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An obstetrician sees a pregnant patient who was exposed to rubella virus in the eighteenth week of pregnancy. She does not remember getting a rubella vaccination. The best immediate course of action is to

A. Terminate the pregnancy
B. Order a rubella antibody titer to determine immune status
C. Reassure the patient because the rubella is not a problem until after the thirtieth week
D. Administer rubella immune globulin
E. Administer rubella vaccine

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Subacute scleroing panencephalitis (SSPE) is best described by which of the following statements?

A. It is thought to be related to the defective virus of measles virus
B. It is a late CNS manifestation of mumps
C. It is a common event occurring in 1 of 300,000 cases of mumps
D. Viral DNA can be demonstrated in brain cells
E. Demyelination is characteristic

Which of the following is a leading cause of pneumonia primarily in infants?

A. Rabies
B. Rhinovirus
Cytomegalovirus
D. Respiratory syncytial virus
E. Mumps

Which of the following statements reflects the pathogenesis of influenza?

A. The virus enters the host in airborne droplets
B. Viremia is common
C. The virus frequently establishes persistent infections in the lung
D. Pneumonia is not associated with secondary bacterial infections
E. Viral infection does not kill cells in the respiratory tract

Which of the following statements concerning antigenic drift in influenza viruses is correct?

A. It results in major antigenic changes
B. It results in new subtypes over time
C. It is exhibited only by influenza A viruses
D. It is caused by frameshift mutations in viral genes
E. It affects predominantly the matrix protein

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