Final answer:
A. Ulcers and vesicles on the vulva Ulcers and vesicles on the vulva during a routine examination suggest that Mrs. Wolf may have a sexually transmitted infection, such as genital herpes, caused by the herpes simplex virus.
Step-by-step explanation:
The finding on examination that would lead you to suspect a sexually transmitted infection in Mrs. Wolf, who is presenting for a routine examination at 29 years old, is A. Ulcers and vesicles on the vulva. Such symptoms can be indicative of genital herpes, which is a sexually transmitted infection caused by the herpes simplex virus. This STI often presents with blisters on the vulva and can also appear on the vagina or cervix. It is important to recognize these symptoms for accurate diagnosis and treatment.
The finding on examination that leads to suspect a sexually transmitted infection (STI) in Mrs. Wolf is A. Ulcers and vesicles on the vulva. STIs such as genital herpes can cause ulcers and vesicles to develop on the vulva, vagina, or cervix. These lesions can be accompanied by discomfort or urinary symptoms.