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

question 120

Multiple Choice

A 22-year-old woman is evaluated in the office due to progressive acne on her face, chest and back. Although, she takes oral doxycyclin regularly, 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.  Physical examination shows comedones and pustules on her face and upper back.  The remainder of the examination shows no abnormalities.  Which of the following is the most likely cause of this patient's worsening symptoms?

• A)Adverse effect of the hormonal therapy
• B)Bacterial resistance to the antibiotic
• C)Decreased absorption of the antibiotic
• D)Increased clearance of the antibiotic
• E)Increased protein binding of the antibiotic

---

Definitions:

Sequential Processing

A cognitive process that involves analyzing and integrating information in a step-by-step, orderly manner, often necessary for complex problem-solving.

Less Conscious

Refers to psychological processes and states that occur without an individual's full awareness, often influencing behaviors and perceptions beyond conscious control.

Sequential Processing

The cognitive process of understanding and absorbing information in a step-by-step, linear manner.

Parallel Processing

The capability of the brain to process different types of incoming stimuli at the same time.