A 45-year-old man with well-controlled diabetes type 2 and hypertension presents for a pre-employmen

A 45-year-old man with well-controlled diabetes type 2 and hypertension presents for a pre-employment check-up. On physical examination, his vital signs are within normal limits. A neurologic exam shows that his pupils are bilaterally small and constrict when the patient focuses on a close object, but they do not constrict in the presence of light. His visual acuity is 20/20 in both eyes with corrective vision. He reports he had a rash on his trunk, palms, and soles last year that resolved. What is the most appropriate management for this patient? A. Brain MRI B. Serologic testing for syphilis and also testing for HIV C. Ophthalmology referral D. Neurology referral

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