7 Viral Pathology Flashcards Preview

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Flashcards in 7 Viral Pathology Deck (45):
1

In this disease, which will be the first of the three most common locations to find lesions? (they also present with flulike symptoms)

Oral lesions come first (diagnosis = hand foot and mouth disease)

2

Besides seeing their throat, pt presents with fever, cough, sore throat, and headache. Diagnosis?

Herpangina (caused by enterovirus)

3

Caused by HSV, what is this called?

Intraoral recurrent herpetic infection

4

Pt has sore throat, fever, and mild headache. Pt reports these nodules have been there for a few days and haven't "popped".

Acute lymphonodular pharyngitis

5

Primary herpes in older patients will present as ______________ with what symptoms?

Pharyngotonsillitis with sore throat, fever, and headache

6

What is your risk of getting HIV after a percutaneous exposure with HIV-contaminated blood?

0.3%

7

A pt comes in complaining of shivering a lot, and joint and muscle pain. You discover they have a fever and take a small bipsy from the parotid gland (for some strange reason).

Cytomegalovirus

8

What anatomy is infected during Mumps?

Most commonly the salivary gland(s)

9

Pt presents with hyperplastic pharyngeal tonsils and petechiae of the soft palate. What might they have?

Infectious mononucleosis

10

What causes the "kissing disease"?

Epstein-Barr virus

11

VZV presented in the external auditory canal is a manifestation of what?

Ramsay Hunt Syndrome

12

What are seven predisposing factors for reactivating VZV?

  1. immunosuppression (or suppressive drugs)
  2. dental manipulation
  3. radiation
  4. malignancies
  5. increasing age
  6. alcohol abuse
  7. emotional or physical stress

13

With Mumps, what are possible sequelae?

  1. 25% of males have postpubertal epididymorchitis
  2. 25% of 1st trimester women have spontaneous abortions

14

Recurrent herpes of the finger is called what?

Herpetic whitlow

15

Diagnose

Mumps

16

What is the most prevalent area for herpes labialis?

On the vermillion border and adjacent skin of lips

17

Why should a patient with mono avoid contact sports?

The spleen is enlarged and "peeks" out below the rib cage, making it vulnerable to be ruptured.

18

If this is HSV-1, where would it be when dormant?

Trigeminal ganglion

19

What is the go-to drug to treat HIV-related candidiasis?

Nystatin

(clotrimazole if tx is difficult)

(fluconazole if pt's HIV is uncontrolled)

20

Most HSV-1 affected individuals contract the virus in what age range?

6 months - 5 years

(not under 6 mo. because they're still protected by maternal immunity)

21

What is this massive necrosis of soft tissue and bone of the maxilla? (sequelae of untreated periodontitis)

HIV-associated necrotizing stomatitis

22

If HIV-related periodontitis is left untreated, what can it develop into?

Necrotizing stomatitis

23

What is the most common virus to cause this? (pt presents with sore throat, fever, dysphagia)

Coxsackievirus (diagnosis = herpangina)

24

Where does VZV lay dormant until it present as secondary infection? 

Dorsal spinal ganglia

25

What are the three atypical patterns of periodontal disease seen in HIV patients?

  1. Linear gingival erythema
  2. Necrotizing ulcerative gingivitis
  3. Necrotizing ulcerative periodontitis

26

You see this on your little patient's hands and upon intraoral exam you find fragile vesicles and ulcerations along the buccal mucosa and tongue. Diagnosis?

Hand-foot-and-mouth disease

27

What virus causes Measles?

Paramyxovirus

28

What causes this presentation of widespread yellowish mucosal ulcerations?

HSV-1

(condition pictured is acute herpetic gingivostomatitis)

29

Which virus can lay dormant in salivary glands cells, endothelium, macrophages, or lymphocytes?

Cytomegalovirus

30

These "spots" represent what disease? (pt has coryza, cough, and conjuctivitis)

Measles (Rubeola)

31

What are the three most commonly affected sites in Kaposi's Sarcoma?

  1. Hard palate
  2. Gingiva
  3. Tongue

32

What is this called?

herpes barbae

33

What virus causes Rubella?

Togavirus

34

Young pt presents with adenopathy and fatigue. What might they have?

Infectious mononucleosis

35

What is this secondary infection of HSV?

herpes labialis

36

What are the possible oral manifestations related to HIV/AIDS?

  1. Candidiasis
  2. Hairy leukoplakia (EBV)
  3. Kaposi's sarcoma (HHV-8)
  4. Non-hodgkin's lymphoma
  5. Periodontal disease

37

What are three distinct histologic features of herpes simplex?

  1. Multinucleation
  2. Ballooning degeneration
  3. Tzanck cells

38

What are the three stages of Rubeola?

  1. Koplik's spots
  2. Fever and maculopapular rash forms
  3. Brown pigmentary staining replaces rash

39

What HSV-1 caused disease can cause painful, enlarged, and erythematous palatal gingiva?

Acute herpetic gingivostomatitis

40

Pt also presents with Forchheimer's signs. What is the diagnosis?

Rubella

41

How does VZV present orally?

Unilaterally on movable or bound mucosa

42

Nodules found with Acute Lymphonodular Pharyngitis represent what?

Hyperplastic lymphoid aggregates (so they do not ulcerate)

43

This secondary infection usually presents on a unilateral dermatome. What is it?

Shingles (secondary VZV infection)

44

Most people get this between 5 and 10 years old.

Varicella-Zoster virus

(primary infection = chicken pox)

45

What are the three stages of HIV/AIDS?

  1. Acute self-limiting viral syndrome
  2. Asymptomatic period
  3. Symptomatic period