Question 1

A patient reports painful oral lesions 3 days after feeling pain and tingling in the mouth. The provider notes vesicles and ulcerative lesions on the buccal mucosa. What is the most likely cause of these symptoms?

A) Bacterial infection
B) Candida albicans
C) Herpes simplex virus (HSV)
D) Human papilloma virus (HPV)

C

Accepted Answer

The symptoms described are consistent with oral herpes caused by herpes simplex virus. Bacterial infections can cause oral lesions, but they typically present as pustules or abscesses rather than vesicles and ulcers. Candida albicans can also cause oral lesions, but they typically present as white plaques. HPV may cause oral lesions, but they typically appear as papillomas or warts.

Question 2

A patient diagnosed with gingival inflammation presents with several areas of ulceration and a small amount of purulent discharge. What is required to diagnose this condition?&#10;A) Culture and sensitivity&#10;B) Microscopic exam of oral scrapings&#10;C) Physical examination&#10;D) Tzanck smear

Accepted Answer

Physical examination is required to diagnose gingival inflammation.

Question 3

A patient reports painful oral lesions and the provider notes several white, verrucous lesions in clusters throughout the mouth. What is the recommended treatment for this patient?&#10;A) Nystatin oral suspension&#10;B) Oral acyclovir&#10;C) Oral hygiene measures&#10;D) Surgical excision

Accepted Answer

D

Deck 80: Oral Infections