NBME Step 2 CK Form 6 Topical retinoic acid (NBME Answers)

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Retired NBME Answer Explanations

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Retired NBME Step 2 CK Form 6 Answers

step2ck_form6/Block 2/Question#3 (reveal difficulty score)
A 21-year-old college student comes to the ...
Topical retinoic acid 🔍 / 📺 / 🌳 / 📖
tags: derm inc incorrect

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submitted by ∗medicalmike(82)

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First-line treatment of any mild acne is topical retinoids and benzoyl peroxide.

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submitted by ∗jda2674(5)

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So we're expecting a topical retinoic acid to clear her acute acne within 3 weeks? don't topical retinoids cause purging often?

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submitted by ∗step_prep7(71)

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Acne treatment in order of increasing severity/potency: Topical retinoids +/- benzoyl peroxide —> Topical antibiotics —> Oral antibiotics —> Oral isotretinoin
No good evidence that restricting milk products or sugar reduces acne

https://step-prep.org/tutoring/

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submitted by ∗jlbae(159)

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I was a little hesitant to pick retinoids because she would need a pregnancy test and should be on contraceptives before initiating it (d/t teratogenic effects)

Since she is attending a wedding in 3 weeks and is concerned with her looks, I suspect that she might looking to play bury the sausage or whatever the kids call it nowadays.

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veryreebs you don't need a pregnancy test or to be on OCPs for topical retinoids. accutane or isotretinoin needs a pregnancy test/OCPs and is taken orally +3

jlbae Oh damn didn't realize it was topical! Nice catch!! +

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