Mumps Flashcards
Mumps is caused by the mumps virus, which is a member of the paramyxoviridae family. How do patients typically contract Mumps?
1 - kissing infected person
2 - skin to skin contact
3 - touching infected surface (few hours)
4 - inhaling air droplets
4 - inhaling air droplets
Most common, but all others can also cause infection as well
Which 2 proteins are present on the cell surface of the mumps virus that facilitates binding and infecting host cells?
1 - p-peptides
2 - hemagglutinin-neuraminidase (HN protein)
3 - fusion (F protein)
4 - CD4
2 - hemagglutinin-neuraminidase (HN protein)
- helps bind to cells
3 - fusion (F protein)
- fuses membranes of virus and host cells
Mumps infected cells present their hemagglutinin-neuraminidase (HN protein) and fusion (F protein) on the cell surface of infected cells which leads to the formation of what?
1 - granulomas
2 - fibroblasts
3 - foamy macrophages
4 - multi-nucleated giant cell (syncytium)
4 - multi-nucleated giant cell (syncytium)
Typically, which part of the respiratory tract does the mumps virus infect 1st?
1 - nasopharynx
2 - oropharynx
3 - palatine tonsils
4 - epiglottis
1 - nasopharynx
Although mumps virus can affect multiple tissues, which tissues does it typically have the highest affinity for?
1 - palatine tonsils
2 - parotid glands
3 - eustachian tube
4 - sublingual glands
2 - parotid glands
Leads to swelling of the glands and can cause associated earache.
Can also cause trismus, spasm of muscles involved in chewing
In addition to an affinity for the parotid glands, the mumps virus has a lesser affinity for the CNS. Which 2 of the following are most likely to be caused by mumps if the CNS becomes infected?
1 - meningitis
2 - motor neuron disease
3 - multiple sclerosis
4 - encephalitis
1 - meningitis
4 - encephalitis
Symptoms can present like the common cold, headache, stiffness, hearing loss and balance problems.
Once infected with the mumps virus, which 2 of the following can occur in young boys and men?
1 - testicular torsion
2 - orchitis
3 - epididymitis
4 - ruptured appendix
2 - orchitis
- testicle inflammation
3 - epididymitis
- inflammation of the epididymis
Can cause testicular atrophy, but typically not infertility
Once infected with the mumps virus, what is the average incubation time?
1 - 7-10 days
2 - 10-14 days
3 - 14-21 days
4 - 21-35 days
3 - 14-21 days
Once infected with the mumps virus, which of the following determine when an individual is infective?
1 - immediately upon being infected
2 - 7 days from infection
3 - 4 days following rash onset
4 - 7 days prior to and 9 days following start of parotid swelling
4 - 7 days prior to and 9 days following start of parotid swelling
Which of the following is NOT a typical clinical presentation of mumps infection?
1 - fever and malaise
2 - conjunctivitis
3 - muscular pain
4 - parotitis (‘earache’, ‘pain on eating’): unilateral initially then becomes bilateral in 70%
2 - conjunctivitis
What is the best preventative treatment for mumps virus?
1 - vaccination
2 - good hand hygiene
3 - isolation
4 - all of the above
1 - vaccination
Mumps levels have significantly reduced thanks to the Measles, Mumps and Rubella (MMR) vaccine. Which 2 time points is the MMR vaccine given?
1 - 8-9 weeks
2 - 12-13 weeks
3 - 12-13 months
4 - 3 years and 4 months
3 - 12-13 months
4 - 3 years and 4 months
Given at 12-13 months and then a booster at 3 years and 4 months
When infected with the mumps virus, which 2 of the following are the standard management options?
1 - anti-virals
2 - paracetamol for fever
3 - IV antibiotics
4 - rest
2 - paracetamol for fever
4 - rest