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

question 172

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. The patient returns in 10 days and has only partial improvement in the size of the lesion.  Which of the following is the most appropriate advice for this patient?

• A)Add topical imiquimod
• B)Consult with a dermatologist regarding additional options
• C)Continue the current treatment
• D)Discard and replace footwear
• E)Surgical excision

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Definitions:

External Monitoring

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CEO

The highest-ranking executive in a company or organization, responsible for making major corporate decisions.

Strategic Decision

A significant choice made after careful consideration, often affecting the overall direction of an organization.

Flexible Leadership Theory

A leadership approach that emphasizes adaptability and the ability to adjust leadership styles and strategies based on changing circumstances.