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A 35-Year-Old Woman Comes to the Physician for a Follow-Up

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A 35-year-old woman comes to the physician for a follow-up visit.  She was recently diagnosed with systemic lupus erythematosus after a 2-month history of fatigue and a skin rash.  She was advised to use over-the-counter hydrocortisone cream for the facial rash but it did not help.  Her previous medical history is insignificant.  The patient has never been pregnant.  She does not use tobacco and drinks only 1 or 2 alcoholic beverages a week.  She currently takes no prescription medications.
Her vital signs are normal.  Skin findings are shown in the image below.
A 35-year-old woman comes to the physician for a follow-up visit.  She was recently diagnosed with systemic lupus erythematosus after a 2-month history of fatigue and a skin rash.  She was advised to use over-the-counter hydrocortisone cream for the facial rash but it did not help.  Her previous medical history is insignificant.  The patient has never been pregnant.  She does not use tobacco and drinks only 1 or 2 alcoholic beverages a week.  She currently takes no prescription medications. Her vital signs are normal.  Skin findings are shown in the image below.   Which of the following is the best therapy for this patient's rash? A) Dapsone B) Hydroxychloroquine C) Isotretinoin D) Lenalidomide E) Methotrexate
Which of the following is the best therapy for this patient's rash?


Definitions:

Direct Labor Payroll

The total cost of wages and benefits paid to employees who are directly involved in the production of goods or delivery of services.

Predetermined Overhead Rate

An estimated rate used to allocate manufacturing overhead costs to individual products or job orders based on a predetermined base, such as labor hours or machine hours.

Labor Quantity Variance

This refers to the difference between the expected amount of labor hours necessary to produce a good or service and the actual hours used, measured in financial terms.

Labor Rate Variance

The difference between the actual cost of labor and the expected (or standard) cost, used as a measure to control and optimize labor expenses.

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