USMLE Step 2 Quiz
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OBSTETRICS AND GYNECOLOGY
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A 74-year-old woman presents with a 1-year history of severe vulvar itching and pain. Examination reveals a 2-cm, ulcerated, erythematous lesion on her left labium majus, along with surrounding thinned, white plaques. There is no inguinal lymphadenopathy.
What is the most appropriate next step in the management of this patient?
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