Review Question - QID 109117

A 16-year-old girl presents to her primary care physician with worsening facial acne over the last 2 months. She states that she first developed sparse pimples around age 12 and she used over-the-counter face cleansers containing salicylic acid with moderate improvement. She was prescribed a topical retinoid 2 months ago when her acne first started to worsen, but she has been unable to use it consistently due to excessive skin drying. She still feels that her acne is poorly controlled. She states that her skin seems to break out more around her menstrual period, which occurs every 28 days. The patient has a past medical history of migraines with aura, for which she sometimes takes sumatriptan. Her mother has a history of hypertension and her father died of a myocardial infarction at age 51. The patient is a junior in high school and plays varsity soccer. She denies the use of alcohol, tobacco, and drugs and has never been sexually active. Her temperature is 98.2°F (36.7°C), pulse is 70/min, blood pressure is 117/61 mmHg, respirations are 14/min, and oxygen saturation is 99% on room air. A cardiopulmonary exam is unremarkable. A representative portion of her facial skin exam is shown in Figure A. Which of the following is the most appropriate next step in management?