Common Conditions of Eyes and Ears

Question 1

Rule of thumb when dispense eye and ear drops

Answer 1

Eye drops can be used for ears, but ear drops can’t be used for eyes

Question 2

AD

Answer 2

Right ear

Question 3

AS

Answer 3

Left ear

Question 4

AU

Answer 4

Both ears

Question 5

OU

Answer 5

Both eyes

Question 6

OS

Answer 6

Left eye

Question 7

OD

Answer 7

Right eye

Question 8

Drops to mL

Answer 8

1 gtt = 0.05 mL

Question 9

Counseling of suspension drops

Answer 9

Shake well

Question 10

Counseling on ointment drops

Answer 10

Apply to the conjunctival sac or over lid margin

Ointment may make vision blurry

Don’t use contacts

Question 11

Counseling on gel drops

Answer 11

With cap on, invert and shake once to get the medication into the tip before instilling into the eye

Question 12

Normal IOP

Answer 12

12-22

Question 13

Drugs that ↑ IOP

Answer 13

Anticholinergics
Decongestants
Chronic steroids
Topiramate

Question 14

Tx that reduces aqueous humor production

Answer 14

BB and carbonic anhydrase inhibitors

Question 15

Tx that increases aqueous humor outflow

Answer 15

Prostaglandin analogs

Question 16

Tx that increases aqueous humor outflow and reduces its production

Answer 16

Alpha-2 agonist

Question 17

Types of PG analogs

Answer 17

Bimatoprost
Latanoprost
Travoprost

Question 18

Bimatoprost

Answer 18

Lumigan

Latisse (eyelash growth)

Question 19

Latanoprost

Answer 19

Xalatan, Xelpros

Question 20

Travoprost

Answer 20

Travatan Z

Question 21

Dosing of PG analogs

Answer 21

1 gtt QHS

Question 22

ADR of PG analogs

Answer 22

Darkening of iris and eyelashes (length may ↑)

Blurred vision, staining, increased pigmentation of iris/eyelashes and growth

Question 23

Storage of Latanoprost

Answer 23

Refrigerator before opening

Question 24

BB for glaucoma

Answer 24

Timolol

Question 25

Timolol

Answer 25

Timoptic, -XE, Istalol + dorzolamide (Cosopt, PF)

Question 26

Dosing of timolol

Answer 26

1 get QD or BID Gels: shake once before use, wait 10 min after administering other eyedrops before inserting gel

Question 27

ADR of timolol

Answer 27

Burning, stinging, bradycardia/fatigue, bronchospasm

Question 28

The only non selecting BB for glaucoma

Answer 28

Betaxolol

Question 29

What does PF mean

Answer 29

Preservative free

Question 30

Cholinergics for glaucoma

Answer 30

Carbachol Pilocarpine

Question 31

Carbachol

Answer 31

Miostat

Question 32

Pilocarpine

Answer 32

Isopto Carpine

Question 33

ADR of cholinergics

Answer 33

Pupil constriction (miotics)

Question 34

Carbonic anahydrase inhibitors

Answer 34

Dorzolamide Brinzolamide Acetazolamide Methazolamide

Question 35

Dorzolamide

Answer 35

Truopt

Question 36

Brinzolamide

Answer 36

Azopt

Question 37

CI dorzolamide

Answer 37

Avoid in sulfonamide allergy

Question 38

Indication for acetazolamide

Answer 38

Actue altitude sickness

Question 39

Adrenergic alpha-2 agonsit

Answer 39

Brimonidine

Question 40

Brimonidine

Answer 40

Alphagan P

Question 41

MOA of netarsudil

Answer 41

Rho kinase inhibitor that ↑ aqueous outflow

Question 42

Netarsudil

Answer 42

Rhopressa +lantanoprost (Rockalantan)

Question 43

What is conjunctivitis

Answer 43

Pink eye

Question 44

How to prevent the spread of pink eye

Answer 44

Avoid touching eye Hand hygiene thoroughly and frequently Change towels and washcloths QD Discard eye cosmetics

Question 45

Common virus for conjunctuvitis

Answer 45

Adenovirus

Question 46

Tx for viral conjunctuvitis

Answer 46

Non

Question 47

Common bacteriafor conjunctuvitis

Answer 47

Staph aureus Neisseria gonorrhoeae or Chlamydia

Question 48

Tx for bacterial conjucntuvitis

Answer 48

Moxifloxacin Neomycin/Polymixin B/Dexamethasone Ofloxacin Trimethoprim/Polymixin B Azithromycin Cipro Erythromycin Gentamicin Neomycin/Bacitrcin/Polymixin B Tobra Tobra Dex

Question 49

Moxifloxacin

Answer 49

Vigamox

Question 50

Neomycin/Polymixin B/Dexamethasone

Answer 50

Maxitrol

Question 51

Ofloxacin

Answer 51

Ocuflox

Question 52

Trimethoprim/Polymixin B

Answer 52

Polytrim

Question 53

Mast cell stabilizer for allergic conjunctavitis

Answer 53

Cromolyn Lodoxamide Nedocromil

Question 54

Atihistamine for conjunctavitis

Answer 54

Azelastine Olopatadine

Question 55

Atihistamine + Mast cell combo

Answer 55

Ketotifen

Question 56

Ketotifen

Answer 56

Alaway, Zaditor

Question 57

Olopatadine

Answer 57

Pataday

Question 58

Tx for blepharitis

Answer 58

Warm, moist washcloth ABX ointment, steroid eye drops, and/or artificial tears

Question 59

Preservative in eye drops

Answer 59

benzalkonium chloride

Question 60

How to reduce eye inflammation

Answer 60

Cold compress, NSAID eye drop (mild), or steroid eye drop (severe)

Question 61

Eyedrops for inflammation

Answer 61

Ketoralac PrednisoloneP

Question 62

Prednisolone

Answer 62

Red Frote, Fred Mild

Question 63

Ketorolac

Answer 63

Acular

Question 64

Drops for dryness

Answer 64

Refresh Systae

Question 65

Drops for chronic dry eyes

Answer 65

Cyclosporine

Question 66

Cyclosporine

Answer 66

Restasis

Question 67

Drops for redness

Answer 67

Naphazoline Naphazoline/Pheniramine Tetrahydrozolin

Question 68

Naphazoline

Answer 68

Clear eyes redness relief

Question 69

Naphazoline/Pheniramie

Answer 69

Naphcon A, Visine A

Question 70

Tetrahydrolazine

Answer 70

Visine

Question 71

Drugs that cause retinal changes (retinopathy)

Answer 71

Chloroquine Hydrochloroquine

Question 72

Drugs that cause optic neuropathy

Answer 72

Linezolid Amiodarone Ethambutol

Question 73

Drugs that cause IFIS

Answer 73

Alpha blockers

Question 74

Drugs that cause color discrimination

Answer 74

Digoxin PDE5 I Coriconazole

Question 75

Drugs that cause vision loss

Answer 75

Digoxin PDE5I ISotretinoin Topiramate Vigabatrin Voriconazole

Question 76

Tx for cerumen blockage

Answer 76

Carbamide peroxide

Question 77

Carbamide peroxde

Answer 77

Debrox

Question 78

Tx for otitis externa

Answer 78

Acetic acid and glucocoricoid (VoSol HC) Ciprofloxacin/Dexamethasone (Ciprodex)

Question 79

What is otitis externa

Answer 79

Swimmers ear

Question 80

Counseling of multiple eyedrops

Answer 80

Same medication: wait 5 min between 2 different meds: wait 5-10 min between Apply gels last, wait 10 min before Remove contacts, wait 15 min before putting them back on