Question 1

Which drug for glaucoma is a beta blocker?

Accepted Answer

A)  Timolol (Timoptic) 
B)  Travoprost (Travatan) 
C)  Apraclonidine (Iopidine) 
D)  Pilocarpine (Adsorbocarpine)  A

Question 2

A patient with glaucoma reports a possible infection in the affected eye and asks if the usual dose of latanoprost (Xalatan) drops should be instilled. What is your best response?

Accepted Answer

A)  "Do not take this dose until your healthcare provider is notified."
B)  "Rinse the affected eye with sterile saline and then instill the eye drops."
C)  "You should not put the eye drops in today but can resume them tomorrow."
D)  "Missing a dose of this drug will increase intraocular pressure and worsen your vision." A

Question 3

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?

Accepted Answer

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. C

Question 4

Which precaution is most important to teach a patient who is prescribed any type of eye drug given as eye drops?

Accepted Answer

A)  Apply only the number of drops prescribed.
B)  Stop the drug immediately if eye redness occurs.
C)  Wear dark glasses for 1 h after placing the eye drops.
D)  Apply pressure to the corner of the eye after the drug has been placed.

Question 5

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?

Accepted Answer

A)  Oral route
B)  Topical route
C)  Ophthalmic route
D)  Intramuscular route

Question 6

Which maneuver serves to lessen the possibility of systemic absorption of an ophthalmic beta-blocker?

Accepted Answer

A)  Instill the eye drop in the corner of the eye.
B)  Perform punctal opening of the affected eye.
C)  Ask the patient to close their eyes for 2 minutes.
D)  Ask the patient to take a deep breath while the eye drops are instilled.

Question 7

Which class of drugs for glaucoma therapy generally is used short term to prevent or reduce increases in intraocular pressure (IOP) after eye surgery rather than for long-term IOP control?

Accepted Answer

A)  Cholinergic drugs
B)  Adrenergic agonists
C)  Prostaglandins agonists
D)  Beta-adrenergic blockers

Question 8

Which drug group for glaucoma can worsen underlying respiratory conditions?

Accepted Answer

A)  Cholinergics
B)  Beta blockers
C)  Adrenergic agonists
D)  Prostaglandin agonists

Question 9

A patient who has been prescribed timolol (Timoptic) for the last month reports that his asthma is worse. What is your best first response?

Accepted Answer

A)  Check the patient's breath sounds and pulse rate.
B)  Hold the dose and notify the prescriber immediately.
C)  Ask the patient what drugs he takes to control his asthma.
D)  Reassure the patient that this is an expected response and requires no action.

Question 10

Which term refers to constriction of the pupil of the eye?

Accepted Answer

A)  Miosis
B)  Punctum
C)  Glaucoma
D)  Mydriasis

Question 11

What is the main problem that comes accompanies glaucoma?

Accepted Answer

A)  Cloudiness of the lens
B)  Cloudiness of the cornea
C)  Increased intraocular pressure
D)  Increased intracranial pressure

Question 12

Which drug group for glaucoma has the side effect of darkening the iris color?

Accepted Answer

A)  Adrenergic agonists
B)  Beta blockers
C)  Cholinergics
D)  Prostaglandin agonists

Question 13

Which drugs for glaucoma cause marked mydriasis? (Select all that apply.)

Accepted Answer

A)  Apraclonidine (Iopidine) 
B)  Bimatoprost (Lumigan) 
C)  pilocarpine (Isopto Carpine, Pilopine) 
D)  Carbachol (Carboptic) 
E)  Cartelolol (Ocupress) F) Dipivefrin (AK-Pro) G) Levobunolol (Betagan)

Question 14

You are taking the history from a patient who may be prescribed a carbonic anhydrase inhibitor for the treatment of glaucoma. What information would indicate this category of drug may not be appropriate for this patient?

Accepted Answer

A)  The patient is a diabetic.
B)  The patient has mydriasis.
C)  A history of sulfa drug allergy
D)  The patient has unequal pupil size.

Question 15

Which drug reduces the production of aqueous humor to the greatest degree?

Accepted Answer

A)  Acetazolamide (Diamox) 
B)  Pilocarpine (Isopto) 
C)  Dipivefrin (AK-Pro) 
D)  Travosprost (Travatan)

Question 16

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?

Accepted Answer

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."

Question 17

You are about to give apraclonidine (Iopidine) eye drops to a patient with glaucoma. What assessment should you perfume before giving this drug?

Accepted Answer

A)  Check the patient's urinary output.
B)  Check the patient's pulse and blood pressure.
C)  Check the patient's pupils for responsiveness.
D)  Check the patient's level of orientation to time, place, and person.

Question 18

What safety instructions would be appropriate to give to a patient starting glaucoma treatment with carbachol (Isopto Carbachol)?

Accepted Answer

A)  Avoid driving at night due to decreased vision.
B)  You may develop drowsiness, fatigue, or irritability.
C)  Do not rub your eye even if it feels as though something is in it.
D)  Check your blood sugar daily; these drops can cause hypoglycemia.

Exam 18: Drugs for Ear and Eye Problems