A 30-year-old woman, who just found out that she is pregnant, ...

[big1devin]

A 30-year-old woman, who just found out that she is pregnant, seeks a treatment for her severe acne. What is the most appropriate treatment for her skin condition?
 
  A)
  Accutane
  B)
  Low-dose tetracycline
  C)
  Retin-A
  D)
  A benzoyl peroxide agent

Question 2

Which of the following teaching points is most appropriate for a teenager who has sought care for the treatment of his severe acne?
 
  A)
  Avoiding high-fat foods and chocolate won't cure your acne, but it will likely improve it a lot.
  B)
  All the creams and ointments that you can buy have been shown to be no real help for acne.
  C)
  It's important for you to vigorously wash your face several times a day.
  D)
  You might need antibiotic pills in addition to a cream for your face.

[ecabral0]

Answer to Question 1

Ans:
D

Feedback:

Benzoyl peroxide is a topical agent that has both antibacterial and comedolytic properties. It is the topical agent most effective in reducing the P. acnes population. Bacterial resistance does not develop to benzoyl peroxide. The irritant effect of the drug also causes vasodilation and increased blood flow, which may hasten resolution of the inflammatory lesions. Although Accutane, low-dose tetracycline, and Retin-A are often used to treat severe acne, these drugs should not be given to those who are pregnant because they can affect the development of the fetus.

Answer to Question 2

Ans:
D

Feedback:

Combination treatments for acne often include a topical preparation in addition to oral antibiotics. Avoiding certain foods has not been shown to be effective in acne treatment or prevention, and the topical products available are effective in some, though not all, cases. Care should be taken not to exacerbate lesions by washing the face too vigorously or too often.

[big1devin]

Excellent

[tkempin]

TYSM