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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
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)