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OBG · Sexual health: genital herpes
Sample itemA patient has recurrent painful grouped genital vesicles that ulcerate, with tender inguinal nodes. What is the most likely infection?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Genital herpes simplex infection
Genital herpes commonly causes recurrent painful vesicles and ulcers. Diagnosis can be confirmed with lesion testing, and counseling includes transmission risk and antiviral treatment options.
Option by option
A. Primary syphilis
Primary syphilis classically causes a painless chancre.
B. Lymphogranuloma venereum only
LGV has a different ulcer and lymphadenopathy pattern.
C. Vulvovaginal candidiasis
Candidiasis causes itch and discharge rather than vesicular ulcers.
D. Genital herpes simplex infection (correct)
Correct. Painful grouped vesicles are typical herpes lesions.
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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