©BRIGHTSTARS 2025 ALL RIGHTS RESERVED 9:46 AM A+
NGR 6200 Skin Exam Questions And
Answers |Latest 2025 | Guaranteed Pass
What is Acne Vulgaris? - Answer✔commonly called acne is the most common skin condition
that a clinician will see in primary care.
Systemic retinoids (isotretinoin) - Answer✔for severe acne
it normalized the keratinizing process and reduce sebum production.
reduce sebaceous gland size and inflammation.
dosed : 0.5-1mg/kg for 15-20 weeks
mostly dermatologist prescribe these medications.
isotretinoin (Amnesteem)* - Answer✔Used for severe nodulocystic acne vulgaris
-Vitamin A derivative
-A single course of therapy produces complete and prolonged remission
-Use restricted to patients with severe disfiguring acne
-Nosebleeds, lip or eye inflammation, and dryness or itching of the skin, nose, and mouth. Pain,
tenderness, or stiffness in muscles, bones, and joints may occur.
Less common reactions are skin rash, headache, *hair loss, and skin peeling from the palms and
soles*, reduction in vision, cataracts, optic neuritis, sunburn, and ED.
1
, ©BRIGHTSTARS 2025 ALL RIGHTS RESERVED 9:46 AM A+
isotretinoin precautions* - Answer✔-Wear sunscreen
-Avoid sun exposure
-elevate triglycerideses
-Avoid alcohol
-teratogenic (register patients in the I Pledge program to avoid pregnancy).
-Depression and possible suicide are rare
-*Vitamin A supplementation and tetracyclines should be discontinued prior to therapy*
what labs to monitor when taking isotretinoin* - Answer✔Lipids ( can increase triglycerides;
that is why do a fasting lipid panel), glucose, CBC, liver enzymes, eye exam, and pregnancy test.
iPLEDGE program* - Answer✔-Requirements for dispensing isotretinoin (accutane).
-ensure women prescribed do not become pregnant
A central automated system that tracks patients, prescribers, pharmacists, and wholesalers.
requirements for starting isotretinoin for women - Answer✔- two negative pregnancy tests
- negative test before each refill monthly
-two methods of birth control
- must be on birth control a month prior to the start of the treatment.
- information from pledge on contraception
-must sign a patient information/informed consent
Tretinoin (Renova) 0.05%* - Answer✔used for acne vulgaris and rosacea.
NOT RECOMMENDED FOR CHILDREN YOUNGER THAN 10 YEARS OLD.
Tretinoin (Retin-A) cream, gel, and liquid* - Answer✔used for acne vulgaris
2
, ©BRIGHTSTARS 2025 ALL RIGHTS RESERVED 9:46 AM A+
allow the effects of other topical agents to subside before use.
-start at a lower dose first
can start using every other evening
Initiating Tretinoin therapy? * - Answer✔Start with Retin-A 0.025% cream 3-4 times per week
at bedtime until patient can tolerate a daily dose.
- make sure skin is completely dry before applying
- gradually increase to 0.05% cream or 0.025% gel, if not improvement increase to 0.1%.
sample prescription - Answer✔Tretinoin topical 0.025% cream
Disp: 20 gram tube
Sig: Apply to face at night avoiding eyes and mouth
Adapalene (Differin)* OTC or Rx - Answer✔first line for all acne variants
- less sensitive than tretinoin
-may be used during pregnancy
Adapalene (Differin) side effects - Answer✔Include burning, peeling, stinging, pruritus,
erythema, and dryness.
benzoyl peroxide - Answer✔-Effective antibacterial agent targeting Propionibacterium acnes
-remove excess sebum.
3
NGR 6200 Skin Exam Questions And
Answers |Latest 2025 | Guaranteed Pass
What is Acne Vulgaris? - Answer✔commonly called acne is the most common skin condition
that a clinician will see in primary care.
Systemic retinoids (isotretinoin) - Answer✔for severe acne
it normalized the keratinizing process and reduce sebum production.
reduce sebaceous gland size and inflammation.
dosed : 0.5-1mg/kg for 15-20 weeks
mostly dermatologist prescribe these medications.
isotretinoin (Amnesteem)* - Answer✔Used for severe nodulocystic acne vulgaris
-Vitamin A derivative
-A single course of therapy produces complete and prolonged remission
-Use restricted to patients with severe disfiguring acne
-Nosebleeds, lip or eye inflammation, and dryness or itching of the skin, nose, and mouth. Pain,
tenderness, or stiffness in muscles, bones, and joints may occur.
Less common reactions are skin rash, headache, *hair loss, and skin peeling from the palms and
soles*, reduction in vision, cataracts, optic neuritis, sunburn, and ED.
1
, ©BRIGHTSTARS 2025 ALL RIGHTS RESERVED 9:46 AM A+
isotretinoin precautions* - Answer✔-Wear sunscreen
-Avoid sun exposure
-elevate triglycerideses
-Avoid alcohol
-teratogenic (register patients in the I Pledge program to avoid pregnancy).
-Depression and possible suicide are rare
-*Vitamin A supplementation and tetracyclines should be discontinued prior to therapy*
what labs to monitor when taking isotretinoin* - Answer✔Lipids ( can increase triglycerides;
that is why do a fasting lipid panel), glucose, CBC, liver enzymes, eye exam, and pregnancy test.
iPLEDGE program* - Answer✔-Requirements for dispensing isotretinoin (accutane).
-ensure women prescribed do not become pregnant
A central automated system that tracks patients, prescribers, pharmacists, and wholesalers.
requirements for starting isotretinoin for women - Answer✔- two negative pregnancy tests
- negative test before each refill monthly
-two methods of birth control
- must be on birth control a month prior to the start of the treatment.
- information from pledge on contraception
-must sign a patient information/informed consent
Tretinoin (Renova) 0.05%* - Answer✔used for acne vulgaris and rosacea.
NOT RECOMMENDED FOR CHILDREN YOUNGER THAN 10 YEARS OLD.
Tretinoin (Retin-A) cream, gel, and liquid* - Answer✔used for acne vulgaris
2
, ©BRIGHTSTARS 2025 ALL RIGHTS RESERVED 9:46 AM A+
allow the effects of other topical agents to subside before use.
-start at a lower dose first
can start using every other evening
Initiating Tretinoin therapy? * - Answer✔Start with Retin-A 0.025% cream 3-4 times per week
at bedtime until patient can tolerate a daily dose.
- make sure skin is completely dry before applying
- gradually increase to 0.05% cream or 0.025% gel, if not improvement increase to 0.1%.
sample prescription - Answer✔Tretinoin topical 0.025% cream
Disp: 20 gram tube
Sig: Apply to face at night avoiding eyes and mouth
Adapalene (Differin)* OTC or Rx - Answer✔first line for all acne variants
- less sensitive than tretinoin
-may be used during pregnancy
Adapalene (Differin) side effects - Answer✔Include burning, peeling, stinging, pruritus,
erythema, and dryness.
benzoyl peroxide - Answer✔-Effective antibacterial agent targeting Propionibacterium acnes
-remove excess sebum.
3
