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Dermatology · STI: genital herpes
Sample itemA man with genital herpes has had 7 recurrences in the last year, which are distressing. What is the recommended management?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Continuous suppressive therapy with acyclovir or valacyclovir
Patients with six or more recurrences per year benefit from suppressive antiviral therapy, which reduces recurrences by about 70 to 80 percent and lowers transmission. HSV-2 establishes latency in the sacral ganglia.
Option by option
A. Continuous suppressive therapy with acyclovir or valacyclovir (correct)
Correct. Suppressive antivirals reduce recurrences and transmission.
B. Lifelong topical steroid
Steroids do not treat herpes and may worsen it.
C. Surgical excision of lesions
Surgery has no role.
D. Single dose penicillin
Penicillin treats syphilis only.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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