: Question # 28 An otherwise healthy 15-year-old girl is brought to the physician for evaluation of severe acne that involves her face, chest, and

: Question # 28 An otherwise healthy 15-year-old girl is brought to the physician for evaluation of severe acne that involves her face, chest, and back. It has not improved with her current combination therapy of oral cephalexin and topical benzoyl peroxide. She is sexually active with one male partner, and they use condoms consistently. Facial scarring and numerous comedones are present, with sebaceous skin lesions on her face, chest, and back. Before initiating treatment, which of the following is the most appropriate next step? Answer Image A Perform quantitative beta-hCG assay B Measure serum creatinine kinase levels c Switch cephalexin to doxycycline D Evaluate color vision E Administer oral contraceptives F Measure serum DHEA-S and testosterone levels

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