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1. Which of the following most appropriately defines a “vector competence” in viral transmission?
Ability of a vector species to bite humans frequently.
Intrinsic capacity of a vector to acquire, maintain, and transmit a specific virus.
Ability of a vector to survive in urban environments.
Number of eggs laid by the vector per day.
Correct answer: B – Vector competence refers to biological suitability of the vector for a given virus.
2. With reference to “pre-symptomatic transmission” of a respiratory virus, which of the following is/are correct?
Transmission occurs before the infected individual develops noticeable symptoms.
It complicates containment strategies based solely on symptom screening.
It implies that symptomatic individuals never transmit the virus.
Select the correct answer using the code below:
1 and 2 only
1 and 3 only
2 and 3 only
1, 2 and 3
Correct answer: A – 1 and 2 only. Both pre-symptomatic and symptomatic phases may contribute to spread.
3. “Basic reproduction number” (R₀) of a virus is defined as the:
Average number of secondary infections caused by a typical infectious case in a fully susceptible population.
Total number of cases in the entire epidemic.
Maximum possible number of mutations per replication.
Ratio of deaths to total infections.
Correct answer: A – R₀ assumes no prior immunity or interventions.
4. In many arboviral diseases, “bridge vectors” are important because they:
Transmit virus only between wildlife species and never to humans.
Link transmission between animal reservoirs and humans.
Eliminate the need for any reservoir host.
Prevent viral replication inside their bodies.
Correct answer: B – Bridge vectors feed on both reservoir animals and humans, enabling spillover.
5. With reference to “serial cross-sectional surveys” for a viral infection in a population, their primary use is to:
Follow the same individuals over time for disease progression.
Estimate how prevalence or seroprevalence changes over time using different samples at each round.
Measure only mortality rates.
Detect only new variants in the laboratory.
Correct answer: B – Repeated cross-sectional snapshots track population-level changes without following individuals.
6. In a viral disease outbreak, a “cluster” is best described as:
A single case detected in isolation.
Aggregation of cases in time and/or place that is suspected to be greater than expected.
Only laboratory-confirmed deaths.
All cases occurring nationwide over several years.
Correct answer: B – Clusters may indicate focal transmission or common exposures.
7. Which one of the following best describes “attack rate” in an outbreak confined to a school hostel?
Number of deaths divided by total hostel residents.
Number of new cases during the outbreak divided by total hostel residents at risk.
Number of recovered cases divided by total cases.
Number of days between first and last case.
Correct answer: B – Attack rate is essentially a cumulative incidence in a defined outbreak population.
8. “Case–control study” design is particularly useful in viral outbreak investigations to:
Estimate prevalence of infection in the population.
Identify exposures or risk factors associated with becoming a case.
Directly measure incidence rates over time.
Test vaccine efficacy in randomized fashion.
Correct answer: B – Case–control studies compare exposures between cases and controls to infer associations.
9. In the context of a novel viral vaccine, “correlate of protection” refers to:
A specific immune marker that is statistically associated with protection from disease.
Any laboratory test performed on blood.
Number of doses recommended in the schedule.
Duration of the clinical trial.
Correct answer: A – Correlates help predict protection and guide booster strategies.
10. In a viral epidemic where Rt has been brought just below 1 through interventions, which of the following is the MOST likely consequence if all interventions are abruptly removed?
Rt will remain below 1 permanently.
Rt is likely to rise above 1 again, risking resurgence.
The virus will instantly disappear from the population.
Case numbers will remain fixed at the current level indefinitely.
Correct answer: B – Removal of controls tends to increase contact rates and effective transmissibility.