A 22 year old male comes to you complaining of a painless sore on the glans of h

Question

A 22 year old male comes to you complaining of a painless sore on the glans of his penis. He denies pain on urination or discharge. He tells you that he met a woman about 3 weeks ago and that they had unprotected sexual intercourse. He has not had any partner since.
A. He is most likely suffering from
1. gonorrhea
2. chlamydia
3. herpes simplex I
4. human papilloma virus
5. syphilis
B. The lesion on the glans penis that he has is called a
1. chancroid
2. canker
3. chancre
4. vesicle
5. wart
C. The causative agent of this malady is a small gram negative spirochete called
1.Borrelia burgdorferi
2. hemophilus ducreyi
3. treponema pallidum
4. neisseria gonorrhea
5. chlamydia trachomatis
D. Test used to diagnose this disease include all of the following except
1. direct microscopic visualization
2. swab of urethral exudates
3. RPR
4. VDRL
5. FTA-ABS

THIS IS MICROBIOLOGY!

Explanation / Answer

A. 5. Syphilis - painless sore following unprotected sexually intercourse in young age group is more like to be syphilis.

B. 3 Chancre- chancre is the term used to denote the painless sore or ulcer in genitalia caused due to syphilis.

C. 3 Treponema pallidum- is the causative organism of syphilis.

D. 2 urethral swab test is done in case of gonorrhea or chlamydia and not in syphilis.

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