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:

High Incomes

Earnings that significantly exceed the average or median levels, often associated with increased purchasing power and economic status.

Efficiency Wages

Wages that are deliberately set above the market equilibrium level to increase worker productivity and efficiency.

Employee Effort

The level of exertion, both physical and mental, that workers contribute to their job tasks to achieve organizational goals.

Physical Attractiveness

The degree to which a person's physical traits are considered aesthetically pleasing or attractive to others, often influenced by cultural standards and personal preferences.