MCQ of the DayMCQ of the Day: 28 October 2026 G B3 hours ago01 mins MCQ of the Day: 28 October 2026 1 / 1 A 6-year-old boy from a village near Gorakhpur, Uttar Pradesh, is admitted in September with high fever, vomiting, altered sensorium and generalised seizures. His family grows paddy, and several households nearby rear pigs. CSF shows a mild lymphocytic pleocytosis, and IgM-capture ELISA on CSF is positive for a mosquito-borne flavivirus. In the natural transmission cycle of this virus, which vertebrate acts as the principal amplifying host that infects mosquitoes before human cases appear? Ardeid birds such as herons and egrets Domestic pigs Humans Horses Answer: B. Domestic pigs. Acute encephalitis in a child from eastern Uttar Pradesh during the monsoon, with paddy fields, pig rearing and CSF IgM against a flavivirus, points to Japanese encephalitis virus, transmitted mainly by Culex tritaeniorhynchus, which breeds in rice fields. Pigs develop high, prolonged viraemia without serious illness, so many feeding mosquitoes become infected. This amplifies the virus near human dwellings, and rising infection in pigs often comes before human cases. A. Herons, egrets and other wading birds are the maintenance (reservoir) hosts in the enzootic cycle, but pigs living close to people are the main amplifiers of human risk. C. Humans are dead-end hosts: viraemia is low and brief, so they do not infect mosquitoes. D. Horses can develop encephalitis but, like humans, are dead-end hosts. Your score isThe average score is 0% By Wordpress Quiz plugin Further reading (reveals the answer) WHO. Japanese encephalitis fact sheet NCVBDC (India). Japanese encephalitis For educational purposes only; not clinical advice. Post navigation Previous: MCQ of the Day: 27 October 2026Next: Indian Journal Watch: 28 October 2026 Leave a Reply Cancel replyYour email address will not be published. Required fields are marked *Comment * Name * Email * Website Save my name, email, and website in this browser for the next time I comment.