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Take the HPV Knowledge Quiz Today

Test your HPV awareness and prevention knowledge

Difficulty: Moderate
Questions: 20
Learning OutcomesStudy Material
Colorful paper art depicting elements related to HPV Knowledge Quiz

Dive into this interactive HPV quiz and discover core HPV facts in a fun, educational format. Perfect for students, educators, and health enthusiasts who want to test their sexual health knowledge and reinforce learning. The quiz features 15 multiple-choice questions covering transmission, prevention, and vaccine guidance. Easily adapt or expand this assessment in our quizzes editor to suit your lesson plan. Explore related topics with our Knowledge Assessment Quiz or sharpen skills in the Employee Knowledge Quiz.

What is the primary route of human papillomavirus (HPV) transmission?
Skin-to-skin sexual contact
Respiratory droplets
Blood transfusion
Fecal-oral route
HPV is most commonly transmitted through direct skin-to-skin contact during sexual activity. Other routes like respiratory droplets or blood transfusion are not typical modes of HPV spread.
Which factor increases an individual's risk for acquiring HPV?
Daily exercise
Having multiple sexual partners
Regular handwashing
Low-fat diet
Having multiple sexual partners increases the likelihood of exposure to HPV. Hygiene practices and diet have no direct impact on HPV acquisition.
Which statement about HPV infection is correct?
All HPV infections always cause genital warts
HPV cannot infect mucosal surfaces
Many HPV infections are asymptomatic and resolve spontaneously
HPV infection always progresses to cancer
Most HPV infections produce no symptoms and are cleared by the immune system within two years. While some infections cause warts or rarely cancer, not every infection leads to these outcomes.
What is the most effective preventive measure against high-risk HPV types?
Regular cholesterol screening
Prophylactic HPV vaccination
Antibiotic treatment
Daily antiviral medication
Prophylactic HPV vaccines generate neutralizing antibodies that prevent infection by high-risk HPV types. Antibiotics and cholesterol screening do not prevent HPV.
At what age is cervical cancer screening typically recommended to begin in average-risk women?
45 years
16 years
30 years
21 years
Cervical cancer screening with cytology is recommended to start at age 21 in average-risk women. Starting earlier or later deviates from established guidelines.
Which immune cells are key for initiating the adaptive immune response against HPV-infected keratinocytes?
Basophils in lymph nodes
Eosinophils in mucosal tissue
Langerhans cells in the epithelium
Neutrophils in the bloodstream
Langerhans cells capture HPV antigens in the epithelium and migrate to lymph nodes to prime T cells. Neutrophils, eosinophils, and basophils do not play this antigen-presenting role in HPV infection.
How do neutralizing antibodies prevent HPV infection?
By binding viral capsid proteins and blocking cell entry
By activating complement directly against host cells
By degrading viral DNA inside host cells
By promoting fusion of virus with host membranes
Neutralizing antibodies target HPV capsid proteins, preventing the virus from attaching and entering host cells. They do not degrade viral DNA or activate complement against host cells.
Which HPV oncoprotein inactivates the tumor suppressor p53?
E6 protein
E4 protein
E2 protein
L1 protein
The E6 oncoprotein binds to p53, promoting its degradation and impairing apoptosis. L1, E2, and E4 have different roles in viral structure or replication regulation.
Which HPV types are most commonly associated with high-grade cervical lesions and cancer?
HPV 6 and 11
HPV 31 and 33
HPV 16 and 18
HPV 1 and 2
HPV 16 and 18 are high-risk types responsible for about 70% of cervical cancers. HPV 6 and 11 cause benign warts; types 1 and 2 infect skin. Types 31 and 33 are high-risk but less prevalent.
Compared to cytology alone, what advantage does primary HPV DNA testing offer?
Higher sensitivity for detecting high-grade lesions
Lower cost per test
Reduced detection of precancer
Shorter turnaround time
HPV DNA testing is more sensitive than cytology in identifying high-grade cervical lesions. It may not be lower cost, and increased sensitivity can sometimes lead to more follow-up rather than reduced detection.
What is the recommended HPV vaccination schedule for adolescents who begin the series before age 15?
One dose only
Four doses annually
Two doses given 6 - 12 months apart
Three doses over six months
For individuals starting HPV vaccination before age 15, two doses spaced 6 - 12 months apart suffice. Those starting later require three doses.
What concept describes indirect protection of unvaccinated individuals when a critical mass is vaccinated against HPV?
Cross-protection
T-cell memory
Antigenic drift
Herd immunity
Herd immunity occurs when vaccination reduces viral circulation, protecting unvaccinated members. Cross-protection refers to vaccine efficacy against non-vaccine HPV types.
Which behavioral factor is linked to persistent HPV infection?
Vitamin D intake
High water consumption
Tobacco smoking
Daily yoga practice
Smoking impairs local immune response, increasing the risk of persistent HPV infection and progression to lesions. Lifestyle factors like yoga or hydration do not directly affect persistence.
According to co-testing guidelines, how often should women aged 30 - 65 receive both HPV testing and cytology together if both results are normal?
Every year
Every 2 years
Every 10 years
Every 5 years
Co-testing (HPV plus cytology) every five years is recommended for women 30 - 65. Annual or biennial intervals are not guideline-based for co-testing.
Which population has a higher risk of anal cancer related to HPV infection?
Children under 10 years
Smokers with no sexual partners
HIV-positive men who have sex with men
Postmenopausal women with no sexual history
HIV-positive men who have sex with men are at increased risk for HPV-associated anal cancer due to immunosuppression. Risk is minimal in children or those without sexual exposure.
How does HPV downregulate MHC class I expression to evade cytotoxic T lymphocytes?
E5 protein retains MHC I in the Golgi apparatus
L1 protein blocks proteasome function
E7 protein increases MHC I synthesis
E2 protein degrades MHC messenger RNA
HPV E5 protein interferes with MHC class I trafficking, retaining it in the Golgi and reducing surface expression. E2, L1, and E7 do not have this mechanism.
What distinguishes therapeutic HPV vaccines from prophylactic ones?
Therapeutics aim to elicit cell-mediated immunity against E6/E7
Therapeutics target capsid proteins L1 and L2
Therapeutics are given before sexual debut
Therapeutics prevent initial viral infection
Therapeutic vaccines stimulate T-cell responses against HPV E6/E7 oncoproteins in established infection. Prophylactic vaccines target L1 capsid proteins to prevent infection.
In a patient with a biopsy-confirmed CIN2 lesion, what is the standard management?
Immediate hysterectomy
Observation without intervention
Systemic antiviral therapy
Excisional treatment with LEEP
CIN2 is typically managed with loop electrosurgical excision procedure (LEEP) to remove abnormal tissue. Observation may be considered in select adolescents, but not standard for CIN2 in adults.
Integration of high-risk HPV DNA into the host genome most directly leads to which event?
Suppression of viral replication
Enhanced L1 capsid formation
Overexpression of E6 and E7 oncoproteins
Increased viral particle release
When high-risk HPV integrates into host DNA, E2 regulation is lost, resulting in unchecked E6/E7 expression that drives carcinogenesis. Capsid formation and particle release are unaffected by integration.
Epidemiologically, why is HPV prevalence highest in women under 25 years old?
Less epithelial turnover
Stronger innate immunity
Greater use of vaccination
Higher rates of new sexual partnerships
High HPV prevalence in young women reflects increased rates of new sexual partnerships and exposure. Innate immunity is not weaker, and vaccination has not yet reached full coverage in this age group.
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Learning Outcomes

  1. Identify HPV transmission routes and risk factors
  2. Analyze the immune response to HPV infection
  3. Evaluate effective prevention methods and vaccination
  4. Apply screening guidelines for HPV detection
  5. Demonstrate awareness of HPV-related health outcomes

Cheat Sheet

  1. HPV Transmission Basics - HPV sneaks around through vaginal, anal, and oral sex, and enjoying multiple partners ramps up the chances of catching it. Condoms help shrink those odds but aren't perfect bouncers at the door. HPV infection - Symptoms & causes - Mayo Clinic
  2. Key Risk Factors - Jumping into sexual activity early, stacking up multiple partners, or having a weakened immune system gives HPV more VIP access. Smoking also invites HPV to stick around longer by tipping immune defenses off balance. Cervical Cancer Causes, Risk Factors, and Prevention - NCI
  3. Immune Evasion Tricks - HPV is a master of disguise: it infects cells without triggering the usual "cell death" alarm and even quiets down interferons, your body's natural antivirus broadcast. This stealth mode makes detection and clearance a real challenge. HPV - immune response to infection and vaccination - PMC
  4. Natural Clearance vs. Persistence - Good news: most folks clear HPV within two years thanks to a robust immune response. But if high-risk types stick around, they can pave the way for precancerous changes and, down the line, cancer. Transmission of HPV - National Vaccine Information Center (NVIC)
  5. Power of HPV Vaccines - Vaccines like Gardasil 9 are MVPs, blocking the HPV types most likely to cause cancer or genital warts. Getting vaccinated before sexual debut gives you the best defense and helps protect your future self. HPV infection - Symptoms & causes - Mayo Clinic
  6. Evidence of Effectiveness - Research shows young women who get the HPV shot see a dramatic drop in precancerous cervical lesions, spotlighting its cancer-busting superpowers. This real-world impact makes vaccination a no-brainer. HPV vaccine linked to sharp decline in precancerous lesions
  7. Benefits for Everyone - HPV isn't picky: it can cause cancers of the anus, penis, mouth, and throat in men too. Vaccination levels the playing field by cutting these risks and boosting community immunity. HPV vaccines prevent cancer in men as well as women
  8. Importance of Regular Screening - Pap tests and HPV tests are your front-line detectors for catching precancerous changes early. Guidelines suggest starting Pap smears at 21 and sticking to the schedule - early warning is everything! Cervical Cancer Causes, Risk Factors, and Prevention - NCI
  9. Potential Health Outcomes - From genital warts to cancers of the cervix, vulva, vagina, penis, anus, and oropharynx, HPV has a wide portfolio of mischief. Staying informed and taking preventive steps keeps the virus off your resume. HPV infection - Symptoms & causes - Mayo Clinic
  10. Boosting Your Defenses - A strong immune system is your stealth ninja against HPV: eat well, dodge cigarettes, and practice safe sex to help your body clear infections like a pro. Healthy habits give your immune cells the power to kick HPV to the curb. Cervical Cancer Causes, Risk Factors, and Prevention - NCI
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