A 39-year-old mechanic came into the clinic complaining of several painless lesions on his penis and scrotum that appeared gradually and had been sweeping for a week. He denies taking any medicine, has no relevant past medical history, and is HIV negative. However, He admits to having unprotected sexual intercourse with a number of women in the prior four months. His physical examination revealed bilateral inguinal lymphadenopathy and more than 43 moist, firm, pink papules on the scrotum and penile shaft, as shown in the image below. The rest of the examination was normal. A rapid HIV infection test was performed; the result was negative; thus, a biopsy was taken for further evaluation. Considering the patient’s history and physical examination findings,

Which of the following is the most likely diagnosis?

Real-Life cases to ensure you are ready for your MCCQE1 Exam!

Ace Qbank Clinical Edge


Ace Qbank Clinical Edge

Making the proper diagnosis is one of the most important aspects of any medical student’s or junior doctor’s clinical training and hence we created Clinical Edge Cases.

Ace Qbank Clinical Edge helps our students put their knowledge of symptoms and physical findings to test by applying clinical reasoning and assessment concepts to a series of common clinical vignettes. Problem-based learning is being used to focus on the cause behind the presentation of a simulated clinical case.

Each simulated Clinical Edge case contains a list of common causes of the presented condition, offers abundant references to the presented case, making additional information easy to find

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