Sexually transmitted infections Quiz: Ace Your Exams
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A 22-year-old woman comes to the clinic with a fever and a rash that she first noticed this morning. Two months ago, she was diagnosed clinically with a herpes simplex genital infection and treated with antiviral therapy. She is sexually active and began a relationship with a new partner six months ago. Menstrual periods are regular and occur every 28 days for three to five days. Temperature is 38.5°C (101.3°F), pulse is 100/min, respirations are 20/min, and blood pressure is 120/75 mmHg. Physical examination is notable for a diffuse macular rash over the patient’s palms, soles, and trunk, and enlarged axillary, inguinal, and popliteal lymph nodes are palpable. The abdomen is soft and nontender. External genital examination reveals multiple wart-like lesions on the labia majora and minora. Cervical motion tenderness is absent on bimanual examination. Which of the following best describes this patient’s vulvar lesions?
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