Podcast
Questions and Answers
Which virus is primarily responsible for Hand, Foot, and Mouth Disease?
Which virus is primarily responsible for Hand, Foot, and Mouth Disease?
- Measles virus
- Coxsackie virus A16 (correct)
- Rubella virus
- Paramyxovirus
What is a distinct oral manifestation of Rubeola (Measles)?
What is a distinct oral manifestation of Rubeola (Measles)?
- Fever blisters
- Red macules
- Oral lesions with vesicles
- Koplik spots (correct)
What is the fatality rate of Measles in patients with malignancy?
What is the fatality rate of Measles in patients with malignancy?
- 20%
- 75%
- 30%
- 50% (correct)
Which of the following symptoms is commonly associated with Hand, Foot, and Mouth Disease?
Which of the following symptoms is commonly associated with Hand, Foot, and Mouth Disease?
What is the greatest health risk associated with Congenital Rubella Syndrome?
What is the greatest health risk associated with Congenital Rubella Syndrome?
What primarily characterizes the rash in Rubeola (Measles)?
What primarily characterizes the rash in Rubeola (Measles)?
Which condition is most likely to have oral lesions that progress from red macules to vesicles?
Which condition is most likely to have oral lesions that progress from red macules to vesicles?
What type of virus is Rubella classified as?
What type of virus is Rubella classified as?
What type of virus is the Herpes Simplex Virus classified as?
What type of virus is the Herpes Simplex Virus classified as?
Which of the following is a characteristic of HSV-1?
Which of the following is a characteristic of HSV-1?
What infection is primarily associated with recurrent HSV episodes and erythema multiforme?
What infection is primarily associated with recurrent HSV episodes and erythema multiforme?
What is the typical treatment dose of Acyclovir for children?
What is the typical treatment dose of Acyclovir for children?
Herpes gladiatorum is commonly associated with which group of athletes?
Herpes gladiatorum is commonly associated with which group of athletes?
Which symptom is MOST directly associated with Herpetic whitlow?
Which symptom is MOST directly associated with Herpetic whitlow?
What is a common way through which Herpes viruses are shed?
What is a common way through which Herpes viruses are shed?
What unique quality do humans have concerning the Herpes viruses?
What unique quality do humans have concerning the Herpes viruses?
What is the typical clinical presentation of a chronic reaction to cinnamon flavoring in the oral cavity?
What is the typical clinical presentation of a chronic reaction to cinnamon flavoring in the oral cavity?
Which histopathological feature is characteristic of lesions resulting from cinnamon flavoring?
Which histopathological feature is characteristic of lesions resulting from cinnamon flavoring?
Which of the following statements accurately describes the treatment outcome for symptoms related to cinnamon flavoring discontinuation?
Which of the following statements accurately describes the treatment outcome for symptoms related to cinnamon flavoring discontinuation?
What type of oral lesions are primarily found with hypersensitivity reactions to dental amalgam?
What type of oral lesions are primarily found with hypersensitivity reactions to dental amalgam?
What is the most common location for lesions caused by cinnamon flavoring in the mouth?
What is the most common location for lesions caused by cinnamon flavoring in the mouth?
What immediate action is recommended to resolve lesions caused by dental amalgams?
What immediate action is recommended to resolve lesions caused by dental amalgams?
What is the characteristic of purpura compared to petechiae?
What is the characteristic of purpura compared to petechiae?
What is the main cause of contact stomatitis associated with flavoring agents like cinnamon?
What is the main cause of contact stomatitis associated with flavoring agents like cinnamon?
Which of the following conditions can cause ecchymosis?
Which of the following conditions can cause ecchymosis?
Which population is most likely to experience oral lesions from dental amalgams?
Which population is most likely to experience oral lesions from dental amalgams?
What distinguishes an amalgam tattoo from a melanoma?
What distinguishes an amalgam tattoo from a melanoma?
What is a common oral manifestation associated with lead intoxication?
What is a common oral manifestation associated with lead intoxication?
What is a potential cause of hematoma formation in the oral cavity?
What is a potential cause of hematoma formation in the oral cavity?
What might indicate a condition called smoker's melanosis?
What might indicate a condition called smoker's melanosis?
What type of hemorrhage is characterized by accumulation of blood within tissue with mass formation?
What type of hemorrhage is characterized by accumulation of blood within tissue with mass formation?
Which of the following describes the possible adverse effects of dental amalgam?
Which of the following describes the possible adverse effects of dental amalgam?
What is the typical resolution time for lip swelling caused by allergic angioedema?
What is the typical resolution time for lip swelling caused by allergic angioedema?
Which of the following statements about oral squamous papilloma is true?
Which of the following statements about oral squamous papilloma is true?
What is the main feature of condyloma acuminatum?
What is the main feature of condyloma acuminatum?
Which HPV subtypes accounts for 50% of oral papillomas?
Which HPV subtypes accounts for 50% of oral papillomas?
What clinical signs may indicate airway compromise due to swelling?
What clinical signs may indicate airway compromise due to swelling?
Which of the following best describes the appearance of oral squamous papilloma?
Which of the following best describes the appearance of oral squamous papilloma?
In which patient population is condyloma acuminatum most commonly found?
In which patient population is condyloma acuminatum most commonly found?
What is the primary treatment approach for oral squamous papilloma?
What is the primary treatment approach for oral squamous papilloma?
What is a common misconception regarding HPV infection and oral squamous papilloma?
What is a common misconception regarding HPV infection and oral squamous papilloma?
Which statement regarding the similarities between oral squamous papillomas and condyloma acuminatum is correct?
Which statement regarding the similarities between oral squamous papillomas and condyloma acuminatum is correct?
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Study Notes
Viral Infections
- Herpes viruses include eight types, all causing primary infections that remain latent, leading to recurrent infections.
- Herpes Simplex Virus (HSV) consists of HHV 1 (affects above waist) and HHV 2 (affects below waist), with transmission via saliva or lesions.
- Erythema multiforme can precede HSV recurrence; frequent cases may require antiviral prophylaxis.
- Herpes gladiatorum affects wrestlers and rugby players through skin abrasions, while herpetic whitlow occurs through self-inoculation.
- HSV is a leading cause of infectious blindness in the U.S., with special caution for eye autoinoculation.
- Hand, foot, and mouth disease, caused by coxsackie virus A16, presents with oral lesions, sore throat, and mild fever, often seen in children at daycares.
- Measles (rubeola) has a 10-12 day incubation, initiating with fever and followed by a distinctive rash and Koplik spots in the mouth.
- Rubella presents as mild illness, but congenital rubella syndrome poses serious risks, particularly to the fetus during pregnancy.
- Systemic effects of lead intoxication include ulcerative stomatitis and a characteristic bluish gingival line, indicating lead poisoning.
- Smoker's melanosis correlates with heavy smoking, causing darkened patches primarily on the anterior labial mucosa.
- Contact stomatitis from cinnamon shows acute red, ulcerated lesions, with chronic forms presenting as white plaques; symptoms improve upon discontinuation.
Epithelial Pathology
- Oral squamous papilloma is a benign growth linked to HPV, presenting as soft, painless, pedunculated lesions with a "cauliflower" appearance.
- Over 150 HPV subtypes exist, but HPV 2, 6, and 11 account for half of oral papillomas, primarily affecting the tongue and soft palate.
- Condyloma acuminatum, also known as venereal warts, can appear in the mouth and is characterized by large, clustered, fleshy lesions.
- HPV types 6, 11, 16, and 18 can cause cancer, and these warts usually develop at sites of sexual contact, being larger and more infective than papillomas.
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