A patient with acne vulgaris has inflamed, tender, and pus-filled lesions on their face. Which term best describes these lesions?
Comedones
Nodules
Papules
Pustules
The Correct Answer is D
Explanation: Pustules are inflamed, tender, and pus-filled lesions commonly seen in acne vulgaris. They are a result of bacterial infection and inflammation within the blocked hair follicles.
Incorrect choices: a. Comedones - Comedones are non-inflammatory lesions that may be open (blackheads) or closed (whiteheads) and are not inflamed or pus-filled.
b. Nodules - Nodules are larger, solid, and painful lesions that extend deeper into the skin. They are more severe than pustules and papules.
c. Papules - Papules are small, red, inflamed bumps on the skin but are not pus-filled like pustules.
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Correct Answer is C
Explanation
Explanation: The small, white bumps on the patient's forehead and chin are characteristic of closed comedones, also known as whiteheads. Comedones are non-inflammatory lesions and are one of the primary clinical manifestations of acne vulgaris.
Incorrect choices: a. Papules - Papules are small, red, inflamed bumps that may be present in acne vulgaris. However, they are not associated with the small, white bumps described in this question.
b. Pustules - Pustules are pus-filled lesions seen in acne vulgaris, but they are not the correct term for the small, white bumps in this scenario.
d. Nodules - Nodules are large, painful, solid lesions that extend deeper into the skin. They are not the correct term for the white bumps described in the question.
Correct Answer is C
Explanation
While some medications for acne (like retinoids) can increase sensitivity to the sun, and sun exposure can worsen acne or lead to hyperpigmentation, this is a beneficial recommendation.
Incorrect choices:
a. Squeezing and popping acne lesions to release pus. - This intervention can lead to infection and scarring, as well as exacerbate inflammation and further spread bacteria.
b. Recommending the use of abrasive facial scrubs daily. - Daily use of abrasive facial scrubs can irritate the skin and worsen acne symptoms. Gentle cleansing is preferred for individuals with acne-prone skin.
d. Applying over-the-counter hydrocortisone cream to the affected areas. - Hydrocortisone cream is a topical steroid and is not recommended for routine use on acne lesions. It may cause skin thinning and other side effects if used improperly.
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