Viral infections

Question 1

HHV1

Answer 1

HSV 1 - primary herpetic gingivostomatitis which becomes latent and recurs as cold sore

Question 2

HHV 2

Answer 2

HSV 2 Genital Herpes

Question 3

HHV 3

Answer 3

Varicella Zoster virus - chicken pox in primary infection, secondary reactivation herpes zoster (shingles)

Question 4

HHV 4

Answer 4

Epstein Barr Virus - infectious mononucleosis

Question 5

HHV 5

Answer 5

Cytalomegavirus - primary infection of salivary glands

Question 6

HHV 6

Answer 6

Roseola Infantum - febrile illness affecting young children

Question 7

HHV 7

Answer 7

Roseola infantum - from saliva of adults

Question 8

HHV 8

Answer 8

Kaposi Sarcoma

Question 9

Acyclovir prescription for herpes zoster ?

Answer 9

Systemic acyclovir 800mg 5xday for 7-10 days to avoid post herpetic neuralgia

Question 10

Acyclovir prescription for herpes labialis?

Answer 10

Topical 5% in prodromal phase. Aborts lesions in 40% of cases. Reduces duration of lesions.

Question 11

Acyclovir prescription for primary herpetic gingivostomatitis?

Answer 11

Only if severe. Systemic 200mg five times a day for 5 days. If over 2 years same prescription as adult.

Question 12

Which HPV is associated with increased risk of OSCC?

Answer 12

HPV 16

Question 13

Where does HSV lie dormant before recurring as cold sores?

Answer 13

Sensory ganglion, particularly trigeminal ganglion.

Question 14

Where does varicella zoster virus lie dormant before reactivating as herpes zoster?

Answer 14

Cranial nerve, dorsal root, autonomic ganglion.