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Genital herpes first episode — DFSRH MCQ

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EasySTIsGenital herpes first episodeDFSRH

A 27-year-old woman presents with painful vulval ulcers, dysuria and tender inguinal nodes. She is afebrile and not pregnant. What is the most appropriate management?

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Correct answer: D — Viral swab for HSV and oral aciclovir

Painful ulcers with tender nodes suggest first-episode genital herpes; lesion swab and oral antiviral treatment are appropriate. Serology is not the immediate diagnostic test in a classic active lesion. Analgesia and urinary advice are also important.

Reference: BASHH Guidelines; NICE CKS; UKHSA STI guidance; BNF