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43. A 32 year old mother and her 10 year old child each have a 10 cm round, reddened patch on the trunk. There is central clearing in the lesion. Different lesions run parallel to each other in a Christmas tree pattern. The mother has been treating the “ringworm” with an anti-fungal cream for 7 days without success. The nurse practitioner’s best response is A. “The anti-fungal cream you have been using is not strong enough. Prescription strength should clear this up.” B. “No medication will help this to clear. It must clear on its own and may take 4 to 8 weeks.” C. “Since you and your daughter both have this, it is most probably a contagious viral rash. We will treat the symptoms.” D. “This is highly unusual to occur in both of you. Perhaps a dermatologist should biopsy the lesions.”
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