Eyes Ears and Nose Conditions

Question 1

Counseling point on time to effect for patients utilizing intranasal steroids?

Answer 1

Can take up to a week to get full relief

Question 2

What is the adult dosing of 1st gen Benadryl?

Answer 2

25 mg PO Q4-6 H or 50 mg PO Q 6- 8H

Question 3

What is the benadryl age cutoff for utilizing OTC?

Answer 3

Less than 6 years of age

Question 4

What patient should use benadryl with caution?

Answer 4

CVD, Glaucoma, Prostate Enlargement

Question 5

Most sedating 2nd generation antihistamines:

Answer 5

certirizine and levocertirzine

fastest onset as well

Question 6

Least sedating second generation antihistamines:

Answer 6

fexofenadine and Loratadine

Question 7

what is the age cut off for Pseudophedrine and phenylephrine?

Answer 7

< 2 years FDA
< 4 packages

Question 8

If a patient utilizes afrin for more than 3 days what could happen?

Answer 8

Rebound congestion (rhinitis medicamentosa)

Question 9

Expectorants are used when:

Answer 9

a productive cough is present. Helps thin mucus.

Question 10

What is a well known expectorant that is used?

Answer 10

Guaifensin

Question 11

When do you use cough suppressants?

Answer 11

when there is a non productive cough present

Question 12

Names of cough suppressants

Answer 12

dextromethorphan, codeine, benzonatate, benadryl

Question 13

1 drop is = to

Answer 13

0.05 mL

Question 14

prostaglandin analogs MOA:

Answer 14

increase aqueous humor outflow

Question 15

Lumigan

Answer 15

Bimatoprost

Question 16

Latisse

Answer 16

Bimatoprost that is utilize only for eye lash growth

Question 17

Which prostaglandins require refridgeration before use?

Answer 17

• prost

latanoprost, latanoprostene (Vyzulta) , tafluprost (zioptan)

Question 18

BB MOA in glaucoma

Answer 18

reduce aqueous humor production

Question 19

Timolol + Dorzolamide brand name

Answer 19

Cosopt

Question 20

When using BB eye gel how do you prepare it?

Answer 20

shake once, wait ten min after administering other eye drops before using gel

Question 21

Which BB drop is selective?

Answer 21

Betazolol (Betoptic S)

less likely to cause pulmonary ADR in patients with pulm disposition

Question 22

Cholinergics (Miotics) MOA in glaucoma

Answer 22

increase aqueous humor outflow

Question 23

Carbachol (Miostat) and Pilocarpine (isopto carpine) have what SE?

Answer 23

Cholinergics cause vasoconstriction leading to poor vision at night

Question 24

Carbonic Anhydrase inhibitor MOA (glaucoma)

Answer 24

reduce aqueous humor production

Question 25

Dorzolamide

Answer 25

trupost

Question 26

Dorzolamide and other - zamide ending Carbonic anhydrase inhibitors have what warning?

Answer 26

caution in sulfonamide allergies

Question 27

Acetazolamide an oral carbonic anhydrase inhibitor is rarely used in glaucoma but rather in ____

Answer 27

the treatment and prevention of acute mountain sickness

Question 28

What is a good way to remember that CA inhibitors have a sulfonamide concern?

Answer 28

-zolamide= -sulfonAMIDE

Question 29

Adrenergic alpha 2 agonist MOA in glaucoma:

Answer 29

-nidine increase aqueous humor outflow, reduce aqueous humor production

Question 30

What are the treatment options for bacterial conjunctivitis?

Answer 30

Pink eye Moxifloxacin (vigamox) Maxitrol (neomycin/polymyxin B/dexamethasone) Polytrim (trimethoprim/polymyxin B) ofloxacin ( ocuflox)

Question 31

What is commonly used for chronic dry eye

Answer 31

cyclosporine (restasis)

Question 32

What are two common drugs that cause retinal changes/retinopathy:

Answer 32

chloroquine and hydroxychloroquine

Question 33

What drugs give you BROWN skin colorations

Answer 33

entacapone levodopa methyldopa

Question 34

What drugs give you Brown/Black/Green skin colorations/ secretions

Answer 34

iron - black stool methocarbamol

Question 35

What drugs give you BROWN/Yellow skin colorations / secretions

Answer 35

Nitrofurantoin

Question 36

What drugs give you Yellow/Green secretions/skin

Answer 36

propofol

Question 37

How long does it generally take for retinoid to work in acne?

Answer 37

4 to 12 weeks and may worsen acne initially

Question 38

What is winlevi?

Answer 38

Clacoterone is a topical androgen receptor inhibitor.

Question 39

Azelex / Finacea

Answer 39

Azelaic acid is a topical dicarboxylic acid cream or gel used for acne or rosacea

Question 40

What are the two most common topical retinoids?

Answer 40

Differin and tretinoin (atralin, renova, retin - A)

Question 41

Docosanol (abreva) application:

Answer 41

apply 5 times a day at the first sign of outbreak

Question 42

Tinea Pedis

Answer 42

Athletes foot

Question 43

Tinea Cruris

Answer 43

Jock itch

Question 44

Tinea Corporis

Answer 44

ringworm

Question 45

OTC fungal: Lamisil AT

Answer 45

Terbinafine

Question 46

OTC fungal: Lotrimin Ultran

Answer 46

Clotrimzaole

Question 47

OTC fungal: Lotrimin AF

Answer 47

miconazole

Question 48

OTC fungal: Tinactin

Answer 48

Tolnaftate

Question 49

OTC fungal: Toelieva

Answer 49

Undecylenic acid

Question 50

RX antifungal: Lotrisone

Answer 50

Betamethasone/Clotrimazole

Question 51

RX antifungal: Extina

Answer 51

Ketoconazole

Question 52

Treatment for onychomycosis:

Answer 52

Itraconazole and Terbinafine

Question 53

itraconazole BBW:

Answer 53

can exacerbate HF

Question 54

OTC to treat fungal vaginal infection: Gyne-Lotrimin

Answer 54

Clotrimazole

Question 55

OTC to treat fungal vaginal infection: Monistat - 3

Answer 55

Miconazole

Question 56

How do you identify pinworm?

Answer 56

anal itching in children that requires a "TAPE test" identify eggs via sticking a piece of tape around the anus in the morning. It can take up to three attempts to identify

Question 57

RX treatment for Pinworm:

Answer 57

Albenza (albendazole) Bebendazole (Emverm ) - hepatoxic

Question 58

What can also be given with with pinworm rx treatment?

Answer 58

due to the toxicity of treatment if treating a CNS infection steroids and AEDs should be utilized

Question 59

Ovide - Malathion in lice:

Answer 59

can irritate the skin and is flammable.

Question 60

Ivermectin oral is used to treat ___

Answer 60

Scabies while the topical is an OTC used for lice treatment

Question 61

Stromectol

Answer 61

oral ivermectin

Question 62

2 very high potency steroids:

Answer 62

Clobetasol Propionate 0.05%(clobex, temovate, olux) Fluocinoninde 0.1% cream (Vanos)

Question 63

3 high potency steroids:

Answer 63

Betamethasone Dipropionate 0.05% cream Fluocinonide 0.05% ointment Mometasone Furoate 0.1% ointment

Question 64

High - Medium Potency steroid:

Answer 64

Fluocinonide 0.05% cream (Lidex-E)

Question 65

2 medium potency steroids:

Answer 65

Mometasone furoate 0.1% cream Triamcinolone Acetonide 0.1% cream (kenalog)

Question 66

Lowest potency steroid:

Answer 66

Hydrocortisone 1%