A 43-Year-Old Man Comes to the Office Due to Increasing

question 55

Multiple Choice

A 43-year-old man comes to the office due to increasing discomfort and pain with sitting for the past several months.  He also has had occasional perianal pruritus.  Physical examination shows multiple, cauliflower-shaped, verrucous growths measuring 1 to 2 cm on the perianal skin.  Histopathologic examination of one of the lesion reveals hyperplastic papillary squamous epithelium with parakeratosis, nuclear irregularity, and "perinuclear halos" of cytoplasmic vacuolization.  Which of the following additional studies is most appropriate for this patient at this time?

• A)Adhesive paddle test with microscopy
• B)Colonoscopy with terminal ileoscopy
• C)Darkfield microscopy of the tissue
• D)Hepatic venous pressure measurement
• E)HIV antigen and antibody testing

Understand the theoretical models explaining fear, phobias, and anxiety disorders, including Mowrer's two-factor model.

Be knowledgeable about the diagnostic criteria for various anxiety disorders, including agoraphobia, social anxiety disorder, and generalized anxiety disorder.

Understand treatments and therapeutic approaches for anxiety disorders, including cognitive-behavioral therapy, pharmacological treatments, and emerging therapies.

Be aware of the cross-cultural aspects and gender differences in anxiety disorders.

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Definitions:

Workman

An individual employed to perform manual labor or skilled trades, often in construction or industrial settings.

Provincial Personal Property

Property other than real estate, such as cars, furniture, or jewelry, that is subject to the laws of a specific province in Canada.

Security Interest

A legal claim or lien on assets, which secures payment or performance of an obligation to the asset's holder.

Bona Fide Purchaser

A legal term for a person who acquires property in good faith and without notice of any other party's claim to the title of that property.