Page 1 of 80
“NAXLEX OA REVIEW 2026 ”LATEST EXAM 2026
– 2027 SOLVED QUESTIONS & ANSWERS
VERIFIED 100% GRADED A+ (LATEST VERSION)
WELL REVISED 100% GUARANTEE PASS
don't miss any practice revision materials contact me +254111429458
NAXLEX OA (All Correct Answers!)
Your 66-year old patient has pitting of her nails and itchy, red plaques with
silvery scales on her elbows and knees. What condition does she likely have?
A) actinic keratoses
B) allergic contact dermatitis
C) atopic dermatitis (eczema)
D) psoriasis
D) psoriasis
You are examining a 17-year old male with acne and notice blackheads and
whiteheads. What are the medical terms for blackheads and whiteheads,
respectively?
A) open comedomes and closed comedomes
B) closed follicles and open follicles
C) closed comedomes and open comedomes
D) open follicles and closed follicles
A) open comedomes (blackheads) and closed comedomes (whiteheads)
Which of the following are recommended treatment options for psoriasis of the
scalp? Select all that apply.
A) oral antihistamines
B) selenium sulfide shampoo
C) topical steroids
D) tar/salicylic acid shampoo
C) topical steroids
D) tar/salicylic acid shampoo
, Page 2 of 80
In the treatment of acne vulgaris, which lesions respond best to topical
antibiotic therapy?
A) open comedomes
B) cysts
C) inflammatory lesions
D) closed comedomes
C) inflammatory lesions
You have initiated acne treatment for an 18-year old male by prescribing
doxycycline. He returns to the clinic 3 weeks later and complains that his skin
is no better. Your next action is to
A) counsel him that 6 to 8 weeks of treatment is often needed before
significant improvement is achieved
B) discontinue doxycycline and start minocycline therapy
C) advise him that antibiotics are not likely an effective treatment for him and
should not be continued
D) add a second antimicrobial agent such as TMP-SMX
A) counsel him that 6 to 8 weeks of treatment is often needed before significant
improvement is achieved
Who is the best candidate for isotretinoin (Accutane) therapy?
A) a 17-year old patient w/ pustular lesions and poor response to benzoyl
peroxide
B) a 20-year old patient with cystic lesions who has tried various therapies
with minimal improvement
C) a 14-year old patient with open and closed comedomes and a family history
of "ice pick" scars
D) an 18-year old patient with inflammatory lesions and improvement with
tretinoin (Retin-A)
B) a 20-year old patient with cystic lesions who has tried various therapies with
minimal improvement
In a 22-year old female using isotretinoin (Accutane) therapy, the NP ensures
follow-up to monitor for all of the following tests except
A) liver enzymes
B) triglyceride level
C) pregnancy test
D) platelet count
D) platelet count
Leo is an 18-year old male who has been taking isotretinoin (Accutane) to treat
his acne for the last 2 months. Which of the following is the most important
question for the NP to ask at his follow-up office visit?
A) Are you having any problems remembering to take your medication?
B) Have you noticed any dry skin around your mouth since you started taking
Accutane?
C) Do you notice any improvement in your skin?
D) Have you noticed any recent changes in your mood?
D) Have you noticed any recent changes in your mood?
, Page 3 of 80
A common infective agent in domestic pet cat bites is
A) viridans streptococcus species
B) Pasteurella multocida
C) Bateroides species
D) Haemophilus influenzae
B) Pasteurella multocida
A 28-year old women presents to the clinic c/o cat bite on her right ankle. Her
pet cat bit her when she accidentally stepped on his paw. He is 3 years old and
is up-to-date on his vaccinations. She washed the wound with soap and water.
Treatment of this patient's cat bite should include standard wound care with
the addition of
A) oral erythromycin
B) topical bacitracin
C) oral amoxicillin-clavulanate
D) parenteral rifampin
C) oral amoxicillin-clavulanate
~80% of cat bites become infected, all wounds should be cultured and treated
empirically
(Only 5% of dog bites become infected, treat if severe or significant comorbidity)
A 24-year old male walks in to the clinic c/o raccoon bite in his right thigh. On
physical exam, you note a 1 cm deep wound on his right thigh that is oozing
bright red blood. Your next best course of action is to
A) administer high-dose parenteral penicillin
B) initiate antibacterial prophylaxis with amoxicillin
C) give rabies immune globlulin and rabies vaccine
D) suture the wound after proper cleaning
C) give rabies immune globlulin and rabies vaccine
Bats, racoons, skunks carry a significant rabies risk and should be considered rabid.
Give RIG and rabies vaccine, consider tetanus
A 52-year old female walks in to the clinic c/o rat bite while trying to open a
dumpster. On physical exam, you note a 1 cm deep wound that is oozing
bright red blood. In addition to standard wound care, treatment of this patient
should include
A) rabies immune globulin
B) rabies vaccine
C) oral ciprofloxacin
D) oral amoxicillin-clavulanate
D) oral amoxicillin-clavulanate
Rabies prophylaxis is not indicated in rat bites.
Tx w/ amoxicillin-clavulanate 875 mg/125 mg BID (alternative tx: doxcycline)
A patient presents with painful, blistering thermal burns on his right hand
involving the thumb, index, and middle fingers. The most appropriate plan of
care is to
, Page 4 of 80
A) apply an anesthetic cream to the area and open the blisters
B) apply silver sulfadiazine (Silvadene) to the area followed by a bulky
dressing
C) refer the patient to a burn specialist
D) wrap the burn loosely with a nonadherent dressing and prescribe an
analgesic
C) refer the patient to a burn specialist
Gram-negative bacteria that commonly cause burn wound infections include
all of the following except
A) Pseudomonas aeruginosa
B) Escherichia coli
C) Klebsiella pneumoniae
D) Haemophilus influenzae
D) Haemophilus influenzae
Which of the following is recommended to prevent a burn wound infection?
A) topical corticosteroid
B) topical silver sulfadiazine
C) oral erythromycin
D) oral moxifloxacin
B) topical silver sulfadiazine
You examine a patient with red, tender thermal burn that blanches easily and
involves the entire surface of the anterior left leg. The estimated involved body
surface area (BSA) is approximately _________________.
A) 5%
B) 9%
D) 13%
C) 18%
B) 9%
A mother brings her 3-year old daughter to the clinic with dry, red patches on
her face around her eyes. MOP has observed her daughter constantly rubbing
the area, which has caused swelling around her eyes. Physical examination is
consistent with atopic dermatitis. The NP considers that this diagnosis
A) requires a skin culture to confirm contibuting bacterial organisms
B) should be supported by a biopsy of the affected area
C) requires a peripheral blood eosinophil level
D) is usually a clinical diagnosis
D) is usually a clinical diagnosis
Type I hypersensitivity reactions, such as atopic dermatitis, involve the action
of which antibodies binding to receptor sites on mast cells?
A) IgG
B) IgM
C) IgE
D) IgA
C) IgE
“NAXLEX OA REVIEW 2026 ”LATEST EXAM 2026
– 2027 SOLVED QUESTIONS & ANSWERS
VERIFIED 100% GRADED A+ (LATEST VERSION)
WELL REVISED 100% GUARANTEE PASS
don't miss any practice revision materials contact me +254111429458
NAXLEX OA (All Correct Answers!)
Your 66-year old patient has pitting of her nails and itchy, red plaques with
silvery scales on her elbows and knees. What condition does she likely have?
A) actinic keratoses
B) allergic contact dermatitis
C) atopic dermatitis (eczema)
D) psoriasis
D) psoriasis
You are examining a 17-year old male with acne and notice blackheads and
whiteheads. What are the medical terms for blackheads and whiteheads,
respectively?
A) open comedomes and closed comedomes
B) closed follicles and open follicles
C) closed comedomes and open comedomes
D) open follicles and closed follicles
A) open comedomes (blackheads) and closed comedomes (whiteheads)
Which of the following are recommended treatment options for psoriasis of the
scalp? Select all that apply.
A) oral antihistamines
B) selenium sulfide shampoo
C) topical steroids
D) tar/salicylic acid shampoo
C) topical steroids
D) tar/salicylic acid shampoo
, Page 2 of 80
In the treatment of acne vulgaris, which lesions respond best to topical
antibiotic therapy?
A) open comedomes
B) cysts
C) inflammatory lesions
D) closed comedomes
C) inflammatory lesions
You have initiated acne treatment for an 18-year old male by prescribing
doxycycline. He returns to the clinic 3 weeks later and complains that his skin
is no better. Your next action is to
A) counsel him that 6 to 8 weeks of treatment is often needed before
significant improvement is achieved
B) discontinue doxycycline and start minocycline therapy
C) advise him that antibiotics are not likely an effective treatment for him and
should not be continued
D) add a second antimicrobial agent such as TMP-SMX
A) counsel him that 6 to 8 weeks of treatment is often needed before significant
improvement is achieved
Who is the best candidate for isotretinoin (Accutane) therapy?
A) a 17-year old patient w/ pustular lesions and poor response to benzoyl
peroxide
B) a 20-year old patient with cystic lesions who has tried various therapies
with minimal improvement
C) a 14-year old patient with open and closed comedomes and a family history
of "ice pick" scars
D) an 18-year old patient with inflammatory lesions and improvement with
tretinoin (Retin-A)
B) a 20-year old patient with cystic lesions who has tried various therapies with
minimal improvement
In a 22-year old female using isotretinoin (Accutane) therapy, the NP ensures
follow-up to monitor for all of the following tests except
A) liver enzymes
B) triglyceride level
C) pregnancy test
D) platelet count
D) platelet count
Leo is an 18-year old male who has been taking isotretinoin (Accutane) to treat
his acne for the last 2 months. Which of the following is the most important
question for the NP to ask at his follow-up office visit?
A) Are you having any problems remembering to take your medication?
B) Have you noticed any dry skin around your mouth since you started taking
Accutane?
C) Do you notice any improvement in your skin?
D) Have you noticed any recent changes in your mood?
D) Have you noticed any recent changes in your mood?
, Page 3 of 80
A common infective agent in domestic pet cat bites is
A) viridans streptococcus species
B) Pasteurella multocida
C) Bateroides species
D) Haemophilus influenzae
B) Pasteurella multocida
A 28-year old women presents to the clinic c/o cat bite on her right ankle. Her
pet cat bit her when she accidentally stepped on his paw. He is 3 years old and
is up-to-date on his vaccinations. She washed the wound with soap and water.
Treatment of this patient's cat bite should include standard wound care with
the addition of
A) oral erythromycin
B) topical bacitracin
C) oral amoxicillin-clavulanate
D) parenteral rifampin
C) oral amoxicillin-clavulanate
~80% of cat bites become infected, all wounds should be cultured and treated
empirically
(Only 5% of dog bites become infected, treat if severe or significant comorbidity)
A 24-year old male walks in to the clinic c/o raccoon bite in his right thigh. On
physical exam, you note a 1 cm deep wound on his right thigh that is oozing
bright red blood. Your next best course of action is to
A) administer high-dose parenteral penicillin
B) initiate antibacterial prophylaxis with amoxicillin
C) give rabies immune globlulin and rabies vaccine
D) suture the wound after proper cleaning
C) give rabies immune globlulin and rabies vaccine
Bats, racoons, skunks carry a significant rabies risk and should be considered rabid.
Give RIG and rabies vaccine, consider tetanus
A 52-year old female walks in to the clinic c/o rat bite while trying to open a
dumpster. On physical exam, you note a 1 cm deep wound that is oozing
bright red blood. In addition to standard wound care, treatment of this patient
should include
A) rabies immune globulin
B) rabies vaccine
C) oral ciprofloxacin
D) oral amoxicillin-clavulanate
D) oral amoxicillin-clavulanate
Rabies prophylaxis is not indicated in rat bites.
Tx w/ amoxicillin-clavulanate 875 mg/125 mg BID (alternative tx: doxcycline)
A patient presents with painful, blistering thermal burns on his right hand
involving the thumb, index, and middle fingers. The most appropriate plan of
care is to
, Page 4 of 80
A) apply an anesthetic cream to the area and open the blisters
B) apply silver sulfadiazine (Silvadene) to the area followed by a bulky
dressing
C) refer the patient to a burn specialist
D) wrap the burn loosely with a nonadherent dressing and prescribe an
analgesic
C) refer the patient to a burn specialist
Gram-negative bacteria that commonly cause burn wound infections include
all of the following except
A) Pseudomonas aeruginosa
B) Escherichia coli
C) Klebsiella pneumoniae
D) Haemophilus influenzae
D) Haemophilus influenzae
Which of the following is recommended to prevent a burn wound infection?
A) topical corticosteroid
B) topical silver sulfadiazine
C) oral erythromycin
D) oral moxifloxacin
B) topical silver sulfadiazine
You examine a patient with red, tender thermal burn that blanches easily and
involves the entire surface of the anterior left leg. The estimated involved body
surface area (BSA) is approximately _________________.
A) 5%
B) 9%
D) 13%
C) 18%
B) 9%
A mother brings her 3-year old daughter to the clinic with dry, red patches on
her face around her eyes. MOP has observed her daughter constantly rubbing
the area, which has caused swelling around her eyes. Physical examination is
consistent with atopic dermatitis. The NP considers that this diagnosis
A) requires a skin culture to confirm contibuting bacterial organisms
B) should be supported by a biopsy of the affected area
C) requires a peripheral blood eosinophil level
D) is usually a clinical diagnosis
D) is usually a clinical diagnosis
Type I hypersensitivity reactions, such as atopic dermatitis, involve the action
of which antibodies binding to receptor sites on mast cells?
A) IgG
B) IgM
C) IgE
D) IgA
C) IgE
