Viral pathogens GU

Question 1

Most common cause of Fulminant hepatic failure

Answer 1

HBV, however HSV can cause as well particularly in 3rd trimester

Question 2

HSV Treatment

Answer 2

• Trifluridine
• Acyclovir
• Valacyclovir
• Famciclovir
• Foscarnet for Acyclovir resistance

Question 3

Molloscum Contagiosum

• appearance
• Tx

Answer 3

• appearance: Painless raised circular lesions alone or in clusters
• Disappear withing 6-18 months w/ out treatment; can treat w/ Cidofovir, imiquimod, cimetidine, or Sx

Question 4

HPV

• micro
• Cervical CAncer types
• PAth
• Two lesion types

Answer 4

• M: dsDNA
• HPV 16/18
• Path: breakls through cervix and infects stem cells in basal layer
• L: Fleshy cauliflower-like OR small, discrete sessile smooth papules

Question 5

Pap smear recommendations against screenings

Answer 5

• younder than 21
• older than 65 w/ adequare pre-65 screening
• hysterectomy w/ removal of cervix
• using HPV testing alone or in combo w/ cytology in women younder than 30 YO

Question 6

Who should get the HPV vaccine?

Answer 6

Women + Men 9 - 45 YO