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MMLU / A previously healthy 27-year-old man comes to the physician 4 weeks after…

Problem

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question

A previously healthy 27-year-old man comes to the physician 4 weeks after noticing three nontender lesions on his penis. He says they have not changed in size. He is sexually active with multiple male and female partners and uses condoms inconsistently. He takes no medications. He drinks two to five beers on social occasions. He occasionally smokes marijuana. His temperature is 36.9°C (98.4°F). There is no lymphadenopathy. Examination shows three sessile, flesh-colored lesions on the shaft of the penis that are 10 mm in diameter. On application of a dilute solution of acetic acid, the lesions turn white. The remainder of the examination shows no abnormalities. Which of the following is the most appropriate next step in management?

choices

  1. Oral acyclovir therapy
  2. Oral doxycycline therapy
  3. Intramuscular penicillin therapy
  4. Cryotherapy

subject

professional_medicine

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Source and history

task_id
c07f258a-604d-51fd-8cbf-eb81e10ea861
task_key
all--test--c07f258a-604d-51fd-8cbf-eb81e10ea861
task_revision_id
1
config / split
all / test

Official source

initial import