New England Training Curriculum in
Sexually Transmitted Infections

A CME-based series of online case studies

Case 8

A 21-year-old male presents with a small raised and indurated ulceration of his penis. The lesion is non-painful. The patient has no other past medical history and does not take any other medications. He reports two anonymous male partners in the past month. He used condoms for anal sex but not for oral sex. Neither partner reported any symptoms. The patient does not have any other complaints.

Begin quiz

QUESTION 1: What is the most likely diagnosis?*
- A: Chlamydia
- B: Trichomoniasis
- C: Genital Warts
- D: Gonorrhea

Question 2: How are genital warts diagnosed?*
- A: Clinical presentation
- B: Nucleic Acid Amplification Testing (NAAT)
- C: Urine test
- D: Blood test

Question 3: Which of the following is false about genital warts?*
- A: Only HPV 6 and 11 can cause genital warts
- B: HPV is transmitted through sexual or skin-to-skin contact
- C: Clinical diagnosis cannot differentiate low risk from high-risk genital warts
- D: Most HPV infections resolve spontaneously within two years
- E: All of the above are true

Question 4: Which of the following are appropriate treatment(s) for genital warts?*
- A: Imiquimod (Aldara, Zyclara)
- B: Podophyllin and podofilox (Condylox)
- C: Trichloroacetic acid (TCA)
- D: Surgery
- E: Observation only
- F: All of the above

Question 5: True or False: HPV vaccination, when it is administrated properly, offers nearly 100% protection from genital warts and HPV-related cancers*
- True
- False
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Funded by the U.S. Department of Health and Human Services, Health Resources & Services Administration
HIV/AIDS Bureau, under grant number, U1OHA29294.

New England Training Curriculum inSexually Transmitted Infections

A CME-based series of online case studies

Case 8

New England Training Curriculum in
Sexually Transmitted Infections