RML MAINS 2025
Microbiology
Easy

Causative agent of Chickenpox is:

Appeared in: RML MAINS 2025

Explanation

  • Chickenpox, also known as varicella, is caused by the Varicella-Zoster virus (VZV).
  • VZV is a member of the human herpesvirus family, specifically Human alphaherpesvirus 3.
  • Primary infection with VZV results in chickenpox, which is characterized by a vesicular rash.
  • The same virus can reactivate later in life from a latent state in the dorsal root ganglia to cause herpes zoster, or shingles.

Why Other Options Were Wrong

  • Option B: Paramyxoviruses are a family of RNA viruses that cause different diseases, most notably measles and mumps, not chickenpox.
  • Option C: The Variola virus is the causative agent of smallpox, a distinct and much more severe disease that has been eradicated globally. Smallpox rash is centrifugal (more on extremities), whereas chickenpox rash is centripetal (more on the trunk).
  • Option D: Myxovirus is an older term that generally refers to the Orthomyxoviridae family of viruses, which are responsible for causing influenza (the flu).

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Causative agents of common viral infections as background academic context rather than a clinical decision trigger.
  • Understanding that VZV causes chickenpox is crucial for vaccination schedules. The varicella vaccine is a live attenuated vaccine that prevents primary infection.
  • Nurses must implement airborne and contact precautions for hospitalized patients with chickenpox to prevent nosocomial spread, as the virus is highly contagious.
  • It is important to educate patients that a history of chickenpox means they are at risk for developing shingles later in life, especially if they become immunocompromised.
How to Approach the Question
  • This is a factual recall question that tests your knowledge of microbiology and communicable diseases.
  • First, identify the key term in the question stem: 'Chickenpox'.
  • Access your memory of common infectious diseases and their causative agents.
  • Systematically evaluate each option. Recall that 'Varicella' is the medical term for chickenpox, which directly links to 'Varicella-Zoster virus'.
  • Eliminate the other options by associating them with the diseases they cause: Paramyxovirus (measles, mumps), Variola virus (smallpox), and Myxovirus (influenza).
Concept Tested & Keywords
  • Concept Tested: Causative agents of common viral infections
  • Stem keywords: Causative agent, Chickenpox
  • Lead-in keywords: is

Question ID

Q9jvWiifcEbRal_CAVpSs3

Reference Book

E6 Parks TextBook of Preventive & Social Medicine part 1 — Subpart A (pp 26-201 of 604) p. 146-148

E6 Medicine Harrison 22e Part 1 p. 1545-1547

Practise the full RML MAINS 2025

Attempt every question from this paper in a timed mock, then review the full solution for each one.