A 25 year old woman presents to your office with history of genital lesions. The patient says that she has has read about genital warts on the internet and is now very concerned that she might be suffering from the same. She is sexually active with her boyfriend and does not want him to get infected with her condition. Physical examination reveals lesions that are are flesh-colored, soft pearly papules found on the inner aspects of labia minora which are symmetrically distributed on either side of the vulva and are easily seperable from each other.
Next Step in the Management:
A) Topical Imiquimod
B) Trichloroacetic Acid
C) Treat both patient and her partner with Podophyllin
D) Re-assurance
E) Oral Acyclovir
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Archer USMLE Step 3 Blog 
D). Re-assurance as they are vestibular papillomatosis
reassurance
D