Viral Infections

Front 1

What are the ssx of herpes simplex?

Back 1

1. Herpetic lesions on hand

Front 2

What are the ssx of primary herpetic gingivostomatitis?

Back 2

1. Abrupt onset of gingivitis

2. Painful vesicles around oral mucosa, tongue, lips, premolar skin

3. Difficulty eating, LAD

Front 3

What is the MCC of primary herpetic gingivostomatitis?

Back 3

1. HSV-1

Front 4

What are the ssx of recurrent HSV?

Back 4

1. Fever blister/cold sore

2. Grouped vesicles on erythematous base

3. MC on lips

Front 5

What are the ssx of HSV-2 infection?

Back 5

1. Genital herpes

2. Pustules, ulceration

3. Painful

Front 6

What are the ssx of herpes gladiatorum? MCC?

Back 6

1. Common in wrestlers

2. Typical herpetic rash

3. MCC: HSV-1

Front 7

What are the ssx of herpetic whitlow? MCC?

Back 7

1. Infection of hand with vesicular lesions--- distal phalanx

2. MCC: HSV-2

Front 8

What are the ssx of eczema herpeticum?

Back 8

1. Monomorphic umbilicated vesiculopsutules or punched out ulcerations

2. Hemorrhagic crust

3. 2o S. aureus infection

Front 9

Back 9

1. HSV keratoconjunctivitis

Front 10

What are the ssx of neonatal herpes?

Back 10

1. Localized infection of skin, eyes, and/or mouth

2. CNS disease

3. Disseminated encephalitis, hepatitis, pneumonia, and coagulopathy

Front 11

How do you tx HSV?

Back 11

1. Acyclovir

Front 12

What are the ssx of varicella?

Back 12

1. Pruritic, erythematous macules and papule on face/scalp

2. Dew drops on a rose petal--evolves into vesicles surrounded by a halo

3. Central crust

Front 13

What are the ssx of varicella zoster?

Back 13

1. Painful erytematous macules/papules in single dermatome

2. Rarely crosses midline

3. Lesions infectious until dry

Front 14

What are the ssx of Ramsay Hunt syndrome?

Back 14

1. Infection of geniculate ganglion---

2. Painful vesicles of ear canal, facial paralysis, ipsilateral hearing loss

Front 15

What are the ssx of post-herpetic neuralgia?

Back 15

1. Pain lasting more than 3 months following resolution of rash

2. Burning, stabbing, or gnawing pain

Front 16

What are the ssx of infectious mono?

Back 16

1. Pharyngitis

2. Fever

3. Cervical LAD

4. Myalgias

5. HA

Front 17

What are the complications associated with infectious mono?

Back 17

1. Splenic rupture

2. Airway obstruction

3. Hepatitis

Front 18

What are the MCC of gianotti crosti?

Back 18

1. EBV

2. HBV

Front 19

What are the ssx of gianotti crosti?

Back 19

1. Abrupt onset of skin colored to pink-red papule on cheeks, buttocks, and extremities

2. Non-pruritic

3. Low-grade fever

Front 20

What are the ssx of hair oral leukoplakia?

Back 20

1. White shaggy patch

2. Can't scrape off

3. Lateral tongue

Front 21

What are the ssx of CMV infection?

Back 21

1. Sore throat sans exudate

2. Malaise

3. Mylagias

4. LAD

Front 22

Back 22

Blueberry muffin rash--- CMV, rubella

Front 23

What are the ssx of exanthem subitum?

Back 23

1. High fever

2. Followed by rash

3. Discrete circular, red rose macules surrounded by white halo

4. Febrile seizures

Front 24

What is the MCC of exanthem subitum?

Back 24

1. HHV6

Front 25

What is the MCC of pityriasis rosea?

Back 25

1. HHV7

Front 26

What are the ssx of pityriasis rosea?

Back 26

1. Herald patch

2. Christmas tree pattern

Front 27

What is the MCC of kaposi sarcoma?

Back 27

1. HHV8

Front 28

What are the ssx of kaposi sarcoma?

Back 28

1. Symmetrical widespread lesion

2. Mucocutaneous surfaces may be involved

3. B-cell lymphoma

Front 29

What are the high-risk HPV types?

Back 29

1. 16, 18, 31, 33

Front 30

How do you tx HPV?

Back 30

1. Cryotx

2. Injection of candida antigen

3. Bleomycin

Front 31

What is the MCC of common warts?

Back 31

1. HPV 2, 4

Front 32

What is the MCC of plantar warts?

Back 32

1. HPV 1

Front 33

How do you tell the difference between callouses and warts?

Back 33

1. Warts have black or bleeding points (blood supply)

Front 34

What is the MCC of flat warts?

Back 34

1. HPV 3, 10

Front 35

What are the ssx of flat warts?

Back 35

1. Flat topped pink-brown papules

2. Grouped on elbows, hands, wrists, and knees

Front 36

What is the MCC of condyloma acuminata? Ssx?

Back 36

1. MCC: HPV 6 and 11

2. Cauliflower like masses in anogenital area

Front 37

What are the ssx of erythema infectiosum?

Back 37

1. Bright red macular erythema over cheeks

2. Lacy eruption on extremities

Front 38

How do you tx erythema infectiosum?

Back 38

1. Self-limited

Front 39

What are the ssx of papular purpuric gloves and socks syndrome?

Back 39

1. Erythema, edema, petechia, and purpura on palms/soles with buying pain and pruritus

Front 40

What are the ssx of molluscum contagiosum?

Back 40

1. Umbilicate pink, firm waxy papules

Front 41

What is the histology of molluscum contagiosum?

Back 41

1. Henderson-Patterson molluscum bodies--- inclusion

Front 42

How do you tx molloscum contagiosum?

Back 42

1. Cryotx

2. LN2

3. Curettage

Front 43

What are the ssx of smallpox?

Back 43

1. Macules/papules on face--- spread to trunk and extremities

2. All lesions in same stage of development

Front 44

What are the ssx of orf?

Back 44

1. Papules

2. Target lesion

3. Acute red, weepy

4. Regenerative

5. Papilloma

6. Regression

Front 45

What are the ssx of cowpox?

Back 45

1. Vesicular lesions

2. Deep-seated black eschar with erythema

Front 46

What is the MCC/ssx of cowpox?

Back 46

1. Parapox virus

2. Solitary red-purple nodule on finger

Front 47

Back 47

1. HFMD

2. Coxsackie A

Front 48

Back 48

1. Herpangina

2. Coxsackie A

Front 49

Back 49

1. Measles

2. Rubeola virus

3. Cough, coryza, conjunctivitis, koplik spots

4. Tx with vitamin A

Front 50

Back 50

1. Rubella

2. Rubella virus--- togavirus

3. Forcheimer spots--- red petechia on palate