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(Created page with "{{WBRQuestion |QuestionAuthor={{Rim}} |ExamType=USMLE Step 1 |MainCategory=Microbiology |SubCategory=General Principles |MainCategory=Microbiology |SubCategory=General Princip...")
 
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{{WBRQuestion
{{WBRQuestion
|QuestionAuthor={{Rim}}
|QuestionAuthor={{Rim}} {{Alison}}
|ExamType=USMLE Step 1
|ExamType=USMLE Step 1
|MainCategory=Microbiology
|MainCategory=Microbiology
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|MainCategory=Microbiology
|MainCategory=Microbiology
|SubCategory=General Principles
|SubCategory=General Principles
|Prompt=A researcher is studying the variability of viral envelopes and their function in viral pathogenesis. In one of his experiments, he attempts to identify viruses by the properties of their envelopes. He mixes lysates of cells infected with 5 different viral species with sheep red blood cells and obtains the grid shown below. Which of the following viruses is most likely to represent cell 4?
|Prompt=A researcher, studying the variability of viral envelopes and their function in viral pathogenesis, attempts to identify viruses by the properties of their envelopes. He mixes lysates of cells, infected with 5 different viral species, with sheep red blood cells and obtains the grid shown below. Which of the following viruses is most likely represented in cell 4?




[[Image:WBR0346.jpg|600px]]
[[Image:WBR0346.jpg|600px]]
|Explanation=Hemagglutinin is a glycoprotein found on the surface of many viruses including measles, mumps, influenza, and parainfluenza. It allows the virus to bind to the tissue and determines its tropism and when examined in vitro, has the ability to agglutinate red blood cells thus the name. Not all hemagglutinins are the same. Each has a different binding target and function, they only share their ability to agglutinate red blood cells. The most studied hemagglutinin type is the inflenza virus hemagglutinin that binds to sialic acid and determines the viral strain (subtypes are named H1 through H18).


|Explanation=[[Hemagglutinin]], a type of [[glycoprotein]], is found on the surface of many viruses including measles, mumps, influenza, and [[parainfluenza]]. [[Hemagglutinin]] allows a virus to bind to tissue, determines its tropism, and when examined in vitro, has the ability to agglutinate red blood cells. Although not all [[hemagglutinin]]s are the same, each has a different binding target and function, they all are able to agglutinate red blood cells. The most studied type of [[hemagglutinin]] is the inflenza virus hemagglutinin, which binds to [[sialic acid]] and determines the viral strain (subtypes are named H1 through H18).


Educational objective: Hemagglutinin is a glycoprotein found on the surface of many viruses including measles, mumps, influenza, and parainfluenza and has the ability to agglutinate RBCs.


|EducationalObjectives=[[Hemagglutinin]], a type of [[glycoprotein]] found on the surface of many viruses including measles, mumps, influenza, and [[parainfluenza]], has the ability to agglutinate RBCs.


Reference:<br>
|References= First Aid 2014 page 163


|AnswerA=Measles virus
|AnswerA=Measles virus
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|AnswerDExp=The parainfluenza virus envelope contains hemagglutinin and would cause RBCs to agglutinate.
|AnswerDExp=The parainfluenza virus envelope contains hemagglutinin and would cause RBCs to agglutinate.
|AnswerE=Herpes virus
|AnswerE=Herpes virus
|AnswerEExp=The herpes virus envelope lacks hemagglutinin thus showing a lack of sheep RBC agglutination.
|AnswerEExp=The herpes virus envelope lacks hemagglutinin, thus showing a lack of sheep RBC agglutination.
|RightAnswer=E
|RightAnswer=E
|WBRKeyword=Hemagglutinin, Measles, Mumps, Influenza, Parainfluenza
|WBRKeyword= hemagglutinin, measles, mumps, influenza, parainfluenza, red blood cells, RBC, virus
|Approved=No
|Approved=Yes
}}
}}

Revision as of 17:10, 15 July 2014

 
Author [[PageAuthor::Rim Halaby, M.D. [1] (Reviewed by Alison Leibowitz)]]
Exam Type ExamType::USMLE Step 1
Main Category MainCategory::Microbiology
Sub Category SubCategory::General Principles
Prompt [[Prompt::A researcher, studying the variability of viral envelopes and their function in viral pathogenesis, attempts to identify viruses by the properties of their envelopes. He mixes lysates of cells, infected with 5 different viral species, with sheep red blood cells and obtains the grid shown below. Which of the following viruses is most likely represented in cell 4?


]]

Answer A AnswerA::Measles virus
Answer A Explanation AnswerAExp::The measles virus envelope contains hemagglutinin and would cause RBCs to agglutinate.
Answer B AnswerB::Mumps virus
Answer B Explanation AnswerBExp::The mumps virus envelope contains hemagglutinin and would cause RBCs to agglutinate.
Answer C AnswerC::Influenza virus
Answer C Explanation AnswerCExp::The influenza virus envelope contains hemagglutinin and would cause RBCs to agglutinate.
Answer D AnswerD::Parainfluenza virus
Answer D Explanation AnswerDExp::The parainfluenza virus envelope contains hemagglutinin and would cause RBCs to agglutinate.
Answer E AnswerE::Herpes virus
Answer E Explanation AnswerEExp::The herpes virus envelope lacks hemagglutinin, thus showing a lack of sheep RBC agglutination.
Right Answer RightAnswer::E
Explanation [[Explanation::Hemagglutinin, a type of glycoprotein, is found on the surface of many viruses including measles, mumps, influenza, and parainfluenza. Hemagglutinin allows a virus to bind to tissue, determines its tropism, and when examined in vitro, has the ability to agglutinate red blood cells. Although not all hemagglutinins are the same, each has a different binding target and function, they all are able to agglutinate red blood cells. The most studied type of hemagglutinin is the inflenza virus hemagglutinin, which binds to sialic acid and determines the viral strain (subtypes are named H1 through H18).

Educational Objective: Hemagglutinin, a type of glycoprotein found on the surface of many viruses including measles, mumps, influenza, and parainfluenza, has the ability to agglutinate RBCs.
References: First Aid 2014 page 163]]

Approved Approved::Yes
Keyword WBRKeyword::hemagglutinin, WBRKeyword::measles, WBRKeyword::mumps, WBRKeyword::influenza, WBRKeyword::parainfluenza, WBRKeyword::red blood cells, WBRKeyword::RBC, WBRKeyword::virus
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