QuestionSBA
QuestionChoice
Syphilis typically causes a single painless ulcer (chancre) rather than multiple painful ulcers.
10035049
c
Syphilis
QuestionChoice
Whilst this can cause abscesses/ulcers, they are usually painless, and it also commonly presents with proctitis, which is not mentioned in this history.
10035051
e
Lymphogranuloma venerum
QuestionChoice
These are normal physiological variants which have the appearance of white/yellow papules rather than painful ulcers.
10035050
d
Fordyce spots
QuestionChoice
Multiple painful blisters suggest HSV. Dysuria is a common feature due to pain from blisters when passing urine.
10035047
a
Herpes simplex
QuestionChoice
Whilst chancroid can cause painful ulcers, it is much less common than genital herpes.
10035048
b
Chancroid
Concept
Chapter
2693
6122
Genital Herpes
Topic
163
Genitourinary medicine
19413
Herpes simplex virus typically presents with multiple painful blisters and can cause dysuria due to associated genital lesions.
A 19-year-old male has multiple painful blisters on his penis and perineum. He also states he has had pain when passing urine for the last week. When asked about his recent sexual activity, he states he has had multiple male and female sexual partners in the past 3 months. He was previously well prior to this episode.

What is the most likely diagnosis?
a