Question 1

A female patient is diagnosed with hidradenitis suppurativa and has multiple areas of swelling, pain, and erythema, along with several abscesses in the right femoral area. When counseling the patient about this disorder, the practitioner will include which information?

A) Antibiotic therapy is effective in clearing up the lesions.
B) It is often progressive with relapses and permanent scarring.
C) The condition is precipitated by depilatories and deodorants.
D) The lesions are infective, and the disease may be transmitted to others.

B

Accepted Answer

Hidradenitis suppurativa is a chronic, progressive disease with relapses and permanent scarring. Antibiotic therapy is not effective in clearing up the lesions, and the condition is not precipitated by depilatories and deodorants. While the lesions are infective, the disease is not transmitted to others.

Question 2

A provider is considering an oral contraceptive medication to treat acne in an adolescent female. Which is an important consideration when prescribing this drug?&#10;A) A progesterone-only contraceptive is most beneficial for treating acne.&#10;B) Combined oral contraceptives are effective for non-inflammatory acne only.&#10;C) Oral contraceptives are effective because of their androgen enhancing effects.&#10;D) Yaz, Ortho Tri-Cyclen, and Estrostep, are approved for acne treatment.

Accepted Answer

Yaz, Ortho Tri-Cyclen, and Estrostep are the only oral contraceptives that are FDA-approved for treating acne. These medications contain a combination of estrogen and a progestin, which can help to reduce acne by lowering the levels of androgens in the body. Progesterone-only contraceptives may not be as effective for treating acne. Combined oral contraceptives can be effective for both inflammatory and non-inflammatory acne. Androgen enhancing effects would actually worsen acne, so this is not a reason why oral contraceptives are effective for treating acne.

Question 3

Which medications may be used as part of the treatment for a patient with hidradenitis suppurativa? (Select all that apply.)&#10;A) Chemotherapy&#10;B) Erythromycin&#10;C) Infliximab&#10;D) Isotretinoin&#10;E) Prednisone

Accepted Answer

Erythromycin is an antibiotic used to reduce bacterial infection and inflammation. Infliximab is a TNF-alpha inhibitor used for severe cases. Isotretinoin, a retinoid, can help reduce lesions. Prednisone, a corticosteroid, may be used to reduce inflammation. Chemotherapy is not typically used for hidradenitis suppurativa.

Question 4

A patient has acne and the provider notes lesions on half of the face, some nodules, and two scarred areas. Which treatment will be prescribed?&#10;A) Oral clindamycin for 6 to 8 weeks&#10;B) Oral isotretinoin&#10;C) Topical benzoyl peroxide and clindamycin&#10;D) Topical erythromycin

Accepted Answer

Topical benzoyl peroxide and clindamycin are commonly used to treat acne with lesions, nodules, and scarring.

Question 5

When counseling a patient with rosacea about management of this condition, the provider may recommend (Select all that apply.)&#10;A) applying a topical steroid. b. avoiding makeup.&#10;C) avoiding oil-based products.&#10;D) eliminating spicy foods.&#10;E) exposing the skin to sun.&#10;F) using topical antibiotics.

Accepted Answer

Applying a topical steroid can worsen rosacea symptoms and should be avoided. Avoiding makeup and exposing the skin to sun can also worsen the condition. However, managing rosacea effectively involves avoiding oil-based products, eliminating spicy foods, and using topical antibiotics to control inflammation and reduce redness.

Deck 39: Adnexal Disease