A 22-Year-Old Woman Is Evaluated in the Office Due to Progressive

question 605

Multiple Choice

A 22-year-old woman is evaluated in the office due to progressive acne on her face, chest and back. Her acne has worsened over last month. The patient was recently diagnosed with iron deficiency anemia due to abnormal uterine bleeding and began taking a combined oral contraceptive and an iron supplement. She has been training for a half-marathon for the past 4 months and has lost 6.8 kg (15 lb) during this period.  She does not use tobacco, alcohol, or illicit drugs. Vital signs are within normal limits.  Physical examination shows acneiform eruptions on the shoulders and mid-back.  Which of the following is most likely contributing to worsening of this patient's acne?

• A)Exposure to colder temperatures
• B)Exposure to contaminated water
• C)Rapid loss of body weight
• D)Use of hormonal contraceptive
• E)Use of tight-fitting sports clothing

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Definitions:

Accrued Benefits

Benefits earned or accumulated but not yet paid to employees or policyholders.

Employee Benefits Expense

Costs incurred by employers to provide benefits to employees, such as health insurance, pensions, and paid leave, beyond regular wages or salaries.

FICA Tax

Federal insurance contributions tax; a U.S. federal payroll tax imposed on both employees and employers to fund Social Security and Medicare.

FUTA Tax

The Federal Unemployment Tax Act tax, which employers pay to fund state workforce agencies.