Answer BOF 12

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BOF: 12

A 24 year old male presents with a history of painful blistering on his penis. He gives a history of unprotected sexual intercourse several weeks prior to the onset of symptoms. On examination you note blisters on an erythematous base. Some blisters had ruptured leaving shallow ulcers and crusts.

In this patient, which of the following would you use as treatment?

a)   Oral acyclovir

b)   Local acyclovir

c)    Topical lignocaine

d)   Topical podophylline

e)   Simple analgesics

Answer: a)

The clinical features suggest the patient has primary genital herpes. This should be treated with a systemic antiviral agent.

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