Diesel Law Exam No. 6 Questions taken from the Pennsylvania Bituminous Mine Officials Exam Study Guide Progress Indicator: Question 4 of 10 4.  A patient presents with profound itching.  Examination reveals short, reddish lesions on the wrists, elbows, and finger webs.  Papules are also noted in these areas.  There appears to be burrow marks emanating proximal to the finger webs.  Which of the following is the most likely diagnosis? Choices: Scabies Body lice Rocky Mountain Spotted Fever Lyme Disease