Post-inflammatory hyperpigmentation — SCE Dermatology MCQ
Instant feedback + full explanation. One question, done properly.
Educational content. Not a substitute for clinical judgement or local policy.
Reveal the answer and explanation
Correct answer: C — Obtain independent agreement from two healthcare professionals before initiation
Explanation lettering: E = shown as B · D = shown as C · B = shown as D · C = shown as E
D is correct. Current UK isotretinoin safety measures require two independent healthcare professionals to agree that no other appropriate effective treatment exists before initiation in a person under 18. This is additional to assessment and monitoring of mental health and sexual function, acknowledgement-of-risk documentation and pregnancy-prevention requirements where relevant. Isotretinoin is not prohibited in adolescents over 12 with severe resistant acne, and dose is individualized rather than automatically halved. Parental involvement does not replace valid consent or the statutory safety process.
Reference: NICE NG198: acne vulgaris management: https://www.nice.org.uk/guidance/ng198/chapter/Recommendations