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Dermatology · STI: NACO syndromic care, herpetic ulcer
Sample itemA woman has grouped painful vesicles and shallow ulcers on the vulva. Which drug regimen is used in the NACO kit for herpetic genital ulcers?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Acyclovir 400 mg three times daily for 7 days
The red kit provides acyclovir 400 mg three times daily for 7 days for a first episode of genital herpes. Shorter courses are used for recurrences, and suppressive treatment for frequent attacks.
Option by option
A. Single dose benzathine penicillin
Benzathine penicillin treats syphilis, not herpes.
B. Azithromycin 1 g single dose
Azithromycin treats chlamydia and chancroid.
C. Doxycycline for 21 days
Doxycycline for 21 days treats lymphogranuloma venereum.
D. Acyclovir 400 mg three times daily for 7 days (correct)
Correct. Acyclovir is the antiviral in the red kit.
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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