A 34-Year-Old Man Comes to the Office Due to a Persistent

question 780

Multiple Choice

A 34-year-old man comes to the office due to a persistent skin rash.  He has a 6-month history of a scaly rash involving the upper and lower extremities that is associated with mild pruritus.  The patient has attempted treatment with topical antihistamines and emollients without relief.  Medical history is notable for childhood asthma and orolabial herpes simplex virus infection.  He does not use tobacco or alcohol and works as a sales associate for a home improvement store.  On examination, the patient has skin lesions as shown in the image below. This patient's disorder is most likely associated with which of the following extradermal complications?

• A)Chronic glomerulonephritis
• B)Deforming joint disease
• C)Medullary thyroid cancer
• D)Peripheral neuropathy
• E)Pulmonary fibrosis

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Definitions:

Arthur Jensen

A controversial American psychologist known for his work in psychometrics and intelligence research, particularly on racial differences in IQ scores.

Level II Intelligence

Often refers to analytical thinking and problem-solving skills beyond basic or core intelligence competencies.

Professional Trained In Psychology

An individual who has received formal education and training in the science of behavior and mental processes.

Practical Intelligence

The ability to solve everyday problems by utilizing knowledge gained from experience, often referred to as "street smarts."