Dermatology: MODULE X EXAM 2024-2025 QUESTIONS AND CORRECT VERIFIED ANSWERS /100% PASS SOLUTION / ALREADY GRADED A+ 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 - ANSWER>>ANS: C Methotrexate has shown good efficacy in treating recalcitrant psoriasis. Cyclosporine and oral retinoids are effective but have serious side effects. Etanercept and other biologic agents are effective but expensive and should be tried after all other treatments have failed. An adult patient has greasy, scaling patches on the forehead and eyebrows suggestive of seborrheic dermatitis. What is included in assessment and management of this condition? (Select all that apply.) Begin first-line treatment with a topical antifungal medication. Evaluate the scalp for dry, flaky scales and treat with selenium sulfide shampoo. Teach the patient that proper treatment is curative in most instances. Topical antibacterial medications may be used to prevent Malassezia proliferation. Use topical steroids for several weeks to prevent recurrence of symptoms. - ANSWER>>ANS: A, B First-line therapy may include topical antifungals or corticosteroids. Adults with symptoms on the