Herpes simplex virus infection in pregnancy Quiz: Ace Your Exams

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A 22-year-old womangravida 1, para 0, presents at 20 weeks estimated gestational age for a routine antenatal visit. The pregnancy has been uncomplicated. The patient’s partner was recently diagnosed with genital herpes, and the patient would like to be evaluated. She has no significant past medical history and has not previously had a sexually transmitted infection. She is currently taking a prenatal vitamin. Temperature is 37.0ºC (98.6ºF), pulse is 84/min, respiratory rate is 16/min, and blood pressure is 107/58 mmHg. On physical examination, there are no oral lesions. The abdomen is gravid and without tenderness. Genital exam with pelvic speculum examination is performed. Which of the following examination findings would be consistent with a diagnosis of genital herpes? 

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