05.Vesiculobullous_Lesions_Tests Flashcards

(17 cards)

1
Q

A 4-year-old child presents with fever and gingival vesicles from primary HSV infection.
Which of the following diagnoses best fits this presentation?
A. Herpes Simplex Virus 1
B. Acute herpetic gingivostomatitis
C. Recurrent herpes simplex
D. Varicella Zoster / HHV-3

A

B - Acute herpetic gingivostomatitis: primary oral herpes

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2
Q

An adult patient reports recurrent painful vesicles on the lip vermillion border.
Which of the following diagnoses best fits this presentation?
A. Acute herpetic gingivostomatitis
B. Herpes Simplex Virus 1
C. Recurrent herpes simplex
D. Coxsackie Virus

A

C - Recurrent herpes simplex: cold sores

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3
Q

A child with diffuse pruritic vesicular rash primarily on the trunk and face.
Which of the following diagnoses best fits this presentation?
A. Varicella Zoster / HHV-3
B. Chickenpox
C. Ramsay Hunt Syndrome
D. Pemphigus Vulgaris

A

B - Chickenpox: primary varicella

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4
Q

An adult with unilateral dermatomal vesicles and burning pain.
Which of the following diagnoses best fits this presentation?
A. Ramsay Hunt Syndrome
B. Recurrent herpes simplex
C. Herpes Zoster / Shingles
D. Herpangina

A

C - Herpes Zoster / Shingles: reactivated VZV

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5
Q

An elderly patient develops facial paralysis and vesicles on the external ear and tongue.
Which of the following diagnoses best fits this presentation?
A. Varicella Zoster / HHV-3
B. Acute herpetic gingivostomatitis
C. Ramsay Hunt Syndrome
D. Hand-foot-mouth syndrome

A

C - Ramsay Hunt Syndrome: geniculate ganglion VZV

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6
Q

A 3-year-old presents with sudden fever, headache, and small clusters of vesicles on the soft palate.
Which of the following diagnoses best fits this presentation?
A. Herpangina
B. Hand-foot-mouth syndrome
C. Pemphigus Vulgaris
D. Varicella Zoster / HHV-3

A

A - Herpangina: Coxsackie pharyngitis

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7
Q

A toddler has painful oral ulcers plus vesicular lesions on hands and feet.
Which of the following diagnoses best fits this presentation?
A. Hand-foot-mouth syndrome
B. Herpangina
C. Erythema Multiforme
D. Acute herpetic gingivostomatitis

A

A - Hand-foot-mouth syndrome: Coxsackie rash

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8
Q

A patient develops flaccid bullae and mucosal erosions; Nikolsky’s sign is positive.
Which of the following diagnoses best fits this presentation?
A. Pemphigus Vulgaris
B. Mucous Membrane Pemphigoid
C. Erythema Multiforme
D. Recurrent herpes simplex

A

A - Pemphigus Vulgaris: autoimmune bullae

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9
Q

An elderly patient presents with tense subepithelial bullae and scarring of oral mucosa.
Which of the following diagnoses best fits this presentation?
A. Pemphigus Vulgaris
B. Mucous Membrane Pemphigoid
C. Acute herpetic gingivostomatitis
D. Varicella Zoster / HHV-3

A

B - Mucous Membrane Pemphigoid: subepithelial bullae

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10
Q

A patient presents with target skin lesions and mild oral involvement after Mycoplasma infection.
Which of the following diagnoses best fits this presentation?
A. Erythema Multiforme
B. EM Minor
C. Chronic EM Minor
D. EM Major / Stevens–Johnson

A

A - Erythema Multiforme: target lesions

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11
Q

Recurrent target lesions on skin with occasional oral ulcers over several months.
Which of the following diagnoses best fits this presentation?
A. EM Major / Stevens–Johnson
B. EM Minor
C. Chronic EM Minor
D. Herpes Simplex Virus 1

A

C - Chronic EM Minor: recurrent EM minor

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12
Q

A patient develops confluent mucosal erosions and widespread epidermal sloughing.
Which of the following diagnoses best fits this presentation?
A. Chronic EM Minor
B. Erythema Multiforme
C. EM Major / Stevens–Johnson
D. Pemphigus Vulgaris

A

C - EM Major / Stevens–Johnson: severe EM

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13
Q

A 60-year-old denture wearer complains of erythematous, inflamed mucosa under the prosthesis.
Which of the following diagnoses best fits this presentation?
A. Acute Atrophic Candidiasis
B. Chronic Atrophic Candidiasis
C. Median Rhomboid Glossitis
D. Recurrent herpes simplex

A

B - Chronic Atrophic Candidiasis: denture stomatitis

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14
Q

A patient on broad-spectrum antibiotics has painful red mucosa that can be wiped off.
Which of the following diagnoses best fits this presentation?
A. Chronic Atrophic Candidiasis
B. Acute Atrophic Candidiasis
C. Herpangina
D. Pemphigus Vulgaris

A

B - Acute Atrophic Candidiasis: antibiotic sore mouth

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15
Q

A smooth, shiny erythematous patch appears on the mid-dorsal tongue.
Which of the following diagnoses best fits this presentation?
A. Median Rhomboid Glossitis
B. Pemphigus Vulgaris
C. Actinomycosis
D. Erythema Multiforme

A

A - Median Rhomboid Glossitis: central papillary atrophy

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16
Q

A patient presents with draining sinus tracts in the jaw and sulfur granules in pus.
Which of the following diagnoses best fits this presentation?
A. Actinomycosis
B. Tuberculosis
C. Midline Granuloma
D. Mucormycosis

A

A - Actinomycosis: sulfur granules

17
Q

A painless, indurated ulcer appears on the lip with regional lymphadenopathy.
Which of the following diagnoses best fits this presentation?
A. Primary Syphilis
B. Chronic Atrophic Candidiasis
C. Pemphigus Vulgaris
D. Herpetiform Aphthous

A

A - Primary Syphilis: chancre ulcer