A 42-Year-Old Man Comes to the Office Due to a Skin

question 1038

Multiple Choice

A 42-year-old man comes to the office due to a skin rash on his left lower extremity.  A month ago, the patient noticed several purple spots on his left calf that have progressively enlarged but are not painful or pruritic.  He has no chronic medical conditions but has been treated for primary syphilis and anal gonorrhea.  Temperature is 37.2 C (98.9 F) , blood pressure is 136/82 mm Hg, and pulse is 86/min.  Physical examination shows 3 purple-colored, elliptical papules measuring 1-2 cm on the left lateral calf.  HIV testing is positive, CD4 count is 45/mm³, and HIV viral load is 45,000 copies/mL.  In addition to antiretroviral therapy and treatment of the skin lesions, which of the following is recommended for this patient?

• A)A
• B)B
• C)C
• D)D
• E)E
• F)F
• G)G

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Definitions:

Child Care

The supervision and care of children, typically performed by someone other than the child's parents.

Family Violence

Any form of abuse, violence, or neglect that occurs within a family.

Self-awareness

The conscious knowledge of one's own character, feelings, motives, and desires, which is important for personal development.

Strong Negative Feelings

Intense emotions of displeasure, sadness, or anger that affect a person's well-being and behavior.