A 47-Year-Old-Man Comes to the Physician for a Lesion on His

question 677

Multiple Choice

A 47-year-old-man comes to the physician for a lesion on his foot.  He has a 2-month history of an enlarging, painful, and thickened papule on the plantar surface of his left great toe.  The patient attempted treatment for 2 weeks with a "corn pad" without relief.  He has no prior history of similar lesions, and his past medical history is unremarkable.
Which of the following is the best next step in management of this patient?

• A)Daily application of duct tape
• B)Punch biopsy
• C)Shave excision
• D)Topical miconazole cream
• E)Topical salicylic acid

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Definitions:

Federalists

Supporters of the ratification of the U.S. Constitution, who advocated for a strong national government.

Constitutional Amendment

A change or addition to the constitution, usually requiring a significant agreement process by legislatures and sometimes the public.

James Madison

Known as the "Father of the Constitution" for his pivotal role in drafting and promoting the United States Constitution and the Bill of Rights.

Bill of Rights

The first ten amendments to the U.S. Constitution, ratified in 1791, guaranteeing specific freedoms and rights to American citizens.