A 49-Year-Old Woman Comes to the Physician Requesting Treatment for "This

question 897

Multiple Choice

A 49-year-old woman comes to the physician requesting treatment for "this unattractive redness of my skin."  In the past 3 months, she developed blemishes on her nose, cheeks, and chin.  She now flushes intensely in response to hot or cold temperatures, emotion, and the consumption of spicy foods or alcohol.  She has no history of dermatological problems.  Physical examination shows a reddening of the central face, erythematous papules on the nose, and sporadic telangiectasias on the nose and cheeks as shown below.
Which of the following is the most appropriate treatment for this condition?

• A)Oral griseofulvin
• B)Topical clindamycin
• C)Topical clotrimazole
• D)Topical metronidazole
• E)Topical tretinoin

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Definitions:

Epithelial Cells

Cells that line the surfaces of the body, including the skin, blood vessels, organs, and cavities, playing roles in protection, absorption, and secretion.

False-Negative

A test result that incorrectly indicates no presence of a condition, such as a disease or a specific finding, when it is actually present.

Second Trimester

The period in pregnancy that extends from the 13th to the end of the 26th week, characterized by rapid growth of the fetus and further development of fetal organs.

Embryo

A group of cells, called the inner cell mass, that develops from the blastocyst during the embryonic prenatal period to become the fetus.