A male patient who is sexually active with multiple partners and does not use a condom has a small, painless lesion on the side of his penis. The history is an indication of what STI?
1. Condylomata acuminata
2. Syphilis
3. Gonorrhea
4. Chlamydia
2
Rationale 1: Condylomata acuminata are cauliflower-shaped lesions that appear on moist skin surfaces such as the vagina, perineum, penis, urethra, and anus.
Rationale 2: The primary stage of syphilis is characterized by the appearance of a chancre and by regional enlargement of the lymph nodes. The chancre appears at the site of inoculation 3 to 4 weeks after the infectious contact. There is little or no pain.
Rationale 3: The male patient who presents with gonorrhea does not have lesions on the penis.
Rationale 4: The male patient who presents with chlamydia does not have lesions on the penis.
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