Podcast
Questions and Answers
Which of the following is a characteristic symptom of herpes labialis?
Which of the following is a characteristic symptom of herpes labialis?
- Superficial vesicles on the oropharynx associated with a burning or tingling sensation (correct)
- Flat-topped papules primarily in children
- Deep dermal ulcers covered by necrotic tissue
- Papules on the soles of the feet
Oral acyclovir is a topical antiviral treatment typically applied five times a day for 5–7 days for severe and complicated cases of herpes simplex.
Oral acyclovir is a topical antiviral treatment typically applied five times a day for 5–7 days for severe and complicated cases of herpes simplex.
False (B)
Within what timeframe should treatment for herpes simplex with acyclovir cream ideally begin after the onset of the rash to be most effective?
Within what timeframe should treatment for herpes simplex with acyclovir cream ideally begin after the onset of the rash to be most effective?
48 hours
Mothers with herpes simplex 2 infections should deliver via ______ to prevent neonatal herpes.
Mothers with herpes simplex 2 infections should deliver via ______ to prevent neonatal herpes.
Match the following herpes simplex treatments with their specific use cases:
Match the following herpes simplex treatments with their specific use cases:
According to the image, what is the recommended dose of valacyclovir for acute herpes zoster treatment?
According to the image, what is the recommended dose of valacyclovir for acute herpes zoster treatment?
The varicella-zoster vaccine is recommended for all adults to prevent herpes zoster, regardless of age.
The varicella-zoster vaccine is recommended for all adults to prevent herpes zoster, regardless of age.
What is the target timeframe for initiating treatment after an acute outbreak of herpes zoster to maximize its effectiveness?
What is the target timeframe for initiating treatment after an acute outbreak of herpes zoster to maximize its effectiveness?
For patients experiencing postherpetic neuralgia, medications like gabapentin and pregabalin, known as ______, are used to manage nerve pain.
For patients experiencing postherpetic neuralgia, medications like gabapentin and pregabalin, known as ______, are used to manage nerve pain.
Match the following treatments with their appropriate classification for managing herpes zoster:
Match the following treatments with their appropriate classification for managing herpes zoster:
Which of the following best describes the appearance of common warts caused by the human papilloma virus?
Which of the following best describes the appearance of common warts caused by the human papilloma virus?
Genital warts are characterized by asymptomatic, non-bleeding papules found exclusively on the soles of the feet.
Genital warts are characterized by asymptomatic, non-bleeding papules found exclusively on the soles of the feet.
What is the term used to describe warts that appear as long, thin, and stalk-like growths on the skin?
What is the term used to describe warts that appear as long, thin, and stalk-like growths on the skin?
Salicylic acid and glutaraldehyde are considered ______ for treating warts.
Salicylic acid and glutaraldehyde are considered ______ for treating warts.
Match each type of wart with its corresponding description:
Match each type of wart with its corresponding description:
Which of the following accurately describes Molluscum Contagiosum?
Which of the following accurately describes Molluscum Contagiosum?
Cryotherapy is considered a primary first-line treatment for Molluscum Contagiosum.
Cryotherapy is considered a primary first-line treatment for Molluscum Contagiosum.
What is the characteristic material that can be expressed from the central punctum when squeezing a Molluscum Contagiosum lesion?
What is the characteristic material that can be expressed from the central punctum when squeezing a Molluscum Contagiosum lesion?
One of the first-line treatments for molluscum contagiosum involves ______ with gloved fingers or fine forceps.
One of the first-line treatments for molluscum contagiosum involves ______ with gloved fingers or fine forceps.
Match the treatment strategies with their corresponding level of intervention for Molluscum Contagiosum:
Match the treatment strategies with their corresponding level of intervention for Molluscum Contagiosum:
Herpes Facialis primarily affects which area?
Herpes Facialis primarily affects which area?
Herpes zoster presents as bilateral groups of vesicles on an erythematous base.
Herpes zoster presents as bilateral groups of vesicles on an erythematous base.
What sensation typically precedes the vesicles characteristic of Herpes labialis?
What sensation typically precedes the vesicles characteristic of Herpes labialis?
Genital warts manifest as soft, pinkish, moist growths with a ______ appearance.
Genital warts manifest as soft, pinkish, moist growths with a ______ appearance.
Match the following skin conditions with their typical treatments:
Match the following skin conditions with their typical treatments:
Which medication requires a Caesarean section to avoid neonatal herpes?
Which medication requires a Caesarean section to avoid neonatal herpes?
Condoms are not prevention tools for herpes genitalis.
Condoms are not prevention tools for herpes genitalis.
Name the type of herpes zoster that can cause enlarged local LNs.
Name the type of herpes zoster that can cause enlarged local LNs.
Common warts are characterized by asymptomatic skin-colored and ______ papules.
Common warts are characterized by asymptomatic skin-colored and ______ papules.
Match the following terms related to human papilloma virus:
Match the following terms related to human papilloma virus:
What is the first-line therapy for warts caused by the human papilloma virus?
What is the first-line therapy for warts caused by the human papilloma virus?
The only treatment for warts is salicylic acid. Other therapies do not exist.
The only treatment for warts is salicylic acid. Other therapies do not exist.
What is the third-line treatment for warts caused by molluscum contagiosum?
What is the third-line treatment for warts caused by molluscum contagiosum?
Which of the following is the first-line treatment for molluscum contagiosum?
Which of the following is the first-line treatment for molluscum contagiosum?
Molluscum contagiosum have hard nodules.
Molluscum contagiosum have hard nodules.
Match the following types of viruses with their resulting disease types.
Match the following types of viruses with their resulting disease types.
Which of the following is the primary manifestation of herpes varicella zoster?
Which of the following is the primary manifestation of herpes varicella zoster?
Which of the following is the primary cause of warts (verruca)?
Which of the following is the primary cause of warts (verruca)?
Which of the following is the primary cause of molluscum contagiosum?
Which of the following is the primary cause of molluscum contagiosum?
Which drug requires regular monitoring for nephrotoxicity?
Which drug requires regular monitoring for nephrotoxicity?
What is the mechanism of action for topical treatments like salicylic acid in treating warts?
What is the mechanism of action for topical treatments like salicylic acid in treating warts?
A patient presents with superficial vesicles on the oropharynx associated with a burning sensation. Which of the following conditions is most likely?
A patient presents with superficial vesicles on the oropharynx associated with a burning sensation. Which of the following conditions is most likely?
Acyclovir cream should be applied to herpes simplex lesions twice a day for 2-3 days for effective treatment.
Acyclovir cream should be applied to herpes simplex lesions twice a day for 2-3 days for effective treatment.
What is the recommended first-line therapy for acute herpes zoster within the first 72 hours?
What is the recommended first-line therapy for acute herpes zoster within the first 72 hours?
Molluscum contagiosum is characterized by shiny, pearly white, dome-shaped ______ with a smooth surface and a characteristic central depression.
Molluscum contagiosum is characterized by shiny, pearly white, dome-shaped ______ with a smooth surface and a characteristic central depression.
Match the following types of warts with their descriptions:
Match the following types of warts with their descriptions:
Flashcards
Herpes Labialis
Herpes Labialis
A superficial infection caused by herpes simplex virus on the oropharynx. Characterized by vesicles, burning sensation, and painful denuded areas.
Herpes Facialis
Herpes Facialis
A Herpes simplex virus infection around the orifices such as the nose, eyes, ears as well as on the cheeks.
Herpes Genitalis
Herpes Genitalis
A painful superficial vesicles on an erythematous base followed by erosion or genital ulceration caused by Herpes simplex virus.
Acyclovir Cream
Acyclovir Cream
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Oral Acyclovir
Oral Acyclovir
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Famciclovir/Valaciclovir
Famciclovir/Valaciclovir
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Caesarean Section
Caesarean Section
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Vidarabine/Foscarnet
Vidarabine/Foscarnet
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Cidofovir/Triflurothymidine
Cidofovir/Triflurothymidine
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Herpes Zoster
Herpes Zoster
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Valacyclovir
Valacyclovir
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Famciclovir
Famciclovir
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Aciclovir
Aciclovir
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Gabapentin/Pregabalin
Gabapentin/Pregabalin
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Amitriptyline/Nortriptyline
Amitriptyline/Nortriptyline
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Oxycodone
Oxycodone
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Varicella-Zoster Vaccine
Varicella-Zoster Vaccine
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Common Warts
Common Warts
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Plane Warts
Plane Warts
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Filiform Warts
Filiform Warts
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Plantar Warts
Plantar Warts
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Genital Warts
Genital Warts
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Salicylic Acid
Salicylic Acid
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Molluscum Contagiosum
Molluscum Contagiosum
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Study Notes
- Skin viral infections are caused by viruses.
Herpes Simplex Virus
- Includes Herpes labialis, Herpes Facialis, and Herpes genitalis
- Hsp-1 and Hsp-2 are associated with this virus
Herpes Labialis
- Results in superficial vesicles on the oropharynx
- Associated with burning or tingling sensations
- Vesicles rupture quickly, leaving painful denuded areas
Herpes Facialis
- Develops around orifices such as the nose, eyes, and ears
- Can also appear on the cheeks
Herpes Genitalis
- Characterized by painful, grouped superficial vesicles on an erythematous base
- Leads to erosion or genital ulceration
Treatment of Herpes Simplex
- Lesions are typically self-limited.
- Mild, uncomplicated cases are treated symptomatically with analgesics for pain.
- Calamine lotion is used for pruritus
- Topical antibiotics are used if there is a secondary infection.
- Antiviral therapy reduces healing time.
- Acyclovir cream should be applied to lesions five times a day for 5–7 days, starting within 48 hours of rash onset.
- Systemic treatment is needed for severe, complicated, and immunosuppressed patients.
- Oral acyclovir 200 mg is administered five times daily for 5–7 days.
- Famciclovir 500 mg or valaciclovir 500 mg is taken twice daily for 5–7 days.
- Mothers with herpes simplex 2 should deliver via Caesarean section to prevent neonatal herpes.
- Vidarabine + foscarnet is used for patients with AIDS.
- Cidofovir + triflurithymidine is used for acyclovir-resistant herpes simplex.
- Condoms and a vaccine (Glycoprotein-D) can be used for herpes genitalis prevention.
Herpes Varicella Zoster
- Leads to Herpes zoster
- Unilateral groups of vesicles form on an erythematous and edematous base
- Occurs along the distribution of one or more sensory nerves
- Local lymph nodes may be enlarged
- First-line therapy is an early treatment done within 72 hours.
Medications for Herpes Zoster
- Valacyclovir 1000 mg three times daily for 7 days
- Famciclovir 500 mg three times daily for 7 days
- Aciclovir 800 mg five times daily for 7 days
- Second-line treatments reduce postherpetic neuralgia.
- Anticonvulsants like Gabapentin and Pregabalin are prescribed.
- Tricyclic antidepressants like Amitriptyline and nortriptyline may be used.
- Opioids (oxycodone) and lidocaine patches can treat symptoms
- A varicella-zoster vaccine protects adults over 50 against herpes zoster.
Human Papilloma Virus
- Causes warts (verruca)
Common Warts
- Asymptomatic, skin-colored & verrucous papules
Plane Warts (Verruca Plana)
- Asymptomatic, skin-colored and flat-topped papules
- More common in children
- Display the Koebner phenomenon
Filiform Warts (Verruca Filiformis)
- Long, thin, pedunculated skin growths
Plantar Warts (Verruca Plantaris)
- Involve the sole of the foot
- They’re tender, thick, and grow inwards
Genital Warts (Condylomata Acuminata)
- Involve the skin and mucous membranes of the genitals in both sexes
- They are soft, pinkish, moist, and foul-smelling outgrowths that bleed easily, resembling cauliflower
Treatment of Warts
- First-line therapies include salicylic acid preparations, glutaraldehyde, and silver nitrate.
- Second-line therapy includes liquid nitrogen cryotherapy.
- Third-line treatments are electrocautery and laser treatment.
Pox Virus
- Leads to Molluscum Contagiosum
- Shiny, pearly white, dome-shaped papules.
- Papules have a smooth surface and a characteristic central depression.
- A white, cheesy material can be expressed from the central punctum by squeezing the lesion.
Molluscum Contagiosum Treatment
- First-line treatments include waiting for spontaneous resolution or manual extrusion with gloved fingers or fine forceps.
- Second-line treatments include 5% acidified nitrate + 5% salicylic acid, salicylic acid gel 12%, 10% povidone-iodine + 50% salicylic acid, 40% silver nitrate paste, and cryotherapy.
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