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Question

Painless genital ulcer is found in which one of the following genital infections?

The correct answer is
Granuloma inguinale

Genital Infection Symptom Analysis

The question asks to identify the genital infection characterized by a painless genital ulcer. Let's examine the typical symptoms of each option:

Infection Characteristics

  • Granuloma inguinale (Donovanosis): This infection typically presents with a painless, slowly progressive ulcerative lesion. The ulcers are often described as beefy red and friable.
  • Chancroid: Caused by Haemophilus ducreyi, this condition is characterized by painful genital ulcers that are typically deep with irregular borders.
  • Lymphogranuloma venereum (LGV): The initial lesion is often a small, transient, and sometimes painless papule or vesicle that may ulcerate. However, the disease is more prominently associated with painful inguinal lymphadenopathy (buboes) in the secondary stage.
  • Herpes simplex: This viral infection causes recurrent outbreaks of painful vesicles that rupture into shallow ulcers.

Identifying the Correct Infection

Comparing the options, Granuloma inguinale is most consistently associated with a primary painless genital ulcer presentation.

Therefore, the correct answer is Granuloma inguinale.

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Important Questions from Infections in Genital Tract

  1. Which of the following are characteristics of Trichomonas vaginitis?
    1. Presence of greenish frothy discharge
    2. Vaginal pH > 4.5
    3. Presence of clue cells in microscopic examination
    4. Strawberry spots on the vaginal mucosa
    Select the correct answer using the code given below:

  2. Monilial vaginitis is commonly associated with all EXCEPT:
  3. A 30 year old lady, P2L2 presents with painful unilateral swelling in vulva for 3 days. Which
    of the following statements are true regarding the above case?
    1. Bartholin's abscess may be the likely diagnosis
    2. It is to be managed by marsupialisation
    3. Gonococcus is the most common pathogenic organism
    Select the correct answer using the code given below:
  4. Which of the following is NOT a characteristic clinical feature of Bacterial Vaginosis?
  5. A 22 year old woman comes with complaints of pain and discomfort in vaginal region. On examination there is unilateral tender swelling in the posterior half of labium minus, overlying skin is red and edematous. What is the most probable diagnosis?

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