Genital herpes — MCCQE Part 1 MCQ

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EasySexually Transmitted InfectionsGenital herpesMCCQE Part 1

A 22-year-old woman has a painful genital ulcer with bilateral inguinal LAD. HSV-2 PCR positive. Most appropriate management?

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Correct answer: E — Oral valacyclovir (or acyclovir) x 7-10 days and partner notification

First episode genital herpes: oral antivirals reduce duration/severity. Topical antivirals ineffective. IM penicillin for syphilis. STI screen for concurrent infections. Counselling on transmission and suppressive therapy.

Reference: PHAC STI Guidelines