Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format.
Mark is a 21-year-old college student who has come into the campus clinic where you work. He is fairly aloof in his presentation, and informs you, “I’m having a herpes flair, and I need some Valtrex.” However, you decide to do a more thorough assessment. You ask about the lesion he is referring to, and he shows you a lesion on the shaft of his penis. You examine it with a gloved hand, and discover that it seems completely painless to Mark, and is about 2 cm in size and hard.
-What is the most likely diagnosis?

Question

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format.
Mark is a 21-year-old college student who has come into the campus clinic where you work. He is fairly aloof in his presentation, and informs you, “I’m having a herpes flair, and I need some Valtrex.” However, you decide to do a more thorough assessment. You ask about the lesion he is referring to, and he shows you a lesion on the shaft of his penis. You examine it with a gloved hand, and discover that it seems completely painless to Mark, and is about 2 cm in size and hard. 
-What is the most likely diagnosis?

Quizplus · Accepted Answer

The painless lesion on the shaft of the penis is most likely a primary syphilis chancre. Herpes lesions are typically painful and multiple in number. Chancroid lesions are usually painful and much smaller in size. Molluscum lesions are typically painless and have a waxy appearance.

Please Read the Clinical Scenario, and Then Answer the Question