STIs

A 29-year-old female presents with multiple soft, flesh-colored, cauliflower-like lesions on her labia and perineum. She reports they have been slowly growing over the past few months and are occasionally itchy. Which human papillomavirus (HPV) types are most commonly associated with these lesions?

A 28-year-old male presents with a generalized, non-pruritic maculopapular rash involving his palms and soles, which appeared about 6 weeks after an initial painless genital ulcer that resolved spontaneously. He also reports generalized lymphadenopathy and malaise. What is the most likely diagnosis?

A 32-year-old female presents with recurrent episodes of painful vesicles on an erythematous base in her genital area, preceded by tingling and burning sensations. The lesions typically heal within 7-10 days. Which of the following is the most appropriate diagnostic test during an acute flare-up?

A 24-year-old male presents with dysuria and a purulent urethral discharge. Gram stain of the discharge shows numerous polymorphonuclear leukocytes with intracellular Gram-negative diplococci. Which of the following is the most appropriate initial treatment?

A 35-year-old male presents with a single, painful, deep, undermined genital ulcer with ragged borders and a gray exudate. He also has tender, unilateral inguinal lymphadenopathy that is fluctuant. Which of the following is the most likely causative organism?