herpes simplex vs. aphthous ulcers

Question 1

what is seen mainly in children and is caused by HSV1 in most cases

Answer 1

primary herpes gingivostomatitis

Question 2

herpes simplex.
sever primary infections have oral lesions accompanied by:

Answer 2

high fever
malaise
cervical lymphadenopathy
dehydration

Question 3

herpes simplex.
less commonly, primary infection occurs in the young adult; in such cases infections may be from either:

Answer 3

HSV1 or HSV2

Question 4

where do herpes gingivostomatitis/herpes simplex vesicles develop in oral cavity?

Answer 4

pharynx
palate
buccal mucosa
lips
tongue

Question 5

herpes gingivostomatitis/herpes simplex vesicles rapidly break down into:

Answer 5

smaller ulcers and covered with exudate

Question 6

how long do herpes gingivostomatitis/herpes simplex lesions generally resolve

Answer 6

without therapy, 2 weeks

Question 7

HSV (does/doesnt) survive long in external environment

Answer 7

doesn’t

Question 8

how does almost all primary HSV infections occur

Answer 8

from contact with infected person who is releasing the virus

Question 9

HSV fever affects what % of population

Answer 9

50% (~80%)h

Question 10

hsv fever starts what age

Answer 10

<10 from adults

Question 11

is hsv contagious? caused by?

Answer 11

yes contagious and caused by adults

Question 12

hsv
type 1=
type 2=

Answer 12

1=mouth lips face
2= genital outer lips and attached gingiva

Question 13

what stage is contageous for hsv

Answer 13

vesicle stage

Question 14

what signs of hsv arise 6-24 hours before lesions develop?
how long does it take to heal?

Answer 14

prodromal signs=tingling, itching, pain, burning

2 week

Question 15

what does hsv look like

Answer 15

multiple fluid filled blisters
merge and collapse
yellowish crust

Question 16

virus that is dormant in nerve cell and reoccurs with immune weakness

Answer 16

herpes simplex

Question 17

what is considered immune weakness with herpes simplex

Answer 17

stress
fever
illness
injury
sunburn

Question 18

infections of the thumbs or fingers
-grouped fluid filled or pus filled
usually itchy and painful

Answer 18

herpetic whitlow

Question 19

in the past, how was primary herpetic gingivostomatitis treated?

what if diagnosed early?

Answer 19

treated symptomatically
but if diagnosed early, antiviral medications can have big influence

Question 20

this medication is initiated during first 3 symptomatic days in a rinse-and-swallow tecnique 5x/day for 5 days.
-for primary herpetic gingivostomatitis

significant acceleration in clinical resolution is seen

Answer 20

acyclovir suspension

Question 21

recurrent herpes labial is best treated in the

Answer 21

prodrome phase

Question 22

what decrease the number of vesicles in herpes labialis?
clinically minimal reduction in healing time and pain

Answer 22

acyclovir ointment cream
systemic acyclovir
valacyclovir
famiciclovir

Question 23

for patients with herpes labialis whose recurrences appear to be associataed with dental produces, a remigen of:

Answer 23

2 g of valacyclovir taken 2x on day of producer and 1 g taken 2x day following

Question 24

what is 60% of the US population and starts around 1-20 years old?
frequency varies.

Answer 24

apthous ulcers
(canker sores)
lesions

Question 25

prodromal tingling or burning sensation- usually 1-2 days before ulcers appears

Answer 25

apthous ulcers (canker sores)

Question 26

____ days before apthous ulcers appear, ____ days pain, ____ days healed

Answer 26

1-2 days before 3 days pain 7 days healed

Question 27

if mild disease, treatment for canker sores aka apthous ulcers is

Answer 27

topical corticosteroids

Question 28

no single triggering agent is responsible, the mucosal destruction appears to represent T-cell mediated immunologic reaction for

Answer 28

aphthous lesions

Question 29

what tends to occur along family lines? when both parents have history, 90% children will develop

Answer 29

aphthous lesions

Question 30

3 clinical varations of aphthous lesions

Answer 30

minor major herpetiform

Question 31

minor major or herpetiform aphthous ulcerations. pts. experience fewest recurences and shortest duration

Answer 31

minor

Question 32

minor major or herpetiform aphthous ulcerations. ulcers exclusively on nonkeratinized mucosa, preceded by erythematous macule (associated with prodromal symptoms of burning itching or stinging)

Answer 32

minor

Question 33

wont scare

Answer 33

minor

Question 34

minor major or herpetiform aphthous ulcerations. ulcer measures 3-10mm oval heal withing scatting 7-14 days

Answer 34

minor

Question 35

minor major or herpetiform aphthous ulcerations. 1-5 lesions pain often out of proportion for size

Answer 35

minor

Question 36

what oral areas affected most by minor aphthous ulcers

Answer 36

buccal and labial mucosa followed by ventral surface of tongue

Question 37

minor aphthous recurrence rate:

Answer 37

high variable, ranging from 1 ulcer every few years to 2 episodes a month

Question 38

minor major or herpetiform aphthous ulcerations. larger than minor 1-3 cm

Answer 38

major

Question 39

minor major or herpetiform aphthous ulcerations. have longest duration per episode

Answer 39

major

Question 40

ulcers deep and can take 2-6 weeks toheal

Answer 40

major

Question 41

lesions very from 1-10

Answer 41

major

Question 42

onset is after puberty

Answer 42

major

Question 43

minor major or herpetiform aphthous ulcerations. greatest number of lesions and most frequent recurrence

Answer 43

herpetiform

Question 44

lesions small 1-3 mm

Answer 44

herpetiform

Question 45

many as 100 ulcers present in single occurrence

Answer 45

herpetiform

Question 46

lesions bear superifical resemblance to primary HSV due to

Answer 46

herpetiform due to small size and how many

Question 47

common for individual lesions to coalesce into larger irregular ulcerations

Answer 47

herpetiform

Question 48

heals within 7-10 days

Answer 48

herpetiform

Question 49

many patients affect almost constantly for periods as long as 3 years

Answer 49

herpetiform

Question 50

any oral mucosal involved

Answer 50

herpetiform

Question 51

minor major or herpetiform aphthous ulcerations. female predominance

Answer 51

herpetiform

Question 52

onset is adulthood

Answer 52

herpetiform

Question 53

minor major or herpetiform aphthous ulcerations. <1cm and shallow

Answer 53

minor

Question 54

minor major or herpetiform aphthous ulcerations. >1 cm and many scar when heal

Answer 54

major

Question 55

minor major or herpetiform aphthous ulcerations. more numerous and vesicular

Answer 55

herpetiform

Question 56

aphthous ulcers treatment. symptomatic:

Answer 56

1. viscous benzocaine 2. orajel, anbesol

Question 57

aphthous ulcers treatment. local anti-inflammatory:

Answer 57

kenalog in orabase paste 2-4x day

Question 58

aphthous ulcers treatment for sealing agent

Answer 58

ameseal

Question 59

canker sores (aphthous ulcers) only fda approved tx paste=barrier apply 2-4x day must start early in prodromal stage!!!

Answer 59

aphthasol