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QUESTION 4
An 18-year-old man presents with a history of malaise, low-grade fevers, and new-onset painful genital lesions seen in the picture below. The pain is significant.
He had unprotected sexual intercourse with a female partner 2 weeks earlier. Neither he nor his partner has traveled outside the United States.
Which of the following diagnostic tests is most likely to yield the specific diagnosis?
(1) Serum RPR
(2) Antibody to HSV-1 and 2
(3) Darkfield microscopy
(4) PCR for HSV
(5) Culture for HSV
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