PEBC Evaluating Exam prep, PEBC Qualifying Exam prep, PEBC OSCE prep, PEBC Technician Exams prep, Misbah Classes-Pharmacy Prep

Chapter 16 – Contraception (QE) Sample Questions

1. Case : Acne Exacerbation in a Woman on Oral Contraceptives. A 24-year-old woman with a history of gout is taking a combined oral contraceptive (COC) containing levonorgestrel/ethinyl estradiol. She has not used any acne medications for over a year. Recently, she developed worsening inflammatory acne, with multiple papules and pustules. Which factor is most likely contributing to the aggravation of her acne?

A. NSAID use
B. Allopurinol
C. Levonorgestrel/ethinyl estradiol
D. Gender

Answer

Ans: C

Rationale:
Levonorgestrel is a progestin with androgenic activity, which can worsen acne by increasing sebaceous gland activity.
• NSAIDs and allopurinol do not exacerbate acne.
• Gender is a risk factor but does not explain an acute worsening in this scenario.
COCs containing antiandrogenic progestins (e.g., drospirenone) are preferred for acne.

WELCOME TO PHARMACY PREP