Pretend you are a teacher preparing a quiz for the text I will provide. 
            Each quiz question should follow the format below. 
            Ensure that you carefully recheck the questions and answers for accuracy. 
            The output should be a ready-to-use list of dictionaries for the Python eval function:

            [

                    "question": "WRITE THE QUESTION HERE",
                    "options": ["A) OPTION_1", "B) OPTION_2", "C) OPTION_3", "D) OPTION_4"],
                    "answer": INDEX_OF_CORRECT_ANSWER_IN_OPTIONS_LIST,
                    "explanation": "EXPLAIN WHY THE ANSWER IS CORRECT"

            ]

            Text:
            oster virus (VZV) infection:
Secondary VZV infection is 3 times more common in
patients and head and neck manifestations can cause
significant morbidity. May affectHIV-infected any of
the three divisions of the trigeminal nerve .
11
AIDS and HIV infection
Oral hairy leukoplakia (OHL:
Corrugated white lesion(s) most often found on the lateral
border of the tongue, bilaterally. OHL on rare occasions has
been found on the buccal mucosa, soft palate, and pharynx.
It is associated with EBV infection .
In an untreated patient with HIV symptomatic infection,
the finding of OHL is predictive for disease progression.
Despite the name, this condition has no malignant
potential .
12
AIDS and HIV infection
Human papillomavirus (HPV :
Lesions may be solitary or multifocal ,may involve
keratinized
or
nonkeratinized
mucosal
sites.
(Treatment of choice for solitary lesions is surgical
removal.
Treatment
of
multifocal
lesions
may
include laser ablatio and electrosurgery (care must
be taken because the plume may contain infectious
HPV.
13
AIDS and HIV infection
Aphthous
stomatitis
(major,
minor,
herpetiform:
Severity
is
correlated
with
degree
of
immunosuppression. Biopsy (or other testing) may
be indicated to rule out infectious etiology or
malignant neoplasm for lesions that do not
respond to conventional treatment. May involve
keratinized or nonkeratinized mucosal sites .
14
AIDS and HIV infection
HIV-associated salivary gland disease:
Can occur any time during HIV infection and includes
xerostomia/salivary gland hypofunction (SGH) and/or
salivary gland enlargement. SGH is multifactorial. The
parotid glands are most commonly involved, and
typically there is bilateral nontender enlargement due
to cystic lymphoid hyperplasia .
15
AIDS and HIV infection
Hyperpigmentation:
it is multifactorial (i.e., intrinsic to HIV-pathogenesis,
medication related, post inflammatory, or related to
adrenal gland dysfunction). May involve keratinized or
nonkeratinized mucosal sites. No treatment needed
but sometimes biopsy taken to exclude melanoma .
16
AIDS and HIV infection
Kaposi sarcoma (KS:
w50% of patients with KS have oral lesions, and the oral
cavity is the initial site of involvement in 20%e25% of cases.
The most common sites are the hard palate gingiva, and
tongue. KS that occurs in an HIV infected patient is
diagnostic of AIDS .
17
AIDS and HIV infection
Lymphoma:
Approximately 5% of HIV-infected patients develop
lymphomas
(all
sites).
Most
head
and
neck
lymphomas
in
HIV
patients
are
high
grade
nonHodgkin (NHL) lymphomas and are typically
related to EBV. Extra-nodal locations are common,
particularly the maxilla. NHL that occurs in an
HIVinfected patient is diagnostic of AIDS .
18
dental management
General guidelines :
Review medical history, determine whether HIV
infection exists, and discuss relevant issues with the
patient .
Identify all medications and drugs being taken or
supposed to be taken by the patient .
Examine the patient for signs and symptoms of
disease and 

            Quiz: