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A 27-Year-Old Man Comes to the Office Due to a 2-Week

question 444

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A 27-year-old man comes to the office due to a 2-week history of genital papules that are not painful or pruritic.  Over this period, he has also had fatigue and mild, generalized arthralgia but no urethral discharge or dysuria.  The patient had gonococcal urethritis 3 months ago, which was adequately treated, and tests for other sexually transmitted infections at that time were negative.  He is sexually active with several male and female partners and reports using condoms consistently after the episode of gonorrhea.  Temperature is 37.6 C (99.6 F) .  Physical examination shows a faint, diffuse maculopapular skin rash involving the trunk, extremities, palms, and soles.  There are several enlarged, nontender inguinal lymph nodes.  Genital examination reveals multiple elevated lesions on the scrotum and perineal region.  Histopathologic evaluation of these lesions would most likely reveal which of the following in this patient?


Definitions:

Absolute Advantage

The ability of an individual, company, or country to produce a good or service more efficiently than competitors, using fewer resources.

Opportunity Cost

A different way to describe it would be the cost of missing out on the benefits of the second-best option when a choice is made.

Production Possibilities Frontier

A curve depicting all maximum output possibilities for two goods, given a set of inputs and technology, demonstrating the concept of opportunity cost.

Consumption Possibilities Frontier

A curve depicting the maximum combinations of goods and services a consumer can afford with a given budget, subject to prices.

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