AGNP BOARD EXAM QUESTIONS EYE EAR NOSE THROAT Prescription (102 Questions),100% CORRECT

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Oral tetracycline (Sumycin), for the treatment of acute frontal sinusitis, should be administered: with milk. with meals. on an empty stomach. with an antacid. Question: The b... rand name for sulfacetamide ophthalmic is: AzaSite. Bleph-10. Besivance. Garamycin. Question: The generic name for Polytrim ophthalmic is: trimethoprim and polymyxin B. bacitracin/polymyxin B. azithromycin. besifloxacin. Question: 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 Question: The maximum daily dose of acetaminophen for ages 12 years and older is: 1200 milligrams/day. 2000 milligrams/day. 3000 milligrams/day. 4000 milligrams/day. Question: 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 0.5 cm ribbon 3 times daily for 5 days. a 1-inch ribbon 5 times daily for 7 days. a 1-cm ribbon 5 times daily for 7 days. Question: Ophthalmic cromolyn inhibits the degranulation of sensitized mast cells. It is indicated in the treatment of: acute conjunctivitis. vernal conjunctivitis. fungal keratitis. herpes keratoconjunctivitis. Question: The most effective treatment for eradication of group A streptococcus in those who are apparent carriers is: a single dose of intramuscular penicillin (Bicillin). oral rifampin (Rifadin) for 4 days. oral clindamycin (Cleocin) for 10 days. a single dose of intramuscular ceftriaxone (Rocephin). Question: The generic name for Dramamine is: doxylamine. diphenhydramine. brompheniramine. dimenhydrinate. Question: For empiric treatment of patients with acute bacterial rhinosinusitis (ABRS) who are allergic to penicillin, the best alternative first-line therapy is: azithromycin (Zithromax). clarithromycin (Biaxin). doxycycline (Vibramycin). metronidazole (Flagyl). Question: Dosing of oseltamivir (Tamiflu) for adults and adolescents with active influenza is administered orally: based on weight twice daily for 5 days. 75 mg daily x 5 days. 75 mg twice daily x 5 days. 75 mg twice daily x 10 days. Question: The vasoconstrictive properties of alpha-1 agonist medications make them beneficial for the treatment of: benign prostatic hypertrophy. closed-angle glaucoma. sinus congestion. hypertension. Question: The use of oral acyclovir (Zovirax) in older adults is more likely to cause: confusion and hallucinations. constipation and hypertension. headache and peripheral edema. increased liver enzyme activity. Question: Cephalosporins are classified as: macrolides. beta-lactam antibiotics. non beta-lactam antibiotics. aminoglycosides. Question: The onset of action of oxymetazoline (Afrin) is: 5 minutes. 10 minutes. 30 minutes. 60 minutes. Question: Erythromycin (Ilotycin) ophthalmic ointment is classified as a(n): aminoglycoside. macrolide. fluoroquinolone. sulfonamides. Question: A common side effect of amoxicillin in children is: nausea. joint pain. abdominal pain. headache. Question: The first-line antibiotic for acute otitis media in a child with a potential for beta-lactam resistance is: amoxicillin (Amoxil). amoxicillin-clavulanate (Augmentin). azithromycin (Zithromax). trimethoprim-sulfamethoxazole (TMP-SMX). Question: The ophthalmic preparation that is NOT available over the counter is: hydroxypropyl cellulose (Lacrisert), a lubricant. propamidine (Brolene), an antimicrobial. xylometazoline-antazoline (Otrivine-Antistin), an antihistamine. sodium cromoglicate (Opticrom), a mast-cell stabilizer. Question: Refractory blepharitis is best treated with: oral antibiotics. topical corticosteroid therapy. antibiotic/steroid ophthalmic drops. topical antibiotics. Question: A serious adverse reaction to clindamycin (Cleocin) is: esophageal ulcerations. nephrotoxicity. Clostridium difficile-related colitis. photosensitivity. Question: 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 Question: The preferred class of oral antibiotic therapy for blepharitis with visual impairment is: tetracyclines. macrolides. quinolones. penicillins. Question: 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. Question: The brand name for meclizine is: Antivert. Atarax. Cyclivert. Sominex. Question: Oxymetazoline nasal spray, a nasal decongestant, is manufactured under the brand name: Afrin. Astelin. AsthmaNefrin. Omnaris. Question: The most effective method to minimize dizziness associated with the administration of otic solutions is to: apply a cotton ball to the ear canal after administration of the drops. push the tragus in over the canal after instilling the drops for 2-3 minutes. warm the suspension by holding in the hand for 1-2 minutes. use a wick for application of the drops. Question: Intranasal antihistamines are indicated in the treatment of: epistaxis. nasal congestion. rhinosinusitis. vasomotor rhinitis. Question: Due to potential drug-drug interactions, therapy should be monitored when a patient is receiving erythromycin (Eyemycin) ointment and: cyclosporine ophthalmic (Restasis). dexamethasone ophthalmic (Maxidex). lovastatin (Mevacor). warfarin (Coumadin). Question: When prescribing polymyxin B sulfate/bacitracin zinc (Polycin-B), patients should be instructed to: discontinue at 3 days, even if conjunctivitis persists. discontinue as soon as symptoms resolve. discontinue if blurred vision occurs immediately after use. complete therapy, even if symptoms resolve. Question: Ceruminolytics are safe to use in patients with history of: conductive hearing loss. infections. perforations. tympanostomy tubes. Question: Polymyxin B/trimethoprim ophthalmic is NOT indicated for: adult bacterial conjunctivitis. pediatric bacterial conjunctivitis. blepharoconjunctivitis. ophthalmia neonatorum. Question: A common side effect of azelastine (Optivar) ophthalmic drops used for allergic conjunctivitis is: ocular edema. elevated blood pressure. a bitter taste. dizziness. Question: If ocular steroids are to be used for more than 10 days, monitoring should include: blood pressure. ocular pressure. BUN. capillary blood sugar. Question: Oxymetazoline (Visine-LR) is an ophthalmic: antihistamine. decongestant. mast cell stabilizer. antihistamine/mast cell stabilizer. Question: Potential adverse reactions of glucocorticoid nasal sprays do NOT include: epistaxis. nasal septal perforation. nasopharyngitis. sialorrhea. Question: The mechanism of action of trifluridine (Viroptic), an ophthalmic antiviral, used in the treatment of herpes simplex conjunctivitis is: stimulation of alpha adrenergic receptors. interference with viral replication by inhibiting thymidylate synthetase. inhibition of leukocyte migration. increase in cell wall permeability and inhibition of nucleic acid and protein synthesis. Question: After the administration of olopatadine (Pataday) ophthalmic for allergic conjunctivitis, contact lenses should not be inserted for at least: 5 minutes. 10 minutes. 20 minutes. 30 minutes. Question: The duration of action of meclizine (Antivert) is: 2 hours. 4 hours. 6 hours. 8 hours. Question: A common side effect of oral phenylephrine (Sudafed), a decongestant, is: anxiety. blurred vision. hypotension. peripheral vasoconstriction. Question: Polycin-B is the brand name for: polymyxin and trimethoprim. polymyxin B, gramicidin, and neomycin. polymyxin B and chloramphenicol. polymyxin B and bacitracin. Question: Naphazoline/pheniramine (Naphcon-A) is indicated in the treatment of: allergic conjunctivitis. viral conjunctivitis. trachoma. hordeolum. Question: An example of a drug that is a cholinergic agonist is: epinephrine. atropine. ephedrine. dopamine. Question: 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. Question: Which risk factor would NOT prohibit the nurse practitioner from prescribing prednisolone acetate (Pred Forte)? Recent history of cataract surgery Epithelial herpes simplex keratitis History of corneal thinning Superficial punctate keratitis Question: The duration of action of ocular decongestants such as oxymetazoline (Visine-LR) is approximately: 2 hours. 4 hours. 6 hours. 8 hours. Question: Systemic absorption of ocular decongestants, such naphazoline (Naphcon) may cause: increased appetite. insomnia. hypotension. tachycardia. Question: A common side effect related to the administration of cetirizine (Zyrtec) is: drowsiness. conjunctivitis. constipation. dysuria. Question: Patients being treated with trifluridine (Viroptic) for herpes simplex 1 keratoconjunctivitis should be advised to return to the clinic if they do not experience symptom improvement within: 3 days. 5 days. 7 days. 10 days. Question: Which of the following organisms is NOT susceptible to sulfacetamide ophthalmic (Bleph-10)? Staphylococcus aureus Streptococcus pneumonia Pseudomonas aeruginosa Haemophilus influenzae Question: Which patient should be closely monitored for systemic effects of prolonged ocular steroid therapy? Diabetes insipidus Diabetes Mellitus Hypertension Hyperthyroidism Question: Penicillins are primarily prescribed for the treatment of infections caused by: Escherichia coli. Staphylococcus aureus. Pseudomonas aeruginosa. Streptococcus pyogenes. Question: The mechanism of action for mast cell stabilizers is: stimulation of alpha adrenergic receptors. stimulation of histamine-2 receptors and mast cells to release calcium. antagonization of alpha adrenergic receptors. inhibition of histamine release and slow reacting substances of anaphylaxis. Question: For patients who anticipate exposure to a specific known eye allergen, such as pollen, the best preventive therapy is a topical ophthalmic: decongestant. antihistamine/steroid. antihistamine/mast cell stabilizer. antihistamine/decongestant. Question: Tetracyclines should be avoided in patients who are allergic to: levofloxacin (Levaquin). amoxicillin (Amoxil). doxycycline (Vibramycin). azithromycin (Zithromax). Question: The standard concentration of acetaminophen liquid for pediatric use is: 80 mg/0.8 mL. 100 mg/2.5 mL. 160 mg/5 mL. 200 mg/5 mL. Question: Second-generation antihistamines: activate interleukin-4 (IL-4) and interleukin-13 (IL-13) production. are prone to pharmacological tolerance. are more effective than glucocorticoid nasal sprays. have a variety of anti-inflammatory properties. Question: Long-term or repeated use of polymyxin B/trimethoprim ophthalmic drops may cause: fungal infections. trichiasis. photosensitivity. depigmentation. Question: After instilling ophthalmic drops, patients should be instructed to hold pressure to the medial punctum and nasolacrimal sac. The purpose of this is to: keep the drops in the conjunctival pocket. reduce burning related to eye drops. prevent obstruction of the nasolacrimal duct. decrease risk of absorption and systemic effects. Question: The mechanism of action for macrolides is to: block synthesis of folic acid by bacteria and inhibit replication. uncouple mitochondrial oxidative metabolism and inhibit cell growth. block the dissociation of peptidyl tRNA from ribosomes. inhibit protein synthesis by preventing ribosomal translocation. Question: The mechanism of action for meclizine (Antivert) is to: block postsynaptic mesolimbic antidopaminergic receptors in the brain. prevent histamine response in sensory nerve endings and blood vessels. selectively antagonize dopamine D2 receptors. suppress vestibular end-organ receptors and inhibit activation of central cholinergic pathways. Question: Brand names of sulfamethoxazole/trimethoprim do NOT include: Azulfidine. Bactrim DS. SMX-TMP DS. Sulfatrim. Question: Dosing of oseltamivir (Tamiflu) for older adult patients with active influenza and a creatinine clearance between 30-60 mL/min is: 30 mg by mouth daily for 10 days. 30 mg by mouth twice daily for 5 days. 75 mg by mouth daily x 5 days. 75 mg by mouth twice daily x 10 days. Question: The mechanism of action of pheniramine is that it: stimulates alpha adrenergic receptors. stimulates histamine-2 receptors. antagonizes alpha adrenergic receptors. antagonizes histamine-1 receptors. Question: Which of the following is a cholinergic agonist used in the treatment of glaucoma? Epinephrine (Eppy/N) ophthalmic Pilocarpine (Pilopine HS) ophthalmic Brinzolamide (Azopt) ophthalmic Latanoprost (Xalatan) ophthalmic Question: The correct method for instilling ophthalmic ointments is to: tilt head back and lift the upper lid to apply ribbon of ointment. clean the tip of the ointment tube with alcohol prep after each application. blink a few times to spread the ointment. rub eyes gently with pinky finger to distribute ointment. Question: Erythromycin (Ilotycin) ophthalmic ointment is NOT indicated in the treatment of: anterior acute blepharitis. ophthalmia neonatorum prophylaxis. traumatic corneal abrasion. conjunctivitis. Question: A patient is receiving amoxicillin (Amoxil) for the treatment of otitis media. A hypersensitivity reaction would present with symptoms of: candidiasis, black hairy tongue and diarrhea. vomiting, pruritus, and urticaria. fever, headache and dermatitis. dizziness, diarrhea and abdominal pain. Question: An alternative treatment for a child who has Strep throat and who has had a Type I hypersensitivity reaction to penicillin is: fluoroquinolone. cephalosporin. macrolide. tetracycline. Question: Patients should be advised to administer polymyxin B/trimethoprim every: 2 hours, maximum 8 doses. 2 hours, maximum 12 doses. 3 hours, maximum 6 doses. 3 hours, maximum 8 doses. Question: Penicillins are primarily prescribed for the treatment of infections caused by: Escherichia coli. Staphylococcus aureus. Pseudomonas aeruginosa. Streptococcus pyogenes. Question: First-line treatment for children who are diagnosed with Strep pharyngitis is: doxycycline (Doryx). azithromycin (Zithromax). amoxicillin (Amoxil). clarithromycin (Biaxin). Question: The most common symptoms of penicillin allergy include hives, itchy eyes, and: diarrhea. anorexia. headache. swollen lips. Question: Patients and caregivers should be advised to stop oseltamivir (Tamiflu) and notify the provider immediately if the patient develops: confusion and hallucinations. nausea and vomiting. increased cough and fatigue. symptoms lasting longer than 7 days. Question: Azelastine (Astelin), for treatment of allergic rhinitis, is classified as a nasal: antihistamine. decongestant. glucocorticoid. antihistamine/glucocorticoid combo. Oseltamivir (Tamiflu) is an antiviral agent, further classified as a(n): adamantane antiviral. neuraminidase inhibitor. protease inhibitor. purine nucleoside. Question: A benefit of prescribing an ophthalmic antihistamine with a mast cell stabilizer property would be that the mast cell stabilizer provides: prevention of allergen penetration. an extended duration of action. inflammation reduction. relief from rhinorrhea. Question: The best topical antibiotic choice for the treatment of acute blepharitis is: tobramycin (Tobrex) ophthalmic ointment. erythromycin (Eyemycin) ophthalmic ointment. polymyxin B/trimethoprim (Polytrim) ophthalmic solution. ciprofloxacin (Ciloxan) ophthalmic ointment. Question: Ocular decongestants such as oxymetazoline (Visine-LR) are used to reduce: corneal edema. itching. redness. dryness. Question: The mechanism of action of polymyxin B/trimethoprim ophthalmic is: antimetabolite activity/inhibition of protein synthesis. inhibition of cell wall synthesis/inhibition of protein synthesis. inhibition of cell wall synthesis/inhibition of nucleic acid and protein synthesis. increased cell wall permeability/inhibition of nucleic acid and protein synthesis. Question: Patients who are using a glucocorticoid nasal spray should be advised to: avoid using if nasal stinging occurs after use. clean the tip of the nasal spray with alcohol after each use. prime the pump prior to first use or if unused for more than a week. shake vigorously before each use. . Question: When a patient must administer more than one ophthalmic medication, they should be instructed to administer the drops: at the same time. at least 5 minutes apart. at least 30 minutes apart. at least 1 hour apart. Question: Which of the following is classified as a second-generation antihistamine? Fexofenadine (Allegra) Hydroxyzine (Vistaril) Montelukast (Singulair) Pseudoephedrine (Sudafed) Question: A patient is diagnosed with group A Streptococcus pharyngitis. The best choice for antimicrobial therapy is a: sulfonamide. fluoroquinolone. tetracycline. penicillin. Question: The brand name for cetirizine is: Allegra. Claritin. Xyzal. Zyrtec. Question: Sulfacetamide/prednisolone (Blephamide) is NOT indicated in: corneal injury from chemicals. prevention of bacterial ocular infection. chronic anterior uveitis. ocular mycobacterial infection. Question: Prolonged use of bacitracin ophthalmic may result in: hypersensitivity. fungal overgrowth. entropion. corneal nodules. Question: The most effective treatment for allergic rhinitis is: fexofenadine (Allegra). fluticasone (Flonase). montelukast (Singulair). pseudoephedrine (Sudafed). Question: The generic name of Pataday ophthalmic drops used in the treatment of allergic conjunctivitis is: azelastine. bepotastine. epinastine. olopatadine. Question: A medication that acts on the hypothalamus to produce antipyresis is: aspirin. ibuprofen. a nonsteroidal anti-inflammatory drug (NSAID). acetaminophen. Question: The appropriate duration of oral penicillin for a patient who has been diagnosed with group A Streptococcus pharyngitis is: 5 days. 7 days. 10 days. 14 days. Question: The most effective treatment for eradication of group A streptococcus in those who are carriers is: a single dose of intramuscular penicillin (Bicillin). oral rifampin (Rifadin) for 4 days. oral clindamycin (Cleocin) for 10 days. a single dose of intramuscular ceftriaxone (Rocephin). Question: The generic name for Restasis is: cyclosporine. betaxolol. cycloserine. cromolyn. . Question: The generic name for AzaSite ophthalmic drops is: bacitracin/polymyxin B. besifloxacin. azithromycin. gatifloxacin. Question: Which of the following is NOT a mechanism of action of ocular steroids? Inhibits leukocyte migration Inhibits fibrin deposition Promotes capillary proliferation and dilation Reduces collagen formation Question: Due to the potential development of pseudo tumor cerebri, tetracycline (Sumycin) should not be administered concomitantly with: lactobacillus acidophilus (Acidophilus). isotretinoin (Claravis). colesevelam (Welchol). ferric gluconate (Ferrlecit). Question: The most important caution when prescribing aminoglycosides for treatment of otitis externa is: oral candidiasis. ototoxicity. otomycosis. pharyngitis. Question: The duration of action of azelastine (Optivar) ophthalmic drops is: 3 hours. 4 hours. 6 hours. 8 hours. Question: A 38-year-old man has been receiving oral tetracycline for the treatment of refractory blepharitis. The patient should be referred to ophthalmology if experiencing: feeling of a foreign body and blurred vision. photosensitivity. trichiasis. dry eye. Question: The brand name of prednisolone acetate ophthalmic is: Bleph-10. Besivance. Pred Forte. FML Forte. Question: Which of the following is NOT an antihistamine? Prochlorperazine (Compro) Dimenhydrinate (Dramamine) Cycline (Cyclivert) Meclizine (Antivert) Question: The LEAST concerning side effect of first-generation antihistamines (i.e., dimenhydrinate) in patients older than 65 for the treatment of vertigo is: blurred vision. bradycardia. constipation. confusion. [Show More]

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