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20 Cards in this Set

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Antiviral drugs are used in the treatment of viral infections. There are two main serotypes of Herpes simplex virsus:
- Herpes virus type 1 (HSV-1) - primarily causes oropharyngeal disease including eyes, vermillion border of lips, mouth & face
- Herpes virus type 2 (HSV-2) - primarily causes genital disease which is considered STD
after primary exposure, herpes simplex virus may persist in a latent state in the _________ until it is disturbed and then reactivated in adulthood
trigeminal ganglion
Primary herpes simplex virus is also known as
primary herpetic gingivostomatitus
In HSV-1, painful intraoral vesicles on the oral mucosa rapidly rupture to form small ulcers with __________. Lesions appear _______ hours after the first symptom and are self limiting and will resolve within _____ days. There is also generalized severe gingivitis present and ___________.
- erythematous (red) halos
- 12-36
- 10-14
- cervical lymphadenopathy
Early treatment of HSV-1 with ____________ or __________ may significantly shorten the duration of all clinical manifestations and inefectivity of affected children
- acyclovir (Zovirax)
- famciclovir (Famvir)
Recurrent HSV-1 occurs in individuals who previously had primary herpes and infection occurs around the mouth and is referred to as _________, a "cold sore" or "fever blister"
Herpes labialis
Systemic drugs used for herpes infections
- Acyclovir
- famciclovir
- valacyclovir
Topical drugs used for management of herpes labialis
- acyclovir
- penciclovir
- Docosanal (Abreva) OTC drug
Fungal infections are caused by
molds or yeast
The majority of heatlhy individuals have ________ species in the oropharyngeal area
Candida
There are ____ species of Candida that are reguarded as clinically important pathogens in human disease
8
_______ is partof the normal flora in the gastrointestinal and vaginal tracts
Candida
Fungal Infections (mycosis) are classified into three groups
- Systemic mycosis (soft tissue, meningitis, UTIs)
- superficial mycosis (nails, skin, mucous membranes)
- Subcutaneous mycosis (infections from contaminated soil)
Acute psuedomembranous candidiasis is also known as
Thrush
Thrush (acute psuedomembranous candidiasis) is caused by an overgrowth of
Candidia albicans
_________ is used in the treatment of thrush in infants and ______ in adults
- Nystatin oral suspension
- fluconazole (diflucan) or ketoconazole (Nizoral)
__________ is a condition seen in patients with maxillary dentures, and when the denture is removed the palatal tissue appears as either small, localized asymptomatic red spots and the entire tissue is red
Chronic Atrophic Candidiasis (Denture sore mouth)
_________is as treatment for Candida suppression in HIV disease
Prophylactic fluconazole
Severe and extensive oropharyngeal candidiasis is treated with ____________ 100-200 mg orally twice a day
Fluconazole (diflucan)
Topical treatment for Chronic Atrophic Candidiasis (denture sore mouth) includes
- Nystatin (mycostatin)
- Miconazole cream 2%
- Ketoconazole cream 2%