NSG554 EXAM 2 /NSG 554 PRIMARY CARE EXAM 2 NEWEST
2025/2026 WITH COMPLETE QUESTIONS AND CORRECT ANSWERS
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1. 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?
a. Oral clindamycin for 6 to 8 weeks
b. Oral isotretinoin
c. Topical benzoyl peroxide and clindamycin
d. Topical erythromycin - ANSWER-ANS: C
This patient has moderate acne, based on symptoms of lesions on half of the face
with nodules and a few scars. A combination of topical benzoyl peroxide and
clindamycin is recommended. Oral antibiotics are reserved for severe cases. Oral
isotretinoin is used only for recalcitrant cases which are severe and have not
responded to other treatments. Topical antibiotics should be used as
monotherapy.
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?
a. A progesterone-only contraceptive is most beneficial for treating acne.
b. Combined oral contraceptives are effective for non-inflammatory acne only.
c. Oral contraceptives are effective because of their androgen enhancing effects. .
d. Yaz, Ortho Tri-Cyclen, and Estrostep, are approved for acne treatment. -
ANSWER-ANS: D
Three oral contraceptives have a labeled use for acne treatment: Yaz, Ortho Tri-
Cyclen, and Estrostep. Progesterone-only contraceptives may worsen acne.
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, NSG554 Exam 2 /NSG 554 Primary Care Exam 2
Combined oral contraceptives are effective in reducing inflammatory and non-
inflammatory acne. Oral contraceptives are effective because of their
antiandrogen effects, since androgen induces sebum production.
3. 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. -
ANSWER-ANS: B
Although lesions may be treated with antibiotics, other medications, and
drainage, the disease is often progressive, with relapses and permanent scarring.
Deodorants and depilatories are not implicated as a cause. The disease is not
transmitted to others, although the organisms may cause other infections in other
people.
4. When counseling a patient with rosacea about management of this condition,
the provider may recommend (Select all that apply.)
a. applying a topical steroid.
b. avoiding makeup.
c. avoiding oil-based products.
d. eliminating spicy foods.
e. exposing the skin to sun.
f. using topical antibiotics. - ANSWER-ANS: C, D, F
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, NSG554 Exam 2 /NSG 554 Primary Care Exam 2
Patients with rosacea should avoid oil-based products and eliminate spicy foods,
alcohol, and hot fluids. Topical antibiotics may be used if pustules are present.
Topical steroids are not recommended. Patients do not need to avoid makeup and
should avoid the sun.
5. Which medications may be used as part of the treatment for a patient with
hidradenitis suppurativa? (Select all that apply.)
a. Chemotherapy
b. Erythromycin
c. Infliximab
d. Isotretinoin
e. Prednisone - ANSWER-ANS: B, C, D, E
Hidradenitis suppurativa is not malignant and chemotherapy is not used.
Erythromycin, infliximab, isotretinoin, and prednisone are all used.
6. A patient is seen in the clinic for patches of hair loss. The provider notes several
well-demarcated patches on the scalp and eyebrows without areas of
inflammation and several hairs within the patch with thinner shafts near the scalp.
Based on these findings, which type of alopecia is most likely?
a. Alopecia areata
b. Anagen effluvium
c. Cicatricial alopecia
d. Telogen effluvium - ANSWER-ANS: A
These findings are characteristic of alopecia areata. Anagen effluvium and telogen
effluvium both result in diffuse hair loss and not discrete patches. Cicatricial
alopecia involves inflammation.
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