Test your knowledge quiz:
1. What clinical feature most strongly distinguishes primary Herpes Gladiatorum from recurrent outbreaks?
A. Primary outbreaks have grouped vesicles that last 3-5 days
B. Primary outbreaks often include systemic symptoms and more diffuse lesions
C. Recurrent outbreaks involve widespread vesicles
D. Recurrent outbreaks last 10-14 days
2. According to NCAA return-to-play guidelines, which criteria must be met before an athlete with primary 
HSV can return?
A. 48 hours of antivirals and lesions scabbed
B. No new lesions for 24 hours and afebrile
C. All vesicles crusted, no systemic symptoms, no new lesions for 72 hours, and 120 hours of oral antivirals
D. All lesions scabbed and two physician approvals
3. What management strategy reduces Herpes Gladiatorum outbreaks by 85-90% during high risk periods 
(wrestling camps)?
A. Daily bleach showers
B. Valacyclovir 1 g daily prophylaxis
C. Avoiding outdoor practices
D. Double-layer headgear
4. For primary Herpes Gladiatorum, how long should athletes with skin-to-skin exposure be withheld from 
competition?
A. 48 hours
B. 5 days
C. 10 days minimum
D. Until systemic symptoms resolve
5. What is the typical incubation period for Herpes Gladiatorum?
A. 1-2 days
B. 3-5 days
C. Around 8 days (up to 2 weeks)
D. 1 month
6. What is the hallmark skin finding in Herpes Gladiatorum?
A. Dry plaques with scaling
B. Central pustules with surrounding erythema
C. Grouped vesicles on an erythematous base
D. Large bullae with fluid levels
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