STDs & Pigmentary Disorders · NEET PG Preparation Dermatology

A 28-year-old male presents with a painless, indurated ulcer on the glans penis of 10 days duration, along with bilateral non-tender firm inguinal ly…

Practice question from STDs & Pigmentary Disorders (NEET PG Preparation Dermatology), with the correct answer and a step-by-step solution.

easy · MCQ · Q-19C0C2

A 28-year-old male presents with a painless, indurated ulcer on the glans penis of 10 days duration, along with bilateral non-tender firm inguinal lymphadenopathy. Dark-field microscopy of the ulcer exudate reveals spirochetes with characteristic corkscrew motility. Which of the following is the drug of choice for treating this condition?

  1. A.Oral Doxycycline 100 mg twice daily for 7 days
  2. B.Single intramuscular dose of Benzathine Penicillin G 2.4 million unitsCorrect answer
  3. C.Intravenous Ceftriaxone 1 g daily for 14 days
  4. D.Oral Azithromycin 1 g single dose

Solution

The patient presents with a classic primary chancre and regional lymphadenopathy, indicative of primary syphilis caused by Treponema pallidum. The drug of choice for primary syphilis is a single intramuscular injection of Benzathine Penicillin G 2.4 million units.

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