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Acne Vulgaris (P)
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Course Curriculum
1. What is acne vulgaris primarily caused by?
*
Bacterial overgrowth
Follicular hyperkeratinisation
Fungal infection
Poor hygiene
2. Which of the following is a non-inflammatory lesion in acne?
*
Papule
Comedone
Nodule
Pustule
3. What is first-line topical treatment for mild acne?
*
Topical steroid
Oral tetracycline
Isotretinoin
Benzoyl peroxide or topical retinoid
4. What lifestyle advice is appropriate for acne?
*
Avoid fruit
Scrub the skin vigorously
Wash gently twice daily, avoid oil-based cosmetics
Use antibiotic soap regularly
5. When are oral antibiotics considered in acne management?
*
For comedonal acne
Always
For moderate to severe inflammatory acne
After 2 weeks of failed topical treatment
6. Which oral antibiotic is commonly used for acne?
*
Flucloxacillin
Lymecycline
Erythromycin
Co-amoxiclav
7. What is the recommended minimum course duration for oral antibiotics in acne?
*
5 days
2 weeks
6–12 weeks
Until skin is clear
8. What is a major risk of long-term topical antibiotic monotherapy in acne?
*
Skin dryness
Antimicrobial resistance
Hyperpigmentation
Cyst formation
9. What is the mechanism of action of benzoyl peroxide in acne?
*
Inhibits sebum production
Vasodilation
Antibacterial and keratolytic
Inhibits melanin
10. What is isotretinoin?
*
Topical corticosteroid
Oral vitamin A derivative
Topical antibiotic
Herbal acne treatment
11. Which of the following is a major contraindication for isotretinoin?
*
Male under 18
History of asthma
Pregnancy
Migraine
12. What is a potential psychiatric side effect of isotretinoin?
*
Hallucinations
Depression or mood changes
Addiction
Insomnia
13. Which skin care practice may worsen acne?
*
Regular cleansing
Excessive facial scrubbing
Moisturising
Sun protection
14. Which hormonal treatment may be effective in females with acne?
*
Testosterone cream
Levonorgestrel-only pill
Combined oral contraceptive pill
HRT
15. When should referral to dermatology be considered in acne?
*
After 1 month of topical treatment
Only in adults
Only in teenagers
Severe nodulocystic acne or scarring despite treatment
16. Which of the following is a possible long-term consequence of untreated severe acne?
*
Vitiligo
Rosacea
Scarring and pigmentation
Alopecia
17. Which product should not be used concurrently with topical retinoids?
*
Lymecycline
Benzoyl peroxide
Gabapentin
Pregablin
18. How long does it typically take to see improvement from acne treatment?
*
2 days
1 week
6–8 weeks
6 months
19. What is the first-line treatment for comedonal acne?
*
Oral isotretinoin
Topical retinoid
Oral antibiotics
Steroid cream
20. Which of the following is not commonly associated with acne?
*
Increased sebum
Inflammation
Hyperkeratinisation
Fungal infection