4/18/17 Oral Pathology related viral infection TRUMP FINAL TEST

Question 1

What does HHV4 known as?

Answer 1

-Epstein-Barr virus

Question 2

What is HHV5 known as?

Answer 2

-Cytomegalovirus

Question 3

What is HHV 8 known as?

Answer 3

-Kaposi’s sarcoma herpesvirus

Question 4

Where does primary latency of HHV 6 and HHV7 reside?

Answer 4

-CD4 T lymphocytes

Question 5

HHV8 also known as Kaposi’s sarcoma has its primary infection spread how?

Answer 5

-Sexual contact, especially in homosexual males

Question 6

Herpes simplex virus is what type of virus?

Answer 6

-DNA virus

Question 7

HSV-1 (oral herpes) is spread primarily how?

Answer 7

• Saliva

- Active perioral lesions

Question 8

What is the initial exposure of HSV-1 known as?

Answer 8

Primary Herpetic Gingivostomitis

Question 9

What is the most common pattern of primary HSV infection?

Answer 9

-Acute herpetic gingivostomatitis

Question 10

T/F 90% of acute herpetic gingivostomatitis is due to HSV-1

Answer 10

True

Question 11

When do most cases of acute herpetic gingivostomatitis occur?

Answer 11

-Before age 5

Question 12

Where can primary herpes occur?

Answer 12

-Both moveable and attached oral mucosa can be effected

Question 13

What is the leading infectious cause of blindness?

Answer 13

-Primary herpes

Question 14

If you are older than 18 what do you call your primary herpes?

Answer 14

-Pharyngotonsillitis

Question 15

What is the most common site of recurrence for HSV-1?

Answer 15

-Vermilion borer and adjacent skin of the lips (Herpes labialis)

Question 16

Where can recurrent herpes occur?

Answer 16

-Anywhere along the surface epithelium supplied by the involved ganglion

Question 17

Recurrent herpes simplex intraoral lesions are almost always found where?

Answer 17

-Keratinized, bound mucosa (palate, attached gingiva)

Question 18

What is infection of the thumb or fingers with HSV1 known as?

Answer 18

-Herpetic whitlow

Question 19

What is a herpetic infection found in wrestlers or rugby players with contaminated abrasions known as?

Answer 19

-Herpes gladiatorum

Question 20

What is herpes barbae?

Answer 20

-Herpes over the bearded region of the face into minor injuries created by daily shaving

Question 21

What are two histopathologic features associated with HSV?

Answer 21

• Tzanck cells

- Ballooning degeneration

Question 22

What is the treatment for primary herpetic gingivostomatitis?

Answer 22

• Antivirals

- Rinse and swallow acyclovir

Question 23

What are the topical treatments for recurrent herpes labialis?

Answer 23

• OTC 10% n-docosanol cream (Abreva)
• Acyclovir cream
• Peniciclovir cream

Question 24

What does CMV cause?

Answer 24

-Mononucleosis

Question 25

If the tip of the nose is involved in VZV infections what is that a sign of that might occur?

Answer 25

-Ocular infection

Question 26

What is Ramsay Hunt syndrome?

Answer 26

• Cutaneous lesions of the external auditory canal

- Involvement of ipsilateral face and auditory nerves (Facial paralysis, Hearing deficits, Vertigo)

Question 27

T/F Shingles is typically bilateral

Answer 27

• False

- unilateral

Question 28

EBV is what HHV?

Answer 28

-HHV4

Question 29

CMV is what HHV?

Answer 29

HHV5