A 34 year-old graduate student presents to the student health center with reddish, crusted lesions on...

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Medical Sciences

A 34 year-old graduate student presents to the student healthcenter with reddish, crusted lesions on his penis. He is treatedwith fungal cream. One week later he returns because the lesionsare not getting better, and he is prescribed dicloxacillin(penicillin derivative) for a presumed staph infection. It’ beenover 3 months since his initial visit, and the lesions on his penishave resolved. However, he now returns with a rash on his trunk andsees a different provider who knows the patient is a man who hassex with men.

3. The lesions are called __________ and are a“hallmark” of _________ stage of disease.

Question 3 options:

A. chancres / primary

B. chancres/ secondary

C. Boils / primary

D. Boils / primary

A 34 year-old graduate student presents to the student healthcenter with reddish, crusted lesions on his penis. He is treatedwith fungal cream. One week later he returns because the lesionsare not getting better, and he is prescribed dicloxacillin(penicillin derivative) for a presumed staph infection. It’ beenover 3 months since his initial visit, and the lesions on his penishave resolved. However, he now returns with a rash on his trunk andsees a different provider who knows the patient is a man who hassex with men.

4. The rash indicates?

Question 4 options:

A. Secondary syphilis

B. The staph infection has developed into toxic shocksyndrome

C. Primary chlamydia

D. The patient has a second infection with another pathogen

Answer & Explanation Solved by verified expert
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Question 3 The lesions are called chancres and are a hallmark of primary stage of disease Explanation This 34 years old graduate student has history of having sex with other men and presents with the complaints of reddish crusted lesion on his pnis which did not subside on application of antifungal cream hence not a fungal disease Even after prescribing dicloxacillin a penicillin derivative the lesion did not subside hence not a staphylococcal bacterial infection After three months the lesions of the pnis subsided but the patient developed rashes on his trunks All these points in the direction of the diagnosis of a sexually transmitted disease called syphilis    See Answer
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