A 21-Year-Old Man Comes to the Office Due to Several

question 310

Multiple Choice

A 21-year-old man comes to the office due to several days of intense pruritus of the inguinal-genital area.  He has had no fever, dysuria, or skin rash.  He is not using any new soaps, detergents, or lotions.  The patient has had 3 sexual partners in the past year.  He was treated for chlamydial urethritis 6 months ago and since then has been using condoms consistently.  Vital signs are within normal limits.  Genitourinary examination shows no urethral discharge, penile lesions, or inguinal lymphadenopathy.  There are skin excoriation marks in the pubic area and other findings as shown in the exhibit.
  Which of the following is the most appropriate pharmacotherapy for this patient's condition?

• A)Oral acyclovir
• B)Oral doxycycline
• C)Oral fluconazole
• D)Topical imiquimod
• E)Topical permethrin
• F)Topical triamcinolone

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Definitions:

Homosexual Child

A term used to describe a child who experiences romantic or sexual attraction to individuals of the same sex; however, the preferred term is LGBTQ+ youth or child to encompass a broader range of identities beyond homosexuality.

Marital Role Strain

The stress and tension experienced by individuals in a marriage due to the difficulties of fulfilling their expected roles and responsibilities.

Adolescent Development

The process of growth and change that occurs in individuals between childhood and adulthood, encompassing physical, mental, and social development.

Psychological Well-Being

Refers to the emotional and mental state of an individual where they feel content, fulfilled, and capable of coping with normal stresses of life.