A 19-Year-Old Man Comes to the Office with an Ulcer

question 166

Multiple Choice

A 19-year-old man comes to the office with an ulcer on his penis.  The patient first noticed the lesion 3 days ago.  His temperature is 37.1 C (98.8 F) .  Physical examination shows an indurated and painless ulcer near the glans penis, with no surrounding erythema and no inguinal lymphadenopathy.  The patient is a college student.  He has no significant past medical history and takes no medications.  He has no known drug allergies.  The first-line treatment for this patient has structural similarities with which of the following?

• A)D-alanine-D-alanine
• B)D-glutamic acid-D-glutamic acid
• C)Folic acid
• D)L-alanine-D-glutamine
• E)N-acetylglucosamine
• F)N-acetylmuramic acid

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Definitions:

Environmental Stimuli

Any external factor or change in the environment that can provoke a sensory, physiological, or psychological response in an individual.

Counterproductive Work Behaviors

Voluntary behaviors that purposefully disrupt or harm the organization.

Manager

A person responsible for controlling or administering all or part of a company or similar organization, overseeing and guiding employees towards goals.

Conflict

A serious disagreement or argument, often a protracted one, which can occur between individuals, groups, or nations.