Skip to topic
    ← Back to course topics

    Viral diseases — AQA GCSE Biology

    Test yourself on Viral diseases with AQA GCSE practice questions.

    Start free

    7 days Premium · Then free forever · No card, no charge

    Viral diseases explained

    Measles is caused by a virus and is spread by inhaling droplets from an infected person's coughs or sneezes, or by direct contact with contaminated surfaces.

    Read the full explanation

    After an incubation period, the infected person develops a fever and a red skin rash. The rash is a visible sign of the body's immune response and viral damage. Measles is serious because it can lead to complications such as pneumonia, encephalitis (brain inflammation) or ear infections, and in severe cases it can be fatal, especially in malnourished children or those with weakened immunity. There is no specific antiviral treatment, so care is supportive. Because measles is highly contagious, most young children are vaccinated against it, usually as part of the MMR vaccine, which protects the individual and helps prevent outbreaks through herd immunity.

    For this reason most young children are vaccinated against measles.

    Because measles is highly contagious and can cause serious or fatal complications, most young children are vaccinated against it. The vaccine used in the UK is the MMR vaccine, which protects against measles, mumps and rubella. It contains a weakened or inactivated form of the virus that stimulates the immune system to produce antibodies and memory cells without causing the disease. If the vaccinated child later encounters the real measles virus, the immune system responds rapidly and prevents illness. High vaccination rates also create herd immunity, protecting those who cannot be vaccinated, such as very young babies or people with certain medical conditions. This is why vaccination is offered routinely in early childhood and why maintaining high uptake is important for public health.

    The measles virus is spread by inhalation of droplets from sneezes and coughs.

    Measles is a viral disease transmitted when an infected person sneezes or coughs, releasing tiny liquid droplets into the air. These droplets contain virus particles and are inhaled by nearby people, allowing the virus to enter the respiratory tract. This is an airborne droplet route, not direct skin contact or a food-borne route. A useful classroom model is a spray bottle: a fine mist released in one place can be breathed in some distance away, just as droplets travel through the air. Because transmission happens before or during early symptoms, isolation and good respiratory hygiene reduce spread. The measles virus is not a bacterium, so antibiotics do not treat it; vaccination is the main control measure.

    HIV initially causes a flu-like illness.

    When a person first becomes infected with HIV, the virus multiplies in the body and the immune system responds. During this early stage many people develop symptoms similar to influenza, such as fever, sore throat, tiredness, headache and swollen glands. These symptoms are not caused by influenza virus; they are the body's early response to HIV. The flu-like illness may be mild and short-lived, so it can easily be mistaken for a common cold or flu. After this initial phase, the person may feel well for years while the virus continues to damage immune cells. A blood test, not the symptoms alone, is needed to confirm HIV infection.

    Unless successfully controlled with antiretroviral drugs the virus attacks the body’s immune cells.

    After the initial flu-like illness, HIV continues to reproduce inside the body. If the infection is not controlled by antiretroviral drugs, the virus attacks immune cells, especially helper T cells. These cells coordinate the immune response, so their destruction weakens the body's ability to fight other pathogens. Antiretroviral drugs do not cure HIV, but when taken correctly they suppress viral replication and allow the immune system to remain functional. This is why treatment must be continued: stopping treatment allows the virus to multiply and attack immune cells again. A useful analogy is a security system losing its control room operators, so other defences cannot be coordinated effectively.

    Late stage HIV infection, or AIDS, occurs when the body’s immune system becomes so badly damaged it can no longer deal with other infections or cancers.

    AIDS is the late stage of HIV infection. It develops when HIV has destroyed so many immune cells that the immune system can no longer coordinate effective responses. At this point, infections that would normally be harmless, called opportunistic infections, can cause serious illness. Some cancers also become more likely because the immune system normally destroys abnormal cells. AIDS is not a single disease with one set of symptoms; it is a syndrome defined by severe immune damage and the resulting infections or cancers. With effective antiretroviral treatment, HIV need not progress to AIDS, so late stage HIV is not inevitable.

    HIV is spread by sexual contact or exchange of body fluids such as blood which occurs when drug users share needles.

    HIV is a virus that infects humans and, if untreated, can lead to AIDS by destroying lymphocytes so the immune system fails. It is not spread by everyday contact such as hugging, sharing food or mosquito bites. Transmission requires direct transfer of infected body fluids into the bloodstream or mucous membranes. This happens during unprotected sexual contact, when drug users share needles and traces of infected blood pass from one person to another, or through blood transfusion and from mother to child. Understanding these routes explains why needle-exchange schemes, condom use and screening donated blood reduce spread. The virus itself does not kill the host directly; it leaves the body unable to fight other pathogens.

    Tobacco mosaic virus (TMV) is a widespread plant pathogen affecting many species of plants including tomatoes.

    TMV is transmitted mechanically, not by vectors. Tobacco mosaic virus is a plant pathogen affecting many species, including tomatoes. It is described as widespread because it occurs in many regions and survives in plant debris, soil, and sap. It damages commercial glasshouse crops and garden plants. The virus spreads when sap containing virus particles enters a plant through tiny wounds, for example during handling or pruning. Once inside, it hijacks the plant's cells to make more virus particles. Because it is a virus, antibiotics are useless; control relies on removing infected plants, disinfecting tools, and using resistant varieties.

    It gives a distinctive ‘mosaic’ pattern of discolouration on the leaves which affects the growth of the plant due to lack of photosynthesis.

    When tobacco mosaic virus infects a plant, leaf cells become damaged and discoloured, producing a patchwork of light and dark areas described as a mosaic pattern. The pale patches contain less chlorophyll, the green pigment that absorbs light for photosynthesis. Because photosynthesis is reduced, less glucose is made, so the plant has less energy and material for growth. The plant may be stunted, produce fewer or smaller leaves and yield less fruit. This links the visible symptom directly to a cellular cause: damaged cells mean less chlorophyll, less photosynthesis, less growth. A useful method is to compare an infected leaf with a healthy leaf and note the pale patches, then explain the consequence for glucose production and growth.

    Your focus

    1. State the cause, transmission and symptoms of measles.
    2. Explain why measles can be a serious or fatal illness.
    3. Describe how vaccination reduces the spread of measles.
    Show all 27 objectives
    1. Explain why young children are vaccinated against measles.
    2. Describe how vaccination produces immunity without causing disease.
    3. Explain the concept of herd immunity in the context of measles vaccination.
    4. State that the measles virus is spread by inhalation of droplets from sneezes and coughs.
    5. Describe the droplet route from an infected person to a susceptible person.
    6. Relate the transmission route to a suitable control measure.
    7. Describe the initial flu-like illness caused by HIV infection.
    8. Distinguish HIV from influenza virus as the cause of the symptoms.
    9. Explain why early HIV infection cannot be diagnosed from symptoms alone.
    10. Describe how HIV attacks immune cells when not controlled by antiretroviral drugs.
    11. Explain the role of antiretroviral drugs in controlling HIV.
    12. Relate immune cell damage to a reduced ability to fight other infections.
    13. Define AIDS as the late stage of HIV infection.
    14. Explain how severe immune damage leads to inability to deal with other infections or cancers.
    15. Describe how antiretroviral treatment can prevent progression to AIDS.
    16. State that HIV is a virus spread by sexual contact and by sharing needles.
    17. Describe how infected blood transfers between drug users who share needles.
    18. Explain how knowledge of transmission routes informs prevention methods.
    19. Identify TMV as a viral plant pathogen.
    20. Give tomato as an example of a plant affected by TMV.
    21. Describe how TMV spreads mechanically and how its spread can be reduced.
    22. Describe the mosaic pattern of discolouration on infected leaves.
    23. Explain why reduced chlorophyll leads to reduced photosynthesis.
    24. Link reduced photosynthesis to slower plant growth and lower yield.

    Viral diseases exam tips

    Marking Points
    • Measles is caused by a virus, not a bacterium.
    • It is spread by airborne droplets from coughs and sneezes or by direct contact.
    • Typical symptoms include fever and a red skin rash.
    • Complications can include pneumonia, encephalitis or ear infection.
    • Measles can be fatal if complications arise, particularly in vulnerable individuals.
    • Vaccination with the MMR vaccine is used to prevent measles.
    • Measles is highly contagious and can be serious or fatal, so prevention is important.
    • The MMR vaccine protects against measles, mumps and rubella.
    • Vaccination stimulates the immune system to produce antibodies and memory cells.
    • If exposed later, the immune system responds quickly and prevents disease.
    • High vaccination rates provide herd immunity, protecting unvaccinated individuals.
    • Vaccination is offered to young children as part of routine public health programmes.
    • Identifies measles as a viral disease caused by the measles virus.
    • States that transmission occurs by inhalation of droplets released when an infected person sneezes or coughs.
    • Recognises that the droplets are airborne and can be breathed in by a nearby susceptible person.
    • Links the method of spread to the respiratory tract as the entry point for the virus.
    • Distinguishes droplet inhalation from other transmission routes such as direct contact or contaminated food.
    • Explains that understanding the transmission route supports control measures such as isolation, ventilation and vaccination.
    • States that the initial stage of HIV infection can cause symptoms resembling influenza.
    • Gives at least one example of a flu-like symptom, such as fever, sore throat, tiredness or swollen glands.
    • Recognises that these early symptoms are caused by HIV, not by influenza virus.
    • Explains that the early symptoms may be mild or short-lived and can be mistaken for another illness.
    • Notes that the person may later be asymptomatic while HIV continues to affect immune cells.
    • States that HIV infection is confirmed by a blood test rather than by symptoms alone.
    • States that HIV attacks the body's immune cells if not controlled.
    • Names antiretroviral drugs as the treatment that can control HIV.
    • Explains that antiretroviral drugs suppress viral replication rather than curing the infection.
    • Links the destruction of immune cells to a weakened immune response against other pathogens.
    • Recognises that treatment must be continued to keep the virus controlled.
    • Uses the idea of immune cell damage to explain why untreated HIV progresses to AIDS.
    • States that AIDS is the late stage of HIV infection.
    • Explains that AIDS occurs when the immune system is severely damaged.
    • Links severe immune damage to an inability to deal with other infections or cancers.
    • Recognises that infections which are normally harmless can become serious when immunity is lost.
    • Distinguishes AIDS as a syndrome resulting from immune damage rather than a single pathogen-caused disease.
    • Notes that antiretroviral treatment can prevent progression from HIV to AIDS.
    • HIV is a virus that infects lymphocytes and eventually causes AIDS.
    • Transmission occurs through sexual contact involving the exchange of body fluids.
    • Sharing needles allows infected blood to pass directly between drug users.
    • HIV is not spread by casual contact such as touching, sharing cups or insect bites.
    • Prevention includes using condoms, not sharing needles and screening blood donations.
    • TMV is transmitted mechanically, not by vectors.
    • TMV is a virus, so it is a pathogen that infects plants.
    • It is widespread, meaning it is found in many places and can persist in plant material.
    • It affects many plant species, with tomatoes given as a named example.
    • Control measures include removing infected plants, sterilising tools and growing resistant varieties.
    • The mosaic pattern is a patchy discolouration of the leaves.
    • Discoloured areas contain less chlorophyll, so less light energy is absorbed.
    • Reduced photosynthesis means less glucose is produced for growth.
    • The plant therefore grows less well, often appearing stunted with reduced yield.
    • The symptom is caused by virus damage to leaf cells, not by a nutrient shortage.
    Examiner Tips
    • 💡Name both key symptoms — fever and red skin rash — in your answer.
    • 💡Mention at least one complication to show why measles is described as serious.
    • 💡Link prevention to vaccination, naming the MMR vaccine where appropriate.
    • 💡Link vaccination directly to the seriousness of measles to justify why it is given to most young children.
    • 💡Use the term herd immunity and explain briefly what it means.
    • 💡Name the MMR vaccine and state which diseases it protects against.
    • 💡Use the words inhalation and droplets together to show the exact route of transmission.
    • 💡Link the transmission route to one control measure, such as covering the mouth when coughing, to show applied understanding.
    • 💡Avoid writing that measles is caught from dirt; focus on airborne droplets from an infected person.
    • 💡Use the phrase flu-like illness and give one named symptom to make the description precise.
    • 💡Make clear that the symptoms are non-specific, so a blood test is needed for diagnosis.
    • 💡Link the early stage to the later stage by noting that the person may feel well before immune damage becomes severe.
    • 💡Use the conditional unless to show that immune cell attack happens when treatment does not control the virus.
    • 💡Name antiretroviral drugs and state their effect on viral replication.
    • 💡Link immune cell destruction to increased risk from other infections or cancers.
    • 💡Use the phrase late stage HIV infection when defining AIDS to show the link between the two.
    • 💡Give the consequence of immune damage, such as inability to deal with other infections or cancers.
    • 💡Mention that antiretroviral treatment can stop HIV progressing to AIDS.
    • 💡Name at least two specific routes of transmission rather than writing only that it is spread by body fluids.
    • 💡Link each route to a prevention method, such as needle exchange for shared needles.
    • 💡Use the terms virus, lymphocytes and immune system accurately to show understanding.
    • 💡Quote the full name tobacco mosaic virus at least once, then use TMV.
    • 💡Link the word widespread to persistence in soil or plant debris, not just to visible symptoms.
    • 💡Use the phrase 'less chlorophyll' rather than 'no chlorophyll' to keep the biology accurate.
    • 💡Chain your answer: discolouration, less chlorophyll, less photosynthesis, less glucose, less growth.
    • 💡Refer to the leaf as the organ where photosynthesis occurs to show precise knowledge.
    Common Mistakes
    • Stating that measles is caused by bacteria; correct this by naming it as a viral disease.
    • Thinking the rash is the only symptom; correct this by including fever and mentioning possible complications.
    • Assuming measles is always mild; correct this by explaining it can be fatal if complications such as pneumonia or encephalitis develop.
    • Thinking the vaccine causes measles; correct this by explaining it contains a weakened or inactivated virus that cannot cause the disease.
    • Believing vaccination only protects the individual; correct this by explaining herd immunity protects others too.
    • Confusing the MMR vaccine with a treatment for measles; correct this by stating it is a preventive measure given before infection.
    • Saying measles is spread by bacteria: correct this by naming the measles virus as the pathogen and stating that antibiotics are ineffective against viruses.
    • Confusing droplet inhalation with direct physical contact: correct this by describing sneeze or cough droplets being breathed in from the air.
    • Claiming the virus enters through a cut in the skin: correct this by stating that inhaled droplets carry the virus into the respiratory tract.
    • Stating that HIV causes influenza: correct this by saying HIV causes flu-like symptoms, but the pathogen is HIV, not influenza virus.
    • Believing that no symptoms means no infection: correct this by explaining that HIV can remain without symptoms for years while damaging immune cells.
    • Confusing HIV with AIDS at the initial stage: correct this by describing the early flu-like illness as the first stage of HIV infection, before AIDS develops.
    • Saying antiretroviral drugs cure HIV: correct this by stating that they control the virus but do not eliminate it, so treatment is ongoing.
    • Claiming HIV attacks red blood cells: correct this by stating that HIV attacks immune cells, particularly helper T cells.
    • Thinking the virus stops attacking immune cells after the flu-like illness: correct this by explaining that without treatment the virus continues to replicate and damage immune cells.
    • Saying AIDS is a virus: correct this by stating that AIDS is the late stage of HIV infection, not a separate virus.
    • Believing AIDS develops immediately after HIV infection: correct this by explaining that AIDS occurs after years of immune damage, unless treatment prevents progression.
    • Thinking AIDS directly kills immune cells: correct this by stating that HIV damages immune cells, and AIDS is the resulting severe immune deficiency.
    • Saying HIV and AIDS are the same thing; correction: HIV is the virus, whereas AIDS is the condition that can develop when the immune system is badly damaged.
    • Claiming HIV can be caught by hugging or sharing food; correction: transmission needs infected body fluids entering the body, not everyday social contact.
    • Confusing HIV with a bacterium; correction: HIV is a virus, so antibiotics do not treat it.
    • Assuming TMV is spread by vectors; correction: TMV is transmitted mechanically through wounds.
    • Treating TMV as a bacterium and suggesting antibiotics; correction: TMV is a virus, so antibiotics are ineffective.
    • Thinking the mosaic pattern is caused by a mineral deficiency; correction: the pattern is a symptom of viral infection.
    • Saying the plant cannot photosynthesise at all; correction: photosynthesis is reduced because some chlorophyll remains, so growth slows rather than stopping instantly.
    • Writing that the mosaic pattern directly kills the plant; correction: the pattern reduces photosynthesis, which reduces growth and yield.
    • Confusing discolouration with wilting caused by lack of water; correction: the mosaic pattern is a specific patchy colour change linked to chlorophyll loss.