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MCQs on Viral Infections - Oral Pathology


# The feature that distinguishes Herpes Zoster from other Vesiculobullous eruptions is :
A. Unilateral occurence
B. Severe burning pain
C. Prominent crusting vesicles
D. Subepidermal bullous formation

# A 3 year old child has a fever of 102 degrees F ; and following upper respiratory tract infection discrete vesicles and ulcers on the soft palate and pharynx are noted. The most probable diagnosis is :
A. Herpangina
B. Scarlet fever
C.Rubella
D. Herpetic gingivostomatitis


# Intra nuclear inclusions detected during the course of Herpes simplex virus infection are called:
A. Bacteriophages
B. Lipschutz bodies
C. Negri bodies
D. Donovan bodies

# Coxsackie virus causes:
A. Infectious mononucleosis
B. Lymphoma
C. Herpangina
D. Herpes

# Koplik spots :
A. first manifestation of measles
B. rarely seen in measles
C. are seen 2-3 days after cutaneous rashes
D. is first manifestation but seldom seen

# Recurrent ulcers occuring on gingiva and palate are most probably:
A. Aphthous ulcers
B. Herpes simplex
C. Koplik spots
D. Lesions of Behcet's syndrome

# Which of the following is associated with HIV infection ?
A. Hairy Leukoplakia
B. Erythroplakia
C. Oral Lichen Planus
D. Bullous Pemphigoid

# Primary herpetic lesions involving the gingiva are most likely to occur during ages:
A. 1-5 years
B. 6-12 years
C. 13-16 years
D. They are likely to occur at any ages

# Inflammation of the dorsal root ganglion and vesicular eruption of the skin and mucous membrane in area supplied by a sensory nerve that is affected is characteristic of :
A. Herpes Zoster
B. Herpes Simplex
C. Uveoparotid fever
D. Aphthous stomatitis

# Mumps is caused by :
A. Orthomyxo virus
B. Paramyxo virus
C. Rheno virus
D. EB virus

# The reason why most patients suffering from recurrent Herpes labialis rarely give a history of having acute form of the Herpetic gingivostomatitis is because:
A. Etiological agents differ
B. The acute form occurs only in severely immunocompromised individuals
C. The primary infection was subclinical
D. The patient has received antibodies during intrauterine life and the antibodies have persisted

# In Herpes, primary lesion is:
A. Ulcer
B. Papule
C. vesicle
D. Bullae

# Which of the following medications shortens the recovery period of primary herpetic gingivostomatitis?
A. Acyclovir
B. Zidovudine
C. Kenalog in Orabase
D. All of the above

# The cranial nerve involved in Ramsay Hunt Syndrome is :
A. Trigeminal
B. Facial
C. Glossopharyngeal
D. Occulomotor


# All about Herpangina are false EXCEPT:
A. May lead to high grade fever
B. May cause dysphagia
C. May lead to vesicles formation in anterior part of mouth around 20-30 in number
D. Anterior portion of mouthhave only minor vesicles

# Herpetiformis vesicles, which rupture and leave areas of superficial intraoral ulcers are caused by:
A. Varicella Zoster Virus
B. Herpes Zoster Virus
C. Coxsackie Virus
D. None of the above

# Prodromal symptoms precede 1 to 2 days before the onset of disease in:
A. Viral fever
B. Erythema Multiforme
C. Pemphigus
D. Pemphigoid

# The commonest opportunistic infection in AIDS cases in India is:
A. Pneumocystis carinii
B. Cryptococcal meningitis
C. Toxoplasmosis
D. Tuberculosis

# Cytological smear showing multinucleated giant cells, syncytium and ballooning degeneration of the nucleus is a characteristic of:
A. Herpes simplex virus infection
B. Erythema multiforme
C. Recurrent aphthous stomatitis
D. Coxsackie virus infection

# Reactivation of Varicella virus in a posterior root ganglion results in:
A. Chicken Pox
B. Herpes Zoster
C. Herpes Simplex
D. Poliomyelitis

# Site specificity is seen in:
A. Syphilis
B. Recurrent Herpes Labialis
C. Carcinoma
D. Traumatic aphthous ulcer

# Steroids are indicated in all of the following conditions except:
A. oedema following extractions
B. oral ulcers in AIDS patients
C. TMJ arthritis
D. Angioneurotic oedema

# Recurrent Herpes occurs due to:
A. Virus in oral mucosa
B. Latent virus in skin supplying the area
C. Latent virus in nerve ganglia
D. None of the above

# Acute Herpetic gingivostomatitis:
A. occur in children and young adults
B. occur only in young children
C. occur only in adults
D. All of the above

# Drug used in case of Herpetic lesions:
A. Acyclovir
B. Penicillin
C. Tetracycline
D. Ciprofloxacin

# A 40 year old lady presents with unilateral dermatonic distribution of vesicular eruptions associated with severe pain. The most likely diagnosis is:
A. Herpes Zoster
B. Chicken Pox
C. Small Pox
D. Hand, Mouth and Foot Disease

# Coxsackie virus is implicated in:
A. Herpes Zoster
B. Measles
C. Small Pox
D. Hand, Mouth and Foot disease

# Which is best for diagnosis of primary Herpes simplex infection ?
A. Smear with Giemsa Stain
B. Smear stained with Wrist's sign
C. Fluorescent staining of cytology smear
D. Routine cytology

# Herpangina is caused by:
A. Herpes simplex virus
B. Coxsackie virus
C. Measles virus
D. Varicella Zoster virus

# Rubeola refers to:
A. German Measles
B. Measles
C. Small pox
D. Chicken Pox

# Which of the following is not true about primary HSV infection?
A. Primarily affects the anterior portion of the mouth
B. Cause acute gingivitis
C. Occurs as epidemic
D. Shows prodromal symptoms

# The lesion which is erythematous, recurrent and distributed along with the sensory nerve trunk is:
A. Herpes Zoster
B. Erythema Multiforme
C. Herpetic gingivostomatitis
D. Recurrent aphthous

# Herpes Simplex is seen in:
A. < 10 years of age
B. 12-15 years of age
C. 25-30 years of age
D. 55-60 years of age

# The virus which causes Herpes Zoster is same as that which causes:
A. Herpes Simplex
B. Herpangina
C. Chicken Pox
D. Measles

# Which virus given below is not a teratogenic virus?
A. Rubella
B. Cytomegalovirus
C. Herpes Simplex
D. Measles

# The most common reported oral malignancy in HIV infection is:
A. Squamous cell carcinoma
B. Verrucous carcinoma
C. Multiple myeloma
D. Kaposi Sarcoma

# In HIV which cells are affected ?
A. CD4
B. CD8
C. Monocytes
D. Lymphocytes

# A 60 year old male presents with a 2 day history of a severe left earache with a burning sensation in the ear and loss of taste. There is left sided weakness of both upper and lower facial muscles. Facial sensation is normal. A few vesicles are seen in the pharynx. What is the most likely diagnosis?
A. Bell's Palsy
B. Acoustic neuroma
C. Diphtheria
D. Ramsay Hunt Syndrome

# Which of the following is not associated with gingival lesions ?
A. Herpes
B. Recurrent aphthae
C. Pemphigus
D. Pyogenic granuloma

# Papulovesicular oral lesions are seen in:
A. Measles
B. Herpangina
C. Rubella
D. Hand, foot and mouth disease

# Which of the following does not cause oral cancer in children ?
A. Herpes Simplex
B. Epstein Barr
C. Cytomegalovirus
D. Varicella Zoster

# Which of the following is false regarding measles ?
A. Koplik's spots
B. Maculopapular skin rash
C. Fever and malaise
D. Nikolsky's sign

# Which of the following would be seen in late HIV cases?
A. Kaposi's sarcoma
B. Oral hairy leukoplakia
C. Gingivitis/Periodontitis
D. All of the above

# True about HPV 16, 11, 16, and 18 is:
A. Associated with verruca vulgaris
B. A vaccine targeted against HPV types 6, 11, 16, and 18 has been introduced recently for the prevention of cervical cancer and genital wart
C. Associated with squamous papilloma
D. Associated with condylomata

# Forcheimer sign is seen in:
A. Infectious mononucleosis
B. Scarlet Fever
C. Rubella
D. Rubeola


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