FAU Advanced Health Assessment Practice Test

What is the most likely diagnosis for a 20-year-old male with growths on his penile shaft without pain during intercourse or urination?

1. Herpes simplex

2. Condylomata acuminata

3. Gonorrhea

4. Syphilis

The correct answer is: Condylomata acuminata

The most likely diagnosis for a 20-year-old male with painless growths on the penile shaft is condylomata acuminata, commonly known as genital warts. This condition is caused by the human papillomavirus (HPV), which is sexually transmitted. The presence of growths that are typically soft, fleshy, and may appear as small bumps or cauliflower-like clusters fits the characteristics of condylomata acuminata. The absence of pain during intercourse or urination is a key factor in supporting this diagnosis, as many sexually transmitted infections (STIs) that present with pain or discomfort would be less likely. Genital warts usually do not cause symptoms beyond the visible lesions, which aligns with the description provided. In contrast, herpes simplex would typically present with painful lesions, and gonorrhea or syphilis may be associated with systemic symptoms or discomfort. Thus, the clinical presentation points clearly towards condylomata acuminata as the most likely diagnosis in this scenario.