ASSESSMENT Exam Questions
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2025/2026 Syllabus A+
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Which of the following is NOT a mechanism of action of ocular steroids? -
ANSWER ✅Promotes capillary proliferation and dilation
C
The mechanism of action of polymyxin B/trimethoprim ophthalmic is: -
ANSWER ✅Increased cell wall permeability/inhibition of nucleic acid and protein
synthesis
Sulfacetamide/prednisolone (Blephamide) is NOT indicated in: - ANSWER
✅Ocular mycobacterial infection (ocular tuberculosis)
The mechanism of action of pheniramine is that it: - ANSWER ✅Antagonized
histamine-1 receptors
The duration of action of meclizine (Antivert) is: - ANSWER ✅8 hours-1st gen
antihistamine , onset ~1 hr with half-life of 6 hours
The mechanism of action for mast cell stabilizers is: - ANSWER ✅Inhibition of
histamine release and slow reacting substances of anaphylaxis
The brand name for sulfacetamide ophthalmic is: - ANSWER ✅Bleph-10
The vasoconstrictive properties of alpha- agonist medications make them
beneficial for the tx of: - ANSWER ✅Sinus congestion-used to reduce edema and
inflammation within sinus cavities
,The generic name for Dramamine is: - ANSWER ✅Dimehydrinate
Which risk factor would NOT prohibit the NP from prescribing prednisolone
acetate (Pred Forte)? - ANSWER ✅Superficial punctate keratitis
Which of the following organisms is NOT susceptible to sulfacetamide
ophthalmic (Bleph-10)? - ANSWER ✅Psuedomonas aeruginosa- does not provide
adequate coverage against Neisseria species
A medication that acts on the hypothalamus to produce antipyresis is: - ANSWER
✅Acetaminophen
Azelasine (Astelin), for tx of allergic rhinitis, is classified as a nasal: - ANSWER
✅Antihistamine
A serious adverse reaction to clindamycin (Cleocin) is: - ANSWER ✅Clostridium
difficile-related colitis
If ocular steroids are to be used for more than 10 days, monitoring should include:
- ANSWER ✅Ocular pressure
The most effective tx for eradication of group A streptococcus in those who are
apparent carriers is: - ANSWER ✅Oral clindamycin (Cleocin) for 10 days
Oxymetazoline nasal spray, a nasal decongestant, is manufactured under the brand
name: - ANSWER ✅Afrin
Which of the following is a cholinergic agonist used in the tx of glaucoma? -
ANSWER ✅Pilocarpine (Pilopine HS) ophthalmic
A common side effect related to the administration of cetirizine (Zyrtec) is: -
ANSWER ✅Drowsiness-admin at bedtime
The onset of action of oxymetazoline (Afrin) is: - ANSWER ✅1o minutes, 2-3
sprays in each nostril q 10-12 hours
,First-line tx for children who are diagnosed with Strep pharyngitis is: - ANSWER
✅Amoxicillin (Amoxil)
Brand names of sulfamethoxazole/trimethoprim do NOT include: - ANSWER
✅Azulfidine (sulfasalazine)
The duration of action of azelastine (Optivar) ophthalmic drops is: - ANSWER
✅8 hours
Naphazoline/pheniramine (Naphcon-A) is indicated in the treatment of: -
ANSWER ✅Allergic conjunctivitis
Ocular steroids indicated for the tx of allergic conjunctivitis can be used in pts
with: - ANSWER ✅Herpes zoster keratitis
Polycin-B is the brand name for: - ANSWER ✅Polymyxin B and bacitracin
The brand name for meclizine is: - ANSWER ✅Antivert
Due to potential drug-drug interactions, therapy should be monitored when a pt is
receiving erythromycin (Eyemycin) ointment and: - ANSWER ✅Warfarin-may
increase serum concentration of Vit K antagonists such as warfarin
Due to the potential development of pseudo tumor cerebri, tetracycline (Sumycin)
should not be administered concomitantly with: - ANSWER ✅Isotretinoin
(Claravis)-may enhance the adverse/toxic effect of retinoic acid derivatives
A benefit of prescribing an ophthalmic antihistamine with mast cell stabilizer
property would be that the mast cell stabilizer provides: - ANSWER ✅An
extended duration of action-due to their high affinity to the H-1 receptor
Ocular decongestants such as oxymetazoline (Visine-LR) are used to reduce: -
ANSWER ✅Redness
Pts should be advised to administer polymyxin B/trimethoprim q: - ANSWER ✅3
hours, maximum 6 doses in 24 hour period
, The most common symptoms of penicillin allergy includes hives, itchy eyes, and:
- ANSWER ✅Swollen lips
Bacitracin (Ocu-tracin) ophthalmic ointment inhibits bacterial cell wall synthesis
by: - ANSWER ✅Preventing the transfer of mucopeptides into the growing cell
wall
When prescribing polymyxin B sulfate/bacitracin zinc (Polycin-B), pts should be
instructed to: - ANSWER ✅Complete therapy, even if sx resolve
Prolonged use of bacitracin ophthalmic may result in: - ANSWER ✅Fungal
overgrowth
Which of the following is classified as a 2nd gen antihistamine? - ANSWER
✅Fexofenadine (Allegra)
Hydroxyzine-1st gen
Pts being treated with trifluridine (Viroptic) for herpes simplex 1
keratoconjunctivitis should be advised to return to the clinic if they do not
experience sx improvement within: - ANSWER ✅7 days
Polymyxin B/trimethoprim ophthalmic is NOT indicated for: - ANSWER
✅Ophthalmia neonatorum-does not treat the most common bacterial causes
The mechanism of action of trifluridine (Viroptic), an ophthalmic antiviral, used
the treatment of herpes simplex conjunctivitis is: - ANSWER ✅Interference with
viral replication by inhibiting thymidylate synthetase
A common side effect of oral phenylephrine (Sudafed), a decongestant is: -
ANSWER ✅Anxiety
Cephalosporins are classified as: - ANSWER ✅Beta-lactam antibiotics
Ophthalmic cromolyn inhibits the degranulation of sensitized mast cells. It is
indicated in the treatment of: - ANSWER ✅Vernal conjunctivitis