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Ch. 13 - Viruses, Viroids, and Prions
Chapter 10, Problem 18.2a

Define the following terms, and give an example of how each reaction is used diagnostically:
a. viral hemagglutination
b. hemagglutination inhibition
c. passive agglutination

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Define 'viral hemagglutination': This is a process where viruses cause red blood cells to clump together. It is used diagnostically to identify the presence of certain viruses, such as the influenza virus, by observing the clumping of red blood cells in the presence of the virus.
Provide an example of viral hemagglutination: In the laboratory, a sample suspected of containing the influenza virus is mixed with red blood cells. If hemagglutination occurs, it indicates the presence of the virus.
Define 'hemagglutination inhibition': This is a reaction where antibodies prevent viruses from causing hemagglutination. It is used diagnostically to determine the presence of specific antibodies against a virus in a patient's serum.
Provide an example of hemagglutination inhibition: In a diagnostic test, a patient's serum is mixed with a known virus and red blood cells. If hemagglutination is inhibited, it suggests the presence of antibodies against the virus in the serum.
Define 'passive agglutination': This is a reaction where particles, such as latex beads, are coated with antigens or antibodies and agglutinate in the presence of the corresponding antibody or antigen. It is used diagnostically to detect the presence of specific antigens or antibodies in a sample.

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Key Concepts

Here are the essential concepts you must grasp in order to answer the question correctly.

Viral Hemagglutination

Viral hemagglutination is a process where certain viruses can agglutinate red blood cells (RBCs) by binding to sialic acid residues on their surface. This reaction is used diagnostically to identify the presence of specific viruses in a sample, as the agglutination indicates viral activity. For example, the hemagglutination test can be employed to detect influenza viruses in respiratory samples.
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Hemagglutination Inhibition

Hemagglutination inhibition is a diagnostic technique that measures the ability of antibodies to prevent the agglutination of RBCs by viruses. If antibodies are present in a sample, they will bind to the virus and inhibit its ability to agglutinate RBCs. This method is commonly used to determine immunity to viruses, such as in the case of rubella or measles, by assessing the presence of specific antibodies in a patient's serum.
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Passive Agglutination

Passive agglutination involves the coating of inert particles, such as latex beads, with antigens or antibodies to facilitate the detection of specific antibodies or antigens in a sample. This method enhances the visibility of agglutination reactions, making it easier to diagnose infections. For instance, passive agglutination tests can be used to detect streptococcal infections by identifying antibodies against streptococcal antigens in a patient's serum.
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Related Practice
Textbook Question

Plant viruses can’t penetrate intact plant cells because (a) ________; therefore, they enter cells by (b) ________. Plant viruses can be cultured in (c) ________.

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Textbook Question

Which of the following does not initiate DNA synthesis?

a. a double-stranded DNA virus (Poxviridae)

b. a DNA virus with reverse transcriptase (Hepadnaviridae)

c. an RNA virus with reverse transcriptase (Retroviridae)

d. a single-stranded RNA virus (Togaviridae)

e. none of the above

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Textbook Question

In an agglutination test, eight serial dilutions to determine antibody titer were set up: Tube 1 contained a 1:2 dilution; tube 2, a 1:4, and so on. If tube 5 is the last tube showing agglutination, what is the antibody titer?

a. 5

b. 1:5

c. 32

d. 1:32

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Textbook Question

Use the following choices to answer questions 7–9.

a. direct fluorescent antibody

b. indirect fluorescent antibody

c. rabies immune globulin

d. killed rabies virus

e. none of the above


Test used to identify rabies virus in the brain of a dog.

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Textbook Question

Use the following choices to answer questions 7–9.

a. direct fluorescent antibody

b. indirect fluorescent antibody

c. rabies immune globulin

d. killed rabies virus

e. none of the above


Test used to detect the presence of antibodies in a patient’s serum.

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Textbook Question

The 19 in COVID-19 signifies that

a. this is the 19th coronavirus epidemic.

b. this is 19th known coronavirus.

c. there are 19 strains of Betacoronavirus.

d. the virus was identified in 2019.

e. the symptoms last for 19 days.

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