kiranmayi
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A 50-year-old man presents with a sore on the head of his penis. He states that he is sexually active with many different women. You are very concerned for syphilis and send a serum VDRL along with a swab of the lesion looking for treponema. Upon further questioning, the patient states that the lesion is not painless but not particularly painful; on exam, it appears ulcerated. The patient is uncircumcised. What was the likely exposure?
A. Chlamydia
B. HIV
C. HPV
D. HSV
E. Trichomonas
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| Colombia
Forum Guru
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HSV
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| asmi
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why not HPV ?
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| kiranmayi
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its C. HPV
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| asmi
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yep....HPV
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| mistral92
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why it's not HSV please help! thanks a lot
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| asmi
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Hint is multiple sex partners and he is not circumcised .
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| mistral92
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thanks a lot asmi for your explanations... :icon_thumb:
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| bluestar
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I think all the options in the question are STD so all can happen to someone with multiple sex partners so the only hint that leads to HPV is uncircumcised and moderately painful penis ( HSV can be extremely painful while syphilis is painless, Chlamydia usually causes urethritis)? what's the penile lesion of HIV?
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| asmi
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you forgot to mention about H.ducreyi ..its also painful (school of fishes)
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| bluestar
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thanks, asmi. one more thing, can we associate uncircumsized man to HPV and cervical cancer in woman?
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| asmi
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you are right ....i think so
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| bluestar
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Thanks again
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