Sexually transmitted infections Quiz: Ace Your Exams
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A 32-year-old man comes to the clinic for evaluation of multiple, painless, wart-like genital lesions that have been present for one week. The patient is sexually active and has had two sexual partners in the last month. He uses condoms inconsistently during sexual intercourse. The patient went on a week-long hike in New Hampshire two weeks ago. Temperature is 38.5°C (101.3°F), pulse is 90/min, respirations are 20/min, and blood pressure is 120/75 mmHg. Physical examination reveals a diffuse macular rash over the patient’s trunk and extremities with involvement of the palms and soles of the feet. The abdomen is soft and nontender. External genital examination reveals multiple flat topped and non-tender wart-like lesions over the penile shaft. Which of the following tests is most likely to reveal this patient’s underlying diagnosis?
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