A characteristic lesion observed in a male with primary syphilis is a:- Skildor

Question 1 of 5

A characteristic lesion observed in a male with primary syphilis is a:

A. Group of small scattered vesicles B. Chancre C. Papule of many shapes D. Non-tender penile indurated nodule

Correct Answer: B

Rationale: A chancre is the hallmark of primary syphilis, typically appearing as a painless, solitary lesion.

Question 2 of 5

What further diagnostic steps are required for the seven patients receiving atypical antipsychotics?

A. All patients should receive 1 week of actigraphy monitoring both on and off their current antipsychotic. B. All patients should be immediately referred for cognitive behavioral therapy for insomnia (CBTI). C. All patients should receive referral to both psychiatry and neurology, neuroimaging, and screening polysomnography to identify underlying sleep disorder. D. Unless there is an underlying suspicion of obstructive sleep apnea (OSA) or other sleep disorder, these patients already meet criteria for irregular sleep-wake phase disorder, and no further diagnostic steps are required.

Correct Answer: C

Rationale: Comprehensive diagnostic steps involving psychiatry, neurology, and neuroimaging are necessary to assess underlying conditions and ensure proper management.

Question 3 of 5

A 78-year-old male was recently diagnosed with Alzheimer�s disease. He scored 23/30 on his Montreal Cognitive Assessment (MoCA) and his clinical presentation is consistent with mild disease. Which of the following is NOT a common side effect of donepezil?

A. Thrombocytopenia B. Bradycardia C. Vivid dreams D. Gastrointestinal distress

Correct Answer: A

Rationale: Thrombocytopenia is not a common side effect of donepezil, while bradycardia, vivid dreams, and gastrointestinal distress are.

Question 4 of 5

A 70-year-old man walks 20 minutes most days of the week. He has begun to complain of pain in his left calf when he is walking. The problem has gotten gradually worse and now he is unable to complete his 20-minute walks without stopping to rest. What choice best describes the pain associated with peripheral artery disease?

A. A sharp, stabbing pain B. A dull pain and cramp C. An electric shock D. A pulsating pain

Correct Answer: B

Rationale: Claudication pain due to peripheral artery disease is typically dull and cramp-like during exercise.

Question 5 of 5

A 67-year-old female with a history of congestive heart failure and myocardial infarction is admitted to the hospital because of increasing altered mental status and decreased arousal over the last week. Which one of the following features best distinguishes delirium from depression or dementia?

A. Irritability B. Inattention C. Paranoia D. Aggressiveness

Correct Answer: B

Rationale: Inattention and waxing and waning of alertness are key features distinguishing delirium from depression or dementia.