A 21‐year‐old college student presents for her first annual exam. She has been sexually active for 1 year and has had two partners. She is not aware of having had any sexually transmitted diseases (STIs). She is using condoms for birth control and STI prevention but admits to not always using them regularly. Her last menses was 2 weeks ago. On speculum exam, an unusual appearance is noted, which is diagnosed as warts. What is the best description for these lesions?
a) Several shallow ulcers with a red base
b) Bright red, soft lesion arising from the cervical canal
c) Translucent nodules
d) Strawberry cervix (small red granular spots or petechiae)
e) Raised friable or lobed lesions

B. Bright red, soft lesion arising from the cervical canal

Explanation:

Genital warts is small bumps caused by the human papillomavirus (HPV), which includes about 150 related viruses. HPV — along with genital warts — is transmitted through sexual intercourse.

Most people with HPV don't know they're infected, and may only find out if they develop genital warts.

Importantly, genital warts and other HPV symptoms sometimes only show up years after contracting the virus, but you can still pass the virus on to other people during this symptom-free period.

Signs and Symptoms

In women, genital warts can be found:

Around the vulva, On the cervix, or lower end of the uterus, Inside or around the anus, On the upper thighs

In both men and women, genital warts can also occur on the lips and tongue, and on the inside of the mouth and throat.

Not all genital warts are the same in appearance. They can be: Clearly visible, or too small to see

Raised or flat, Cauliflower-shaped (if they grow together in clusters), Pink or flesh-colored, Soft to the touch.

Option e

Explanation:

Warts May have corliflower like appearance or raised flesh - colored lumps/lobe and sometimes women with warts have itching and burning sensation around the genitals.