BIO NMDCAT Sexually transmitted diseases
nmdcat.online July 16, 2026

During an educational seminar on STDs, a physician explains that having an active genital ulcer disease (like syphilis or herpes) significantly increases the risk of acquiring HIV during sexual exposure. The most appropriate explanation for this is that the ulcer:

A. Alters the local pH, enhancing HIV replication
B. Provides a direct portal of entry and recruits CD4 immune cells to the site
C. Directly neutralizes host antibodies
D. Genetically merges with the HIV virus

📝 Explanation

The correct option is Provides a direct portal of entry and recruits CD4 immune cells to the site. Ulcers disrupt the protective epithelial barrier, giving HIV direct access to the bloodstream. Additionally, the inflammation recruits CD4 T-cells and macrophages (HIV target cells) to the ulcer base.

📖 Additional Information

  • Alters the local pH, enhancing HIV replication
  • Provides a direct portal of entry and recruits CD4 immune cells to the site
  • Directly neutralizes host antibodies
  • Genetically merges with the HIV virus

The correct option is Provides a direct portal of entry and recruits CD4 immune cells to the site. Ulcers disrupt the protective epithelial barrier, giving HIV direct access to the bloodstream. Additionally, the inflammation recruits CD4 T-cells and macrophages (HIV target cells) to the ulcer base.

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