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:

Failure to Follow a Standard of Care

A situation in which a healthcare professional does not adhere to an established set of clinical guidelines or protocols, potentially leading to patient harm.

Malpractice

A failure by a professional to meet the standard of conduct, which can result in harm to a client or patient, often leading to legal action.

Abnormal Potassium Level

A deviation from the normal range of potassium concentration in the blood, which can lead to various health issues.

Advance Directive

A legal document by which a person makes known their wishes regarding medical treatment in the event they become unable to communicate those decisions due to illness or incapacity.