Review Question - QID 210609

A 21-year-old man presents to his primary care physician for a new rash. He is concerned that the rash has not improved over the past week. He otherwise states that he feels well, but the anxiety surrounding his college finals and his underlying irritable bowel syndrome has caused him to lose 10 pounds this past month. The patient admits to having sex with multiple female partners and does not use condoms. A review of systems is notable for seasonal allergies, mild diarrhea, and asthma. His temperature is 98.7°F (37°C), blood pressure is 117/68 mmHg, pulse is 72/min, respirations are 12/min, and oxygen saturation is 99% on room air. A physical exam reveals the skin findings in Figure A. Which of the following findings is most likely to be found in this patient?