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Dermatology · STI: NACO syndromic care, genital ulcer
Sample itemA man has a painless genital ulcer with no vesicles. Which kit is used for non-herpetic genital ulcer disease, covering syphilis and chancroid?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. White kit (benzathine penicillin, azithromycin and cefixime)
The white kit contains benzathine penicillin G 2.4 million units IM along with azithromycin and cefixime to cover syphilis, chancroid and other ulcerative causes. Herpetic ulcers are treated with acyclovir in the red kit.
Option by option
A. Red kit (acyclovir)
The red kit is for herpetic ulcers and has acyclovir only.
B. Grey kit
The grey kit does not cover syphilis.
C. Green kit
The green kit is for vaginal discharge.
D. White kit (benzathine penicillin, azithromycin and cefixime) (correct)
Correct. The white kit treats non-herpetic ulcers.
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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