PANCE Exam Practice Questions: Quiz 60

A 23-year-old male prostitute presents seeking treatment for recurrence of a nonpainful perianal rash. He gives a history of a similar rash that was treated with multiple “freezing” treatments and a prescription for a gel that he used a couple of times. What is expected on physical exam?
- A. discrete papules, 2 to 5 mm in diameter, slightly umbilicated, flesh colored, and dome shaped
- B. discrete, small (4 mm), skin-colored to dark brown pedunculated lesions
- C. numerous pale pink, discrete lesions with narrow to wide projections on a broad base with a smooth or velvety, moist surface.
- D. small groups of vesicles that erode, crust, and heal in 10 to 14 days

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