5 Days Of Severe in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#11201

SMLE Question #11201

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 difficulty walking. She had unprotected intercourse with a new partner 2 weeks ago. Examination shows a single very tender ulcer on the left labia majora with a ragged, undermined edge and a purulent base, with surrounding erythema and induration. She has marked tenderness of unilateral inguinal lymph nodes. What is the most likely diagnosis?

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