4 - HPV Flashcards

1
Q

over 130 different human papillomaviruses
some types like _ and _ for squamous papillomas or HPV _ causing non-genital warts

are not sexually transmitted

A

6, 11 - squamous papillomas

2 - non-genital warts

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2
Q

Some HPV types are sexually transmitted

HPV _ _ venerral warts (condyloma acuminatum)

HPV _ and _ are high risk examples

A

6,11 venereal warts - condyloma acuminatum

16, 18, sexually transmitted , other 31, 33 high risk for cancer

low risk 2 (verruca vulgaris) 6,11,

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3
Q

HPV _
any age
common sites - tongue, uvula, soft palate, lip - but any location
most common sot tissue mass arising from the soft palate
usually solitary

A

squamous papilloma

HPV 6,11 - low risk for cancer

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4
Q

usually pedunculated, but can be sessile
exophytic with fingerlike prokections giving a “cauliflower” or wartlike appearance

projections can be pointed or blunted
low infectivity, low virulence
soft
painless
color depends on _
A

squamous papilloma
HPV 6,11 - low risk for cancer

amount of keratin

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5
Q

tx and px of squamous papilloma

HPV 6,11 - low risk for cancer

A

tx - conservative excision

px - recurrence unlikely
spontanouseou remission possible

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6
Q
dermatologic term for common wart 
contagious or no, self inoculation (transfer form one part of body to other)
any age. esp children
extremely common on skin - hand 
common on oral mucosa?
pedunculated or sessile
A

verruca vulgaris

contagious

HPV 2 - low risk

infrequent on oral mucosa

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7
Q

painless papule(s)
papillary projections or rough surface
oral mucosa lesions usually vermilion border, labial mucosa, anterior tongue

A

verruca vulgaris HPV 2

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8
Q

tx for HPV 2 Verruca vulgaris

A

skin - topical, surgery
oral - surgery, laser, cryotherapy, electrosurgery

px - may recur, spontaneous remission possible

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9
Q

_ most common STi in US

more than 40 types spread thru direct sexual contact
vaginal, anal, oral sex
can also be spread by close skin-to-skin contact
can be low/high risk for cancer

A

HPV - human papillomacirus

2,6,11 - low risk

16,18,31,33 - high risk

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10
Q

HPV _ low risk
may also have co-infection with high risk type

contagious, anogenital region. mouth, larynx 
sessile pink
short, blunted
nontender exophytic 
teenagers, young adults but all ages
A

condyloma acuminatum
HPV 6,11 - low risk for cancers

*larger than papillomas
~1-3cm
often multiples**
oral mucosa lesions usually labial mucosa, lingual frenum, soft palate

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11
Q

tx and px of condyloma acuminatum

HPV 6,11 - low risk for cancers

A

excision, cryotherapy, laser(concern for airborne virus)
topical agents for anogenital lesions

px - anogenital condylomata infected with HPV 16,18 have higher risk for malignant transformation to SCC

ORAL CONDYLOMATA HAVE NOT SHOWN THIS

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