5 Days Of Severe in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#10950
SMLE Question #10950
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 30-year-old sexually active woman presents with 5 days of severe vulvar pain and dysuria. She reports a new sexual partner 2 weeks ago and no prior history of genital ulcers. Examination shows a single 1.5-cm ulcer on the left labia majora with a ragged, undermined edge and a gray-yellow necrotic base that bleeds with contact. There is marked tenderness over an enlarged, unilateral left inguinal lymph node. Which of the following is the most likely diagnosis?
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