Review Question - QID 109830

A 27-year-old man presents to his primary care physician for a general checkup. The patient is a college student who is studying environmental science. He is doing well this semester and is having fun in his classes. He has a medical history of asthma and constipation but is currently not taking any medications. The patient hopes to have a form signed that will allow him to participate in intramural sports. His temperature is 98.6°F (37°C), blood pressure is 118/74 mmHg, pulse is 82/min, and respirations are 12/min. The patient is an obese but otherwise healthy young man. Cardiopulmonary exam and abdominal exam are within normal limits. Dermatologic exam is notable for the findings in Figure A. These lesions are also identified in the anogenital region. Which of the following is the most appropriate next step in management for this patient?