Paper II
2024 December (Supplementary) (2019 Scheme) · 100 marks · 180 min

Question

Hand foot and mouth disease is NOT caused by

  1. Cytomegalovirus
  2. Coxsackie virus
  3. Calicivirus
  4. ECHO virus a) 1, 2, 3 are correct b) 2, 3, 4 are correct c) 1, 3, 4 are correct d) 1, 2, 4 are correct
  • a) 1, 2, 3 are correct
  • b) 2, 3, 4 are correct
  • c) 1, 3, 4 are correct
  • d) 1, 2, 4 are correct
Qviii1 marksMCQs

Answer

Hand, foot, and mouth disease is most commonly caused by Coxsackievirus A16 and Enterovirus 71 (both Enteroviruses), and occasionally other Coxsackievirus A serotypes — organisms causing this specific vesicular exanthem are limited to this Enterovirus group. Organisms that would NOT cause hand-foot-mouth disease include unrelated pathogens causing distinct clinical syndromes — for example, Varicella-zoster virus (causes chickenpox, a different vesicular exanthem pattern), Herpes simplex virus (causes oral/genital herpetic lesions, a different distribution), and Rubella virus (causes a distinct non-vesicular maculopapular rash) — any such unrelated organism would be the correct “NOT caused by” answer. Without the original four numbered statements from the source question, the specific combination intended by the examiner cannot be confirmed.

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