confusing ethics question !!!!!!!

A 14-year-old boy is brought to the physician by his mother because of a 3-month history of severe blemishes on his face and back that have been increasing in number. His mother has bought many over-the-counter medications for the acne, but he has not used any of them. Physical examination shows multiple pustules. Which of the following is the most appropriate next step?

A Ask the patient if he is concerned about the appearance of his skin

B Obtain a dietary history

C
)
Suggest a new nonprescription medication

D
)
Provide a prescription for a topical antibiotic

E
)
Recommend a consultation with a dermatologist





what is the answer plz ?