623 ADULT - DERM SYSTEM NP
CERTIFICATION, FITZGERALD 4TH
EDITION EXAM 2025 WITH PRACTICE
QUESTIONS AND ANSWERS
counsel him that 6-8 wks of tx is often needed before
significant improvement is achieved - ✔✔ANSWER✔✔->>you
have initiated tx for an 18 y/o male with acne vulgaris and have
rx doxycycline. He returns in 3 wks, c/o that his skin is no
better. Your next course of actions is to:
b. a 20 y/o pt with cystic lesions who has tried various tx with
minimal effect - ✔✔ANSWER✔✔->>who is the best candidate
for isotretinoin (accutane)?
a. a 17 y/o pt with pustular lesions and poor response to
benzoyl peroxide
b. a 20 y/o pt with cystic lesions who has tried various tx with
minimal effect
,c. a 14 y/o pt with open and closed comedones and a family hx
of ice pick scars
d. an 18 y/o pt with inflammatory lesions and improvement
with tretinoin (retin A)
d. platelet count - ✔✔ANSWER✔✔->>in a 22 y/o woman using
isotretinoin (accutane) tx, the NP ensures f/u to monitor for all
of the following tests EXCEPT:
a. hepatic enzymes
b. triglyceride measurements
c. pregnancy text
d. platelet count
d. have you noticed any recent changes in your mood? -
✔✔ANSWER✔✔->>Leonard is an 18 y/o man who has been
taking isotretinoin (accutane) for the tx of acne for the past 2
months. Which of the following is the most important question
for the NP to ask at his f/u 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 using accutane?
c. do you notice any improvement in your skin?
,d. have you noticed any recent changes in your mood?
b. moderate acne - ✔✔ANSWER✔✔->>a 14 y/o male presents
with acne consisting of 25 comedones and 20 inflammatory
lesions with no nodules. This pt can be classified as having.
a. mild acne
b. moderate acne
c. severe acne
d. very severe acne
a. add a topical retinoid - ✔✔ANSWER✔✔->>in a 13 y/o
female pt with mild acne and who experiences an inadequate
response to benzoyl peroxide tx, an appropriate tx option
would be:
a. add a topical retinoid
b. add an oral antibiotic
c. consider isotretinoin (accutane)
d. consider hormonal tx
20-100 comedones, or 15-50 inflammatory lesions, or total
lesion count 30-125 - ✔✔ANSWER✔✔->>the definition of
moderate acne is
, fewer than 20 comedones, or fewer than 14 inflammatory
lesions or total lesion count less than 30 - ✔✔ANSWER✔✔-
>>the definition of mild acne is
more than 5 nodules, or total inflammatory lesion count >50 or
total lesion count >125 - ✔✔ANSWER✔✔->>the definition of
severe acne is
b. pasteurella multocida - ✔✔ANSWER✔✔->>a common
infective agent in domestic pet cat bites is:
a. viridans streptococcus species
b. pasteurella multocida
c. bacteroides species
d. haemophilus
c. oral amoxicillin-clavulanate - ✔✔ANSWER✔✔->>a 28 y/o
woman presents to your practice with cc of a cat bite sustained
on her rt ankle. Her pet cat had bitten her after she
inadvertently stepped on its paw while she was in her home.
Her cat is 3 y/o, is up-to-date on immunizations, and does not
go outside. PE reveals pinpoint superficial puncture wounds on
the rt ankle consistent with the presenting hx. She washed the
CERTIFICATION, FITZGERALD 4TH
EDITION EXAM 2025 WITH PRACTICE
QUESTIONS AND ANSWERS
counsel him that 6-8 wks of tx is often needed before
significant improvement is achieved - ✔✔ANSWER✔✔->>you
have initiated tx for an 18 y/o male with acne vulgaris and have
rx doxycycline. He returns in 3 wks, c/o that his skin is no
better. Your next course of actions is to:
b. a 20 y/o pt with cystic lesions who has tried various tx with
minimal effect - ✔✔ANSWER✔✔->>who is the best candidate
for isotretinoin (accutane)?
a. a 17 y/o pt with pustular lesions and poor response to
benzoyl peroxide
b. a 20 y/o pt with cystic lesions who has tried various tx with
minimal effect
,c. a 14 y/o pt with open and closed comedones and a family hx
of ice pick scars
d. an 18 y/o pt with inflammatory lesions and improvement
with tretinoin (retin A)
d. platelet count - ✔✔ANSWER✔✔->>in a 22 y/o woman using
isotretinoin (accutane) tx, the NP ensures f/u to monitor for all
of the following tests EXCEPT:
a. hepatic enzymes
b. triglyceride measurements
c. pregnancy text
d. platelet count
d. have you noticed any recent changes in your mood? -
✔✔ANSWER✔✔->>Leonard is an 18 y/o man who has been
taking isotretinoin (accutane) for the tx of acne for the past 2
months. Which of the following is the most important question
for the NP to ask at his f/u 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 using accutane?
c. do you notice any improvement in your skin?
,d. have you noticed any recent changes in your mood?
b. moderate acne - ✔✔ANSWER✔✔->>a 14 y/o male presents
with acne consisting of 25 comedones and 20 inflammatory
lesions with no nodules. This pt can be classified as having.
a. mild acne
b. moderate acne
c. severe acne
d. very severe acne
a. add a topical retinoid - ✔✔ANSWER✔✔->>in a 13 y/o
female pt with mild acne and who experiences an inadequate
response to benzoyl peroxide tx, an appropriate tx option
would be:
a. add a topical retinoid
b. add an oral antibiotic
c. consider isotretinoin (accutane)
d. consider hormonal tx
20-100 comedones, or 15-50 inflammatory lesions, or total
lesion count 30-125 - ✔✔ANSWER✔✔->>the definition of
moderate acne is
, fewer than 20 comedones, or fewer than 14 inflammatory
lesions or total lesion count less than 30 - ✔✔ANSWER✔✔-
>>the definition of mild acne is
more than 5 nodules, or total inflammatory lesion count >50 or
total lesion count >125 - ✔✔ANSWER✔✔->>the definition of
severe acne is
b. pasteurella multocida - ✔✔ANSWER✔✔->>a common
infective agent in domestic pet cat bites is:
a. viridans streptococcus species
b. pasteurella multocida
c. bacteroides species
d. haemophilus
c. oral amoxicillin-clavulanate - ✔✔ANSWER✔✔->>a 28 y/o
woman presents to your practice with cc of a cat bite sustained
on her rt ankle. Her pet cat had bitten her after she
inadvertently stepped on its paw while she was in her home.
Her cat is 3 y/o, is up-to-date on immunizations, and does not
go outside. PE reveals pinpoint superficial puncture wounds on
the rt ankle consistent with the presenting hx. She washed the
