APEA Questions- EENT Prescribing
Cephalosporins are classified as:
macrolides.
beta-lactam antibiotics.
non beta-lactam antibiotics.
aminoglycosides. - ANSWER-beta-lactam antibiotics.
If ocular steroids are to be used for more than 10 days, monitoring should include:
blood pressure
ocular pressure
BUN
capillary blood sugar - ANSWER-ocular pressure
increased risk for intraocular pressure hen ophthalmic steroids are used for more than 10 days
Oseltamivir (Tamiflu) is an antiviral agent, further classified as a(n):
adamantane antiviral
neuraminidase inhibitor
protease inhibitor
purine nucleoside - ANSWER-neuraminidase inhibitor
The brand name of prednisolone acetate ophthalmic is:
Bleph-10
Besivance
Pred Forte
FML Forte - ANSWER-Pred Forte
Bacitracin (Ocu-Tracin) ophthalmic ointment inhibits bacterial cell wall synthesis by:
inhibiting RNA-dependent protein synthesis at the chain elongation step.
binding to 30S ribosomal subunit
preventing the transfer of mucopeptides into the growing cell wall
inhibiting DNA-gyrase in susceptible organisms - ANSWER-preventing the transfer of mucopeptides
into the growing cell wall
For treatment of blepharitis, patients should be instructed to apply erythromycin ointment to the
affected eye using:
a 0.5 inch ribbon 3 times daily for 5 days
a o.5 cm ribbon 3 times days for 5 days
a 1 inch ribbon 5 times daily for 7 days
a 1 cm ribbon 5 times daily for 7 days - ANSWER-a 1 cm ribbon 5 times daily for 7 days
First line treatment for children who are diagnosed with Strep pharyngitis is:
doxycycline
azithromycin
amoxicillin
clarithromycin - ANSWER-Amoxicillin
use of macrolides (azithromycin & clarithromycin) can be for patients with PCN allergy
The most effective treatment for eradication of group A streptococcus in those who are apparent
carriers is:
a single dose of IM penicillin
, oral rifampin for 4 days
oral clindamycin for 10 days
a single dose of IM ceftriaxone - ANSWER-oral clindamycin for 10 days
a single dose of IM penicillin and 4 days of oral rifampin is also effective
Ocular steroids indicated for the treatment of allergic conjunctivitis can be used in patients with:
ocular hypertension
epithelial herpes simplex
herpes zoster keratitis
open angle glaucoma - ANSWER-herpes zoster keratitis
Ocular steroids are contraindicated in other 3 options
Which of the following does NOT cause a drug-disease interaction when using a
decongestant/antihistamine medication such as Naphazoline/pheniramine (Naphcon-A)?
cardiovascular disease
angle-closure glaucoma
prostatic hypertrophy
hypothyroidism - ANSWER-hypothyroidism
other contraindications/cautions for Naphcon-A use, besides CV disease, angle-closure glaucoma, &
prostatic hypertrophy include hypertension, diabetes mellitus, urinary tract obstruction, & MAOI use
w/in 14 days
Polycin-B is the brand name for:
polymyxin and trimethoprim
polymyxin B, gramicidin, and neomycin
polymyxin B and chloramphenicol
polymyxin B and bacitracin - ANSWER-polymyxin B and bacitracin
Which of the following is classified as a second-generation antihistamine?
fexofenadine
hydroxyzine
montelukast
pseudoephedrine - ANSWER-fexofenadine
Which of the following organisms is NOT susceptible to sulfacetamide ophthalmic (Bleph-10)?
staphylococcus aureus
streptococcus pneumonia
pseudomonas aeruginosa
haemophilus influenzae - ANSWER-pseudomonas aeruginosa
Which of the following is NOT a potential adverse effect of sulfacetamide ophthalmic (Bleph-10) for
the treatment of acute conjunctivitis?
acute renal insufficiency
agranulocytosis
toxic epidermal necrolysis
fulminate hepatic necrosis - ANSWER-acute renal insufficiency
A common side effect of oral phenylephrine (Sudafed), a decongestant, is:
anxiety
blurred vision
hypotension
peripheral vasoconstriction - ANSWER-anxiety
also headache, dry mouth, dizziness, insomnia, hypertension, and CNS stimulation
Cephalosporins are classified as:
macrolides.
beta-lactam antibiotics.
non beta-lactam antibiotics.
aminoglycosides. - ANSWER-beta-lactam antibiotics.
If ocular steroids are to be used for more than 10 days, monitoring should include:
blood pressure
ocular pressure
BUN
capillary blood sugar - ANSWER-ocular pressure
increased risk for intraocular pressure hen ophthalmic steroids are used for more than 10 days
Oseltamivir (Tamiflu) is an antiviral agent, further classified as a(n):
adamantane antiviral
neuraminidase inhibitor
protease inhibitor
purine nucleoside - ANSWER-neuraminidase inhibitor
The brand name of prednisolone acetate ophthalmic is:
Bleph-10
Besivance
Pred Forte
FML Forte - ANSWER-Pred Forte
Bacitracin (Ocu-Tracin) ophthalmic ointment inhibits bacterial cell wall synthesis by:
inhibiting RNA-dependent protein synthesis at the chain elongation step.
binding to 30S ribosomal subunit
preventing the transfer of mucopeptides into the growing cell wall
inhibiting DNA-gyrase in susceptible organisms - ANSWER-preventing the transfer of mucopeptides
into the growing cell wall
For treatment of blepharitis, patients should be instructed to apply erythromycin ointment to the
affected eye using:
a 0.5 inch ribbon 3 times daily for 5 days
a o.5 cm ribbon 3 times days for 5 days
a 1 inch ribbon 5 times daily for 7 days
a 1 cm ribbon 5 times daily for 7 days - ANSWER-a 1 cm ribbon 5 times daily for 7 days
First line treatment for children who are diagnosed with Strep pharyngitis is:
doxycycline
azithromycin
amoxicillin
clarithromycin - ANSWER-Amoxicillin
use of macrolides (azithromycin & clarithromycin) can be for patients with PCN allergy
The most effective treatment for eradication of group A streptococcus in those who are apparent
carriers is:
a single dose of IM penicillin
, oral rifampin for 4 days
oral clindamycin for 10 days
a single dose of IM ceftriaxone - ANSWER-oral clindamycin for 10 days
a single dose of IM penicillin and 4 days of oral rifampin is also effective
Ocular steroids indicated for the treatment of allergic conjunctivitis can be used in patients with:
ocular hypertension
epithelial herpes simplex
herpes zoster keratitis
open angle glaucoma - ANSWER-herpes zoster keratitis
Ocular steroids are contraindicated in other 3 options
Which of the following does NOT cause a drug-disease interaction when using a
decongestant/antihistamine medication such as Naphazoline/pheniramine (Naphcon-A)?
cardiovascular disease
angle-closure glaucoma
prostatic hypertrophy
hypothyroidism - ANSWER-hypothyroidism
other contraindications/cautions for Naphcon-A use, besides CV disease, angle-closure glaucoma, &
prostatic hypertrophy include hypertension, diabetes mellitus, urinary tract obstruction, & MAOI use
w/in 14 days
Polycin-B is the brand name for:
polymyxin and trimethoprim
polymyxin B, gramicidin, and neomycin
polymyxin B and chloramphenicol
polymyxin B and bacitracin - ANSWER-polymyxin B and bacitracin
Which of the following is classified as a second-generation antihistamine?
fexofenadine
hydroxyzine
montelukast
pseudoephedrine - ANSWER-fexofenadine
Which of the following organisms is NOT susceptible to sulfacetamide ophthalmic (Bleph-10)?
staphylococcus aureus
streptococcus pneumonia
pseudomonas aeruginosa
haemophilus influenzae - ANSWER-pseudomonas aeruginosa
Which of the following is NOT a potential adverse effect of sulfacetamide ophthalmic (Bleph-10) for
the treatment of acute conjunctivitis?
acute renal insufficiency
agranulocytosis
toxic epidermal necrolysis
fulminate hepatic necrosis - ANSWER-acute renal insufficiency
A common side effect of oral phenylephrine (Sudafed), a decongestant, is:
anxiety
blurred vision
hypotension
peripheral vasoconstriction - ANSWER-anxiety
also headache, dry mouth, dizziness, insomnia, hypertension, and CNS stimulation
