Mr. Santos, a 35-year-old Male, Presents to the Community Health Clinic with Complaints of Rectal Pain, Discharge and Blood in His Stool. He Reports Engaging in Unprotected Anal Intercourse with Multiple Partners. Upon Assessment, the Nurse Notes Redness and Inflammation of the Rectal MucosaWhat is the most likely diagnosis for Mr. Santos11 of 100ARectal CancerBAnal fissureCProctitisDHemorrhoids

Mr. Santos, a 35-year-old Male, Presents to the Clinic with Complaints of Rectal Pain and Discharge. Upon Further Assessment and the Nurse Suspects ProctitisWhich of the Following is the most likely cause of Mr. Santos' proctitis15 of 100AGonorrheaBTesticular CancerCBenign Prostatic HyperplasiaDProstate Cancer

A 27-year-old woman comes to the physician because of multiple nontender, pruritic lesions over her face, arms, chest, and abdomen. She first noticed the lesions over her lower abdomen 5 weeks ago and says that they have since become more diffuse. She also has had fatigue and has had weight loss of 6.8 kg (15 lb) during the past 3 months. The patient has not seen a physician during the past 9 years. She has no history of serious illness and takes no medications. Her father was diagnosed with colorectal cancer at the age of 65 years. The patient drinks one to two glasses of wine with dinner nightly and smokes marijuana two to three times weekly. She has had six male sexual partners during the past 3 years and does not use condoms regularly. Her vital signs are within normal limits. Dermatologic examination shows greater than 100 flesh-colored, dome-shaped papules over the face, upper extremities, thorax, lower abdomen, and genital regions. The lesions are nontender and have areas of central umbilication. A photograph is shown.The remainder of the physical examination shows no abnormalities. Testing for which of the following conditions is the most appropriate next diagnostic step for this patient?A. Diabetes mellitusB. Epstein barr virus infectionC. Gastric cancerD. Human herpes virus 8 infectionE. HIV infection

Mr. Santos, a 35-year-old Male, Presents to the Community Health Clinic with Complaints of Painful Genital Sores. He Reports Having Multiple Sexual Partners and Inconsistent Condom Use. Upon Examination and Vesicular Lesions with Erythematous Bases Are Noted on His Genital AreaWhich of the Following is the most likely diagnosis for Mr. Santos20 of 100ASyphilis InfectionBGenital Herpes InfectionCGonorrhea InfectionDChlamydia Infection

Mr. Santos, a 35-year-old Male, Presents to the Community Health Clinic with Complaints of Urethral Discharge and Discomfort during Urination. He Reports Having Multiple Sexual Partners in the Past Few Months. Upon Assessment, the Nurse Notes a Foul-smelling and Greenish-yellow Discharge from the UrethraWhich sexually Transmitted Infection is most likely causing Mr. Santos' symptoms17 of 100ASyphilisBChlamydiaCHuman Papillomavirus (HPV)DGonorrhea

Mr. Santos, a 35-year-old Male, Presents to the Community Health Clinic with Complaints of Painful Genital Ulcers. He Reports Having Multiple Sexual Partners in the Past Year. Upon Assessment and the Nurse Notes the Presence of Multiple Shallow Ulcers with a Yellowish-gray Base on the Genital AreaWhat is the most likely cause of Mr. Santos' Genital ulcers25 of 100AChlamydiaBGonorrheaCGenital HerpesDSyphilis