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Dentistry · Oral medicine and oral cancer: HIV-related lesions
Sample itemA 32-year-old man with HIV infection has a flat, painless, purple-red macule on the hard palate that has become nodular. Biopsy shows spindle cells and slit-like vascular spaces. Which virus is causally linked?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Human herpesvirus 8
Kaposi sarcoma is caused by human herpesvirus 8 and commonly presents on the palate in AIDS. The lesion is a vascular spindle cell tumour.
Option by option
A. Human papillomavirus 16
HPV 16 is linked to oropharyngeal squamous carcinoma and warts.
B. Herpes simplex virus 1
HSV-1 causes vesicles and ulcers, not a spindle cell tumour.
C. Epstein-Barr virus
EBV is linked to oral hairy leukoplakia, not a vascular tumour.
D. Human herpesvirus 8 (correct)
Correct. HHV-8 drives Kaposi sarcoma.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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