USMLE High-Yield Questions on Instagram: "Mandem ate unc’s balls 🥙 Few days later his mouth is COOKED 💀🦠 ⸻ Explanation + Answer The patient develops painful, shallow oral ulcers with odynophagia a few days after oral sexual exposure, which is classic for primary oral herpes simplex virus infection. HSV causes acute-onset, painful mucosal ulcers due to viral cytopathic damage and inflammation. Early antiviral therapy shortens symptom duration, reduces viral shedding, and improves pain. A) Oral