Mucosal Lesions (Infectious)

Question 1

• papilloma caused by HPV infection, with strains 6 and 11 having the highest prevalence
• this condition may manifest as a genital or oral wart, usually as a result of having oral sex with someone with genital warts

Answer 1

condyloma acuminatum

Question 2

tx of condyloma acuminatum

Answer 2

excision with high recurrence

Question 3

an enterovirus causing hand-foot-and-mouth diseases and herpangia, which results in small blister-like sores in the posterior oral cavity (soft palate, throat, and tonsils)

Answer 3

coxsackie virus

Question 4

The coxsackie virus causes two things:

Answer 4

hand-foot-and-mouth disease

herpangia

Question 5

papilloma caused by HPV 13 and 32, this condition presents as multiple small dome-shaped warts on oral mucosa

Answer 5

focal epithelial hyperplasia (Heck’s disease)

Question 6

tx of Heck’s disease (focal epithelial hyperplasia)

Answer 6

excision with excellent prognosis

Question 7

a viral infection causing contagious genital and/or oral sores

Answer 7

herpes simplex virus (HSV)

Question 8

primary vs recurrent HSV

Answer 8

Primary: When you contract the virus for the first time in the oral region. This stage is self-limiting and occurs during childhood. Upon healing, the virus remains dormant (latent) in the trigeminal ganglion.

Recurrent: When the virus is triggered by stress, sunlight, or immunosuppression. Has the following different manifestations on keratinized tissue (herpes gladiatorum, herpes labialis, herpetic whitlow, recurrent intraoral herpes)

Question 9

form of recurrent herpes in which sores form on the lateral neck, sides of the face, and forearm

Answer 9

herpes gladiatorum

Question 10

form of recurrent herpes in which cold sores form on the vermillion border

Answer 10

herpes labialis (recurrent extraoral herpes)

Question 11

form of recurrent herpes that is an occupational disease of practicing dentists in which sores form on fingers (dentists with this condition should not contact patients until it subsides

Answer 11

herpetic whitlow

Question 12

a form of recurrent herpes in which sores form exclusively on attached gingiva or hard palate

Answer 12

recurrent intraoral herpes

Question 13

tx of HSV

Answer 13

antiviral such as acyclovir during the prodromal period, the period of itching and tingling 12-24 hours before

Question 14

the period of itching and tingling 12-24 hours before recurrent herpes

Answer 14

prodromal period

Question 15

a viral infection with oral manifestations including Koplik’s spots, or buccal mucosa dot ulcers that precede the characteristic rash

Answer 15

measles

Question 16

Describe the primary infection of measles.

Answer 16

self limiting and occurs during childhood

Question 17

a condition triggered by Epstein Barr virus (EBV) causing white hairy-appearing patches on the tongue that do not wipe off

Answer 17

oral hairy leukoplakia

Question 18

this is an opportunistic infection associated with HIV and Burkett’s lymphoma

Answer 18

oral hairy leukoplakia

Question 19

benign noncancerous exophytic growths caused by several strains of HPV

Answer 19

papilloma

Question 20

Two shapes of papillomas:

Answer 20

pedunculate (ballooning, has a narrow base)

sessile (mound shaped, base is the widest part)

Question 21

a herpes virus infection causing itchy, blister-like rashes on the skin

Answer 21

varicella zoster virus (VZV)

Question 22

primary vs recurrent VZV

Answer 22

Primary: When you contract the virus for the first time, is self-limiting, and occurs during childhood. Upon healing, the virus becomes latent in the trigeminal ganglion.

Recurrent: When the virus is triggered again by stress, sunlight, or immunosuppression. Leads to shingles.

Question 23

a herpes zoster reactivation in geniculate ganglion impacting CN VII and VIII leading to facial paralysis, vertigo, and deafness

Answer 23

Ramsay Hunt syndrome

Question 24

tx of VZV

Answer 24

acyclovir

Question 25

• a type of papilloma caused by several strains of HPV
• a common skin wart
• can auto inoculate

Answer 25

verruca vulgaris