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Genital herpes — DRCOG MCQ

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ModerateContraception and Sexual HealthGenital herpesDRCOG

A 23-year-old woman has painful vulval ulcers, dysuria and tender inguinal nodes. She had a new sexual partner 1 week ago and has not had similar episodes before. What is the most likely diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — Primary genital herpes

Painful grouped ulcers with dysuria and tender nodes after a new exposure are typical of primary genital herpes. Genital warts are usually painless papules rather than painful ulcers. The pearl is that early antiviral treatment is most useful when started promptly in a first episode.

Reference: BASHH Genital herpes guideline