HIV/AIDS and STD's

Question 1

Another name for STD

Answer 1

Venereal disease

Question 2

Illnesses that have a significant probability of transmission between humans by means of sexual behavior, including vaginal intercourse, anal sex, and oral sex.

Answer 2

Venereal Diseases

Question 3

HPV is associated with what malignancy?

Answer 3

Oral SCC

Question 4

HIV is associated with what malignancy?

Answer 4

Hodgkin’s Lymphoma

Kaposi’s Sarcoma

Question 5

HHV8 is associated with what malignancy?

Answer 5

Kaposi’s Sarcoma

Question 6

Syphilis is possibly associated with what malignancy?

Answer 6

Oral SCC

Question 7

The most common STD transmitted via oral sex.

Answer 7

Herpes simplex

Question 8

T/F: Herpes is most commonly transmitted from _____ to ________.

Answer 8

mouth to genitals

Question 9

These are rarely transmitted during oral sex.

Answer 9

HPV and Chlamydia.

Question 10

Causes syphilis

Answer 10

Treponema pallidum

Question 11

Phases of syphilis

Answer 11

Primary
Secondary
Latent
Tertiary

Question 12

How is syphilis diagnosed?

Answer 12

Darkfield microscopy

Question 13

Most common site for primary and secondary syphilitic lesions.

Answer 13

Tongue

Question 14

Manifestation of primary syphilis.

Answer 14

Chancre (58% asymptomatic)

Question 15

What stage of syphilis is this?

• Mucous patch (coalesces to form “snail-track ulcers”).
• Lymphadenopathy.
• Maculopapular eruption on the palate.
• “Moth-eaten” alopecia.
• Syphilitic leukoderma.
• Condyloma lata

Answer 15

Secondary

Question 16

Gonorrhea can live in the oral pharynx without _______.

Answer 16

symptoms

Question 17

Gonorrhea can cause this.

Answer 17

Urethritis

Question 18

Gonorrhea can also live in this environment.

Answer 18

Rectal.

Causes proctitis

Question 19

This type of gonorrhea is more common following fellatio, and in MSM (male-sex-male).

Answer 19

Oropharyngeal gonorrhea

Question 20

This STD has symptoms of SORE THROAT and DYSPHAGIA.

Answer 20

Oropharyngeal gonorrhea

Question 21

What does oropharyngeal gonorrhea represent?

Answer 21

Strep throat

Question 22

Oral- anal

Answer 22

Rimming

Question 23

The most common sexually transmitted infection in the US.

Answer 23

Anogenital HPV.

Question 24

The most common outcome of HPV.

Answer 24

Anogenital warts

Question 25

The most common genital ulcer disease.

Answer 25

HSV

Question 26

Type of HSV associated with genital herpes.

Answer 26

HSV 2

Question 27

Type of HSV associated with oral/labial herpes.

Answer 27

HSV 1

Question 28

T/F: | Asymptomatic HSV 2 infections can recur symptomatically.

Answer 28

True

Question 29

The HIV virus prevents these immune cells from making an immune response.

Answer 29

CD4 Helper T cells.

Question 30

How many viral particles are in the patient's blood.

Answer 30

Viral load

Question 31

Dangerous viral load.

Answer 31

1,000-100,000

Question 32

Normal T4 count

Answer 32

500-1500

Question 33

A measure of the quantity of HIV in a drop (mL) of a patient's blood.

Answer 33

Viral load

Question 34

3 types of bleeding abnormalities in HIV patients.

Answer 34

1) Anemia 2) Leukopenia 3) Thrombocytopenia

Question 35

This disease is seen in HIV patients.

Answer 35

Liver disease

Question 36

T/F: The incidence of post-procedural complications is no greater among HIV+ patients than the general population.

Answer 36

True

Question 37

T/F: The incidence of wound infection after implant surgery in HIV patients is comparable to that of the HIV-negative group. The CD4 count did not affect the incidence of infection.

Answer 37

True

Question 38

Q: You get oral lesions when the CD4 count is less than what?

Answer 38

200 cells/mm3

Question 39

Q: You get oral lesions when the viral load is greater than what?

Answer 39

3,000 copies/mL

Question 40

HIV-Associated oral lesions.

Answer 40

1) Fungal lesions 2) VIral 3) Idiopathic lesions (recurrent ulcers). 4) Bacterial infections 5) Salivary gland disease 6) Neoplasms

Question 41

Periodontal issues for people with AIDS.

Answer 41

Necrotizing Ulcerative Periodontitis (NUP) Linear Gingival Erythema (LGE)

Question 42

Red banding occurs at the gingival margin.

Answer 42

Linear Gingival Erythema

Question 43

- Rapid bone loss - Severe jaw pain - Fetid mouth odor - Soft tissue necrosis of attached gingival tissue

Answer 43

Necrotizing Ulcerative Periodontitis

Question 44

Tx for oral candidiasis.

Answer 44

Azole antifungals

Question 45

Tx for oral hairy leukoplakia and HSV

Answer 45

Cyclovir drugs

Question 46

Early lesions of Oral Kaposi Sarcoma

Answer 46

Flat with red or purple color.

Question 47

Late stage lesions of Oral Kaposi Sarcoma

Answer 47

Nodular, raised, or ulcerated.

Question 48

Vesicles or ulcers with crusting on the vermillion border of the lips and adjacent facial skin.

Answer 48

Herpes Labialis

Question 49

Mucosal or white-colored riaused lesions that range in texture from smooth, spiky, or cauliflower-like.

Answer 49

Oral warts

Question 50

White or yellow ulcers with a red halo.

Answer 50

Recurrent aphthous stomatitis

Question 51

Is hairy leukoplakia removable?

Answer 51

No!

Question 52

Where does hairy leukoplakia originate?

Answer 52

Lateral margins of the tongue.

Question 53

Patchy red areas usually located on the palate and dorsum of the tongue.

Answer 53

Erythematous candidiasis

Question 54

White or creamy spots that can be wiped off, leaving an erythematous surface.

Answer 54

pseudomembranous candidiasis

Question 55

T/F: In general, there's no justification to modify dental tx based solely on the patient's HIV status.

Answer 55

True