Anthony, a 26-year-old married male is seen by his physician complaining of burn

Question

Anthony, a 26-year-old married male is seen by his physician complaining of burning, blister-like lesions near the base of the penis, dysuria and irritation on the area by contact with clothing.

He reports that this is the second episode of these symptoms. The first occurred approximately a year ago and lasted a couple of weeks. Anthony was not concerned with the first episode since it healed on its own, but he became concerned when it returned.

Which of the following is the most probable diagnosis of Anthony's condition (based on the facts presented in the case study)?

Gonorrhea

Syphillis

Lymphogranuloma Venereum

Genital Herpes

Sheila, Anthony's wife, is in the fourth month of her first pregnancy. Is it possible for Sheila to be shedding HSV-2 even though she shows no evidence of infection and has no symptoms?

Yes

No

Anthony, a 26-year-old married male is seen by his physician complaining of burning, blister-like lesions near the base of the penis, dysuria and irritation on the area by contact with clothing.

He reports that this is the second episode of these symptoms. The first occurred approximately a year ago and lasted a couple of weeks. Anthony was not concerned with the first episode since it healed on its own, but he became concerned when it returned.

QUESTION 1

1. Which of the following is the most probable diagnosis of Anthony's condition (based on the facts presented in the case study)?

   Gonorrhea

   Syphillis

   Lymphogranuloma Venereum

   Genital Herpes

QUESTION 2

1. Sheila, Anthony's wife, is in the fourth month of her first pregnancy. Is it possible for Sheila to be shedding HSV-2 even though she shows no evidence of infection and has no symptoms?

   Yes

   No

Explanation / Answer

1. Genital Herpes

Genital herpes is a sexually transmitted disease. It is caused by the herpes simplex virus. It causes herpetic sores, which are painful blisters (fluid-filled bumps) that can break open and ooze fluid. HSV-2 (which usually causes genital herpes)

2. Yes

Genital herpes virus is passed from one person to another through sexual contact. This happens even if the person with the virus doesn't have symptoms or signs of infection.

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