Question 1

The Centers for Disease Control recommends all newborn infants receive prophylactic administration of __________ within 1 hour of birth.

Accepted Answer

A)  Gentamicin ophthalmic ointment 
B)  Ciprofloxacin ophthalmic drops 
C)  Erythromycin oral suspension 
D)  Erythromycin ophthalmic ointment 
A)  Gentamicin ophthalmic ointment 
B)  Ciprofloxacin ophthalmic drops 
C)  Erythromycin oral suspension 
D)  Erythromycin ophthalmic ointment D

Question 2

__________ is / are prescribed to prevent swimmer's ear.

Accepted Answer

A)  Ciprofloxacin otic drops (Ciloxan) 
B)  Isopropyl ear drops (EarSol) 
C)  Colistin (Coly-Mycin S Otic) 
D)  Gentamicin otic drops 
A)  Ciprofloxacin otic drops (Ciloxan) 
B)  Isopropyl ear drops (EarSol) 
C)  Colistin (Coly-Mycin S Otic) 
D)  Gentamicin otic drops B

Question 3

Janie presents to the clinic with hard ear wax in both ear canals. Instructions regarding home removal of hard cerumen include:

Accepted Answer

A)  Moisten a cotton swab (Q-tip) and swab the ear canal twice daily. 
B)  Instill tap water in both ears while bathing. 
C)  Squirt hydrogen peroxide into ears with each bath. 
D)  Instill carbamide peroxide (Debrox) twice daily until canals are clear. 
A)  Moisten a cotton swab (Q-tip) and swab the ear canal twice daily. 
B)  Instill tap water in both ears while bathing. 
C)  Squirt hydrogen peroxide into ears with each bath. 
D)  Instill carbamide peroxide (Debrox) twice daily until canals are clear. D

Question 4

Conjunctivitis in a child that is accompanied by acute otitis media is treated with:

Accepted Answer

A)  Sulfacetamide 10% ophthalmic solution (Bleph-10) 
B)  Bacitracin/polymyxin B (Polysporin) ophthalmic drops 
C)  Ciprofloxacin (Ciloxan) ophthalmic drops 
D)  High-dose oral amoxicillin 
A)  Sulfacetamide 10% ophthalmic solution (Bleph-10) 
B)  Bacitracin/polymyxin B (Polysporin) ophthalmic drops 
C)  Ciprofloxacin (Ciloxan) ophthalmic drops 
D)  High-dose oral amoxicillin

Question 5

Patient education regarding the use of ciprofloxacin-hydrocortisone (Cipro HC otic) ear drops includes:

Accepted Answer

A)  Fill the canal with the drops with each dose. 
B)  Some redness and itching around the ear canal is normal. 
C)  Warm the bottle of ear drops in his or her hand before administering. 
D)  Cipro HC otic may cause ototoxicity. 
A)  Fill the canal with the drops with each dose. 
B)  Some redness and itching around the ear canal is normal. 
C)  Warm the bottle of ear drops in his or her hand before administering. 
D)  Cipro HC otic may cause ototoxicity.

Question 6

Ciprofloxacin otic drops are contraindicated in:

Accepted Answer

A)  Children 
B)  Patients with acute otitis externa 
C)  Patients with a perforated tympanic membrane 
D)  Swimmer's ear 
A)  Children 
B)  Patients with acute otitis externa 
C)  Patients with a perforated tympanic membrane 
D)  Swimmer's ear

Question 7

David presents to the clinic with symptoms of allergic conjunctivitis. He is prescribed cromolyn sodium (Opticrom) eye drops. The education regarding using cromolyn eye drops includes:

Accepted Answer

A)  He should not wear his soft contacts while using the cromolyn eye drops. 
B)  Cromolyn drops are instilled once a day to prevent allergy symptoms. 
C)  Long-term use may cause glaucoma. 
D)  He may experience bradycardia as an adverse effect. 
A)  He should not wear his soft contacts while using the cromolyn eye drops. 
B)  Cromolyn drops are instilled once a day to prevent allergy symptoms. 
C)  Long-term use may cause glaucoma. 
D)  He may experience bradycardia as an adverse effect.

Question 8

Education of women who are being treated with ophthalmic antibiotics for conjunctivitis includes:

Accepted Answer

A)  Throwing away eye makeup and purchasing new 
B)  Redness and intense burning is normal with ophthalmic antibiotics 
C)  When applying eye ointment, set the tip of the tube on the lower lid and squeeze in 1/4 inch 
D)  Use a cotton swab to apply ointment, spreading the ointment all over the lid and in the conjunctival sac 
A)  Throwing away eye makeup and purchasing new 
B)  Redness and intense burning is normal with ophthalmic antibiotics 
C)  When applying eye ointment, set the tip of the tube on the lower lid and squeeze in 1/4 inch 
D)  Use a cotton swab to apply ointment, spreading the ointment all over the lid and in the conjunctival sac

Question 9

Twenty-year-old Annie comes to the clinic complaining of copious yellow-green eye discharge. Gram stain indicates she most likely has gonococcal conjunctivitis. While awaiting the culture results, the plan of care should be:

Accepted Answer

A)  None, wait for the culture results to determine the course of treatment 
B)  Ciprofloxacin (Ciloxan) ophthalmic drops 
C)  IM ceftriaxone 
D)  High-dose oral amoxicillin 
A)  None, wait for the culture results to determine the course of treatment 
B)  Ciprofloxacin (Ciloxan) ophthalmic drops 
C)  IM ceftriaxone 
D)  High-dose oral amoxicillin

Question 10

Sadie was prescribed betaxolol ophthalmic drops by her ophthalmologist to treat her glaucoma. Oral beta blockers should be avoided in patients who use ophthalmic beta blockers because:

Accepted Answer

A)  There may be an antagonistic reaction between the two. 
B)  The additive effects may include bradycardia. 
C)  They may potentiate each other and cause respiratory depression. 
D)  The additive effects may cause metabolic acidosis. 
A)  There may be an antagonistic reaction between the two. 
B)  The additive effects may include bradycardia. 
C)  They may potentiate each other and cause respiratory depression. 
D)  The additive effects may cause metabolic acidosis.

Exam 26: Drugs Used in Treating Eye and Ear Disorders

The Centers for Disease Control recommends all newborn infants receive prophylactic administration of __________ within 1 hour of birth.

__________ is / are prescribed to prevent swimmer's ear.

Janie presents to the clinic with hard ear wax in both ear canals. Instructions regarding home removal of hard cerumen include:

Conjunctivitis in a child that is accompanied by acute otitis media is treated with:

Patient education regarding the use of ciprofloxacin-hydrocortisone (Cipro HC otic) ear drops includes:

Ciprofloxacin otic drops are contraindicated in:

David presents to the clinic with symptoms of allergic conjunctivitis. He is prescribed cromolyn sodium (Opticrom) eye drops. The education regarding using cromolyn eye drops includes:

Education of women who are being treated with ophthalmic antibiotics for conjunctivitis includes:

Twenty-year-old Annie comes to the clinic complaining of copious yellow-green eye discharge. Gram stain indicates she most likely has gonococcal conjunctivitis. While awaiting the culture results, the plan of care should be:

Sadie was prescribed betaxolol ophthalmic drops by her ophthalmologist to treat her glaucoma. Oral beta blockers should be avoided in patients who use ophthalmic beta blockers because:

The Role of the Nurse Practitioner

Review of Basic Principles of Pharmacology

Rational Drug Selection

Legal and Professional Issues in Prescribing

Adverse Drug Reactions

Factors That Foster Positive Outcomes

Cultural and Ethnic Influences in Pharmacotherapeutics

An Introduction to Pharmacogenomics

Nutrition and Nutraceuticals

Herbal Therapy and Nutritional Supplements

Information Technology and Pharmacotherapeutics

Pharmacoeconomics

Over-The-Counter Medications

Drugs Affecting the Autonomic Nervous System

Drugs Affecting the Central Nervous System

Drugs Affecting the Cardiovascular and Renal Systems

Drugs Affecting the Respiratory System

Drugs Affecting the Hematopoietic System

Drugs Affecting the Immune System

Drugs Affecting the Gastrointestinal System

Drugs Affecting the Endocrine System

Drugs Affecting the Reproductive System

Drugs Affecting the Integumentary System

Drugs Used in Treating Infectious Diseases

Drugs Used in Treating Inflammatory Processes

Anemia

Chronic Stable Angina and Low-Risk Unstable Angina

Anxiety and Depression

Asthma and Chronic Obstructive Pulmonary Disease

Contraception

Dermatologic Conditions

Diabetes Mellitus

Gastroesophageal Reflux and Peptic Ulcer Disease

Headaches

Heart Failure

Human Immunodeficiency Virus Disease and Acquired Immunodeficiency Syndrome

Hormone Replacement Therapy and Osteoporosis

Hyperlipidemia

Hypertension

Hyperthyroidism and Hypothyroidism

Pneumonia

Smoking Cessation

Sexually Transmitted Infections and Vaginitis

Tuberculosis

Upper Respiratory Infections, Otitis Media, and Otitis Externa

Urinary Tract Infections

Women As Patients

Men As Patients

Children As Patients

Geriatric Patients

Pain Management: Acute and Chronic Pain

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