A Patient with Severe, Recalcitrant Psoriasis Has Tried Topical Medications

question 1

Multiple Choice

A patient with severe, recalcitrant psoriasis has tried topical medications, intralesional steroid injections, and phototherapy with ultraviolet B light without consistent improvement in symptoms. What is the next step in treating this patient?

• A) Cyclosporine
• B) Etanercept
• C) Methotrexate
• D) Oral retinoids

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Definitions:

Prussia

A historical German state known for its military efficiency and significant role in the unification of Germany in the 19th century.

Ottoman Scholar Class

Refers to the group of educated elite in the Ottoman Empire, often involved in law, administration, and religious teaching, playing a crucial role in society and governance.

Western Ideas

Concepts, philosophies, and ideologies that originated or were popularized in Western Europe and North America, often associated with values such as democracy, individualism, and progress.

China

A country in East Asia, the world's most populous nation, with a rich history, diverse cultures, and significant influence on global affairs.