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38 Cards in this Set
- Front
- Back
What are the possible side effects of the topical fluoroquinolone ciloxan when used to treat a corneal ulcer?
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superficial white precipitates in the cornea
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What is the dosage schedule for ciprofloxacin when used to treat a corneal ulcer?
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2 gtt q 15 min for 6H
2 gtt q 30 min for 18H 2 gtt q 1H for 24H |
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What is the dosage schedule for ciloxan when used to treat a conjunctivitis?
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1 gtt q 2H for 2 days
q 4h or ung tid x 2 days then bid x 5 days |
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What drug class must be administered separately from pencillin to avoid inactivation?
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aminoglycosides
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What topical aminoglycoside is only available in combination?
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neomycin
available as maxitrol, A-K spore, and Neosporin |
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What is the drug of choice in treating blepharitis? What area of infections is it usually used in treating?
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bacitracin, usually used in treating mucous membrane infections
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Gramicidin has the same mechanism of action as polymyxin B and colistin, but what are two things that are different?
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1. Gramicidin is more effective against gram positive bacteria.
2. Gramcidin is available in solution unlike polymyxin B and colistin |
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Which gram positive bacteria is polymyxin ineffective against?
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staphylococcus aureus
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Which type of hypersenstivity would you classify Steven's Johnson syndrome resulting from penicillin allergy as being?
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Type IV
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What is the mechanism of action of trimethoprim (bactrim) and pyramethamine (daraprim)?
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inhibits dihydrofolate reductase from reducing dihydrofolic acid to tetrahydrofolic acid.
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What is the mechanism of action of sulfonamides?
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stops the conversion of PABA to dihydrofolic acid
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What is the current center for disease control recommendation for treating chlamydia?
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oral doxycycline for 7 days
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What category of teratogen are tetracyclines?
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category D, contraindicated in pregnant women, lactating women, and children <8yoa
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What drugs combine to form cortisporin?
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polymyxin B, bacitracin, neomycin, hydrocortisone
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What two drugs make up Neosporin suspension, different from neosporin ointment?
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polymyxin B + gramicidin, polymyxin E is colistin and not the same as polymyxin B
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What topical antibiotic solution is the treatment of choice in children because of its effectiveness against haemophilus and strep pneumoniae?
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polytrim
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What two drugs combine to form blephamide (vasocidin)?
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sulfacetamide and prednisolone
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What drugs combine to form maxitrol (ointment/suspension)?
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neomycin
polymyxin B dexmethasone |
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What two drugs combine to form zylet?
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lotopredenol
tobramycin |
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What drug is used to treat cytomegalovirus? What are its side effects?
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cidofovir, side effects are renal impairment and granulocytopenia
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What drug is used to treat cytomegalovirus in an AIDS patient?
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foscarnet
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What drug is used to treat HSV infection in an AIDS patient?
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foscarnet
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What are the side effects of foscarnet?
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renal impairment
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What drug is contraindicated for concommitant use with foscarnet?
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pentamine
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What is the only FDA approved drug for the treatment of topical ocular fungal infections?
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natamycin (pimaracin, natacyn 5% suspension)
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What antifungal drug must be compounded by a pharmacist?
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amphotericin B 0.15%
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What is the predominant Beta receptor in the eye?
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Beta 2, the same as in the lung
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When is the best time to administer timolol during the day?
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upon awakening, due to adrenoreceptor down regulation during sleep
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What class of drugs might mask the symptoms of hyperthyroidism?
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beta blockers
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Which ocular hypotensive beta blocker crosses the blood brain barrier the least and may be best for glaucoma patients with depression?
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carteolol (ocupress) 1%
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Which prostaglandin analogue used to treat glaucoma causes the most local ocular side effects with offsets the fact that it is also the most effective?
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lumigan (bimatoprost)
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What prostaglandin ocular hypotensive causes the least side effects in its class?
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xalatan (latanoprost)
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What prostaglandin analogue works the best in African Americans?
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travatan (travoprost)
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What rarely prescribed glaucoma drug causes CME in aphakes?
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epinephrine
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Which muscles do cholinergic agonist act on in the ciliary body?
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longitudinal muscles
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How many drops and what concentration of pilocarpine is ocusert equivalent to?
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0.5-1% drops qid
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How many drops and what concentration of pilocarpine is ocusert equivalent to?
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2-3% drops qid
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What is the trade name for the cholinergic agonst not used in practice but is indicated for glaucoma?
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Eserine 0.25 % ointment (physostigimine)
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