by viruses (hepatitis A, B, C, D, and E)
    • Describes the causes of Hepatitis, including viral infections, alcohol, autoimmune disorders, and ischemia

    Hepatitis Overview

    • Ranges from asymptomatic to self-limiting acute infection and severe acute infection to chronic infection, the features, common symptoms, and different phases of a possible disease progression

    Hepatitis A Virus (HAV)

    • Viral family -Picornaviridae
    • Positive sense ssRNA
    • Icosahedral (naked)
    • Acquired through ingestion of contaminated food/water or shellfish.
    • High risk populations are travelers or those in daycare settings.
    • Replicates in the hepatocytes and Kupffer cells

    Hepatitis C Virus (HCV)

    • Viral family - Flaviviridae
    • Positive sense ssRNA
    • Enveloped
    • Specific subtypes & geographic differences
    • High mutation rate = multiple isolates
    • Likely tropism is hepatocytes, potentially B cells.
    • Transmission through sexual activity, or through blood transfusions, or transplantation of organs.

    Hepatitis B Virus (HBV)

    • Viral family - Hepadnavirus
    • DNA virus
    • Hepatocellular necrosis occurs due to body's immune response, not the virus.
    • Transmission possible via numerous routes including transfusion, transplant recipients, mother to child, and through blood exposure

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    Test your knowledge on HPV transmission, associated strains, and the oncogenic mechanisms of its proteins. This quiz covers fundamental concepts regarding HPV's role in cervical dysplasia and cancer. Challenge yourself with questions about risk factors, pap smear statistics, and the molecular biology of HPV.

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