Chapter 18: Drugs for Ear and Eye Problems Vislosky: Introduction to Clinical Pharmacology, 9th Edition

MULTIPLE CHOICE 1. A child has been diagnosed with an infection with inflammation in the right ear canal. Which drug route would be most appropriate for treating this condition? a. Oral route b. Topical route c. Ophthalmic route d. Intramuscular route ANS: B Since the external ear can be reached from the outside, infections and inflammation of the pinna and the ear canal are most often managed by topical drug application. DIF: Cognitive Level: Knowing REF: p. 330 2. You are preparing to instill otic drops into the ear canal of an adult. What is the correct technique for giving otic drugs to an adult? a. Pull the external ear down and back. b. Press the pinna against the mastoid bone. c. Pull the pull the external ear up and back. d. Press the upper portion of the ear until the eustachian tube is seen. ANS: C When instilling eardrops into an adults’ ear, gently pull the external ear up and back. DIF: Cognitive Level: Applying REF: p. 331 3. A parent tells you that a 4-year-old child has some clear drainage coming from the right ear. This drainage is sometimes tinged with blood. The parent asks if the ear canal should be irrigated. What is your best response? a. “Use a small amount of sterile saline instilled into the ear to flush out the fluid and blood.” b. “You may use over-the-counter ear drops in this ear to clear up this new infection.” c. “The ear will need to be irrigated, and then an antibiotic for the ear instilled.” d. “The ear should not be irrigated when there is drainage present.” ANS: D Never place a drug into the ear canal or irrigate the ear canal if there is drainage present because it could enter the middle ear and cause an infection. The healthcare provider should be notified. DIF: Cognitive Level: Applying REF: p. 331 4. Which term refers to constriction of the pupil of the eye? a. Miosis b. Punctum c. Glaucoma