Deck 12: Opthalmic Products

Question 1

Which of the following statements regarding instillation of antibiotic ophthalmic products is/are FALSE?

A) Proper instillation technique begins with washing your hands.
B) Proper instillation technique helps prevent superinfection.
C) Proper instillation technique requires cleaning the applicator tip with an alcohol swab after each use.
D) All of the above.

Answer 1

C

Question 2

Which of the following conditions is not a contraindication for the use of ophthalmic beta blockers?

A) Cardiogenic shock
B) Severe COPD
C) Tachycardia
D) Third-degree AV block

Answer 2

C

Question 3

Which of the following brand/generic name pairs are not correctly matched?

A) Ciprofloxacin/Ocuflox
B) Erythromycin/Ilotycin
C) Latanoprost/Xalatan
D) Timolol/Timoptic

Answer 3

A

Question 4

Viral, mycobacterial, and fungal infections of the cornea are contraindications with which agent?

A) Ciloxan
B) Neosporin
C) TobraDex
D) Xalatan

Question 5

Which agent is available as a gel-forming solution?

A) Latanoprost
B) Ofloxacin
C) Timolol
D) Tobramycin/dexamethasone

Question 6

Erythromycin ointment belongs to which class of antibacterial agents?

A) Aminoglycoside
B) Beta-lactam
C) Fluoroquinolone
D) Macrolide

Question 7

Which of the following statements regarding latanoprost is true?

A) A well-known adverse reaction of latanoprost is eyelash thinning.
B) Latanoprost is inferior to topical beta blockers when treating glaucoma.
C) Twice daily dosing is more effective than once daily dosing.
D) Unopened bottles that are not in use should be stored in the refrigerator.

Question 8

Which of the following is a FALSE statement?

A) Always avoid contact of the applicator tip to the surface of the eye.
B) Generally, contact lenses should be removed during treatment for conjunctivitis.
C) Nasolacrimal occlusion is useful for ophthalmic ointments.
D) Ophthalmic suspensions should be shaken before use.

Question 9

Which of the following drug: mechanisms of action pairs is incorrect?

A) Erythromycin: inhibits RNA dependent protein synthesis
B) Latanoprost: decreases aqueous humor outflow from the eye
C) Ofloxacin: inhibits activity of DNA gyrase
D) Timolol: reduces aqueous humor production in the ciliary body of the eye

Question 10

Which of the following is NOT a common adverse reaction to TobraDex?

A) Eyelid itching
B) Eyelid swelling
C) Perforation of cornea
D) Superinfection

Question 11

Which of the following agents may be used to treat an infected corneal ulcer?

A) Neosporin
B) Ofloxacin
C) Timolol
D) Travoprost

Question 12

Which of the following statements regarding ophthalmic beta blockers is FALSE?

A) Nasolacrimal occlusion is particularly important to help decrease the incidence of systemic side effects.
B) Ophthalmic beta blockers are generally considered first-line therapy for open-angle glaucoma.
C) Timolol is a selective β₁ receptor blocker.
D) Topical beta blockers are among the most commonly used medications to treat glaucoma.

Question 13

Which of the following counseling points regarding bacterial conjunctivitis and contact lenses is/are true?

A) Contact lenses should not be worn until the infection is completely resolved.
B) Disposable contact lenses should be thrown away.
C) A new contact lens case should be used.
D) All of the above.

Question 14

Which of the following ophthalmic products combines both a steroid and an antibiotic?

A) Ciloxan
B) Ilotycin
C) Neosporin
D) TobraDex

Question 15

Which of the following adverse effects is not associated with Xalatan?

A) Bronchoconstriction
B) Darkening color of iris
C) Increased eyelash pigmentation
D) All of the above

Question 16

Which of the following agents may be used for long-term treatment of ocular hypertension?

A) Betaxolol
B) Dexamethasone
C) Erythromycin
D) Ofloxacin

Question 17

Which of the following ophthalmic agents is most likely to have systemic adverse effects potentially limiting its use?

A) Erythromycin ointment
B) Latanoprost
C) Ofloxacin solution
D) Timolol

Question 18

What is the mechanism of action for prostaglandin analogues?

A) Anticholinergic effect causing drying of the eye
B) Decreased production of aqueous humor in the eye
C) Increased outflow of aqueous humor from the eye
D) Osmotic shift of fluid into the posterior chamber of the eye

Question 19

Which of the following statements is/are true regarding ophthalmic erythromycin ointment?

A) Erythromycin ointment is commonly used for prophylaxis of neonatorum.
B) Erythromycin ointment is the drug of choice for uncomplicated conjunctivitis.
C) Temporarily blurred vision is common following administration.
D) All of the above.

Question 20

Neosporin ointment contains which of the following ingredients?

A) Bacitracin
B) Prednisolone
C) Neomycin
D) All of the above

Question 21

Which of the following is a preservative-free product?

A) Zioptan
B) Xalatan
C) Betimol
D) Combigan

Question 22

Which drug class of ophthalmic products has been associated with a localized allergic-type reaction characterized by lid edema, erythema, itching, and discomfort?

A) Beta-adrenergic blockers
B) Alpha-adrenergic agonists
C) Fluoroquinolone antibiotics
D) Prostaglandin analogs

Question 23

Which of the following adverse reactions is NOT associated with Neosporin?

A) Superinfection
B) Swelling
C) Transient burning
D) Irritation upon instillation

Question 24

Which of the following pairs of drugs is present in the combination product Combigan?

A) Timolol + brimonidine
B) Timolol + latanoprost
C) Timolol + loteprednol
D) Timolol + travoprost

Question 25

Which of the following ophthalmic products is available over the counter?

A) Lotemax
B) Patanol
C) Vigamox
D) Zaditor

Question 26

Olopatadine is considered to be part of what class of drugs?

A) Antiglaucoma agent
B) Antihistamine
C) Steroid
D) Vasoconstrictor

Question 27

Lotemax is indicated for use in which of the following disease states?

A) Bacterial conjunctivitis
B) Post-operative inflammation
C) Viral conjunctivitis
D) All of the above

Question 28

Which of the following monitoring parameters is pertinent to the long-term use of loteprednol?

A) Cutaneous sensitization reaction
B) Heart rate
C) Intraocular pressure
D) Conjunctival hyperemia

Question 29

Zymar is the brand name for which of the following agents?

A) Ciprofloxacin
B) Gatifloxacin
C) Moxifloxacin
D) Ofloxacin

Question 30

Timoptic is in which class of anti-glaucoma agents?

A) Alpha-2 agonist
B) Anticholinergic agent
C) Beta blocker
D) Prostaglandin analog

Question 31

Which of the following statements regarding open-angle glaucoma therapy is true?

A) Combination therapy is usually not warranted.
B) Newer therapies have the advantage of lower cost and once-daily dosing.
C) The goal of drug therapy is intraocular pressure lowering.
D) All of the above.

Question 32

A patient approaches the pharmacy counter with red, watery eyes asking for advice. He has been using Claritin Eye for the last 6 days to self-treat redness that began approximately 1 week ago. He followed the directions on the box, using 1 drop in each eye twice a day. What is the best response?

A) Increase the dose of Claritin Eye to 1 drop four times a day.
B) Recommend adding an artificial tears product to the current Claritin Eye regimen.
C) Recommend changing to a topical vasoconstrictor, such as Visine Advanced.
D) Refer him to a physician or ophthalmologist.

Question 33

Which of the following prescriptions for Moxeza is correct?

A) Instill 1 drop into the affected eye(s) once a day
B) Instill 1 drop into the affected eye(s) twice a day
C) Apply a 0.5-inch ribbon into the conjunctival sac once a day
D) Apply a 0.5-inch ribbon into the conjunctival sac twice a day

Question 34

Which of the following drug : uses pair is incorrect?

A) Vigamox : conjunctivitis
B) Pataday : inflammation
C) Combigan : open-angle glaucoma
D) Neosporin : blepharitis

Question 35

Which of the following counseling points is NOT true for a patient picking up a prescription for ophthalmic tobramycin/dexamethasone suspension?

A) Do not touch the tip of the container to your eye.
B) Do not wear contact lenses while using this product.
C) Shake well before using.
D) Store suspension in the refrigerator.