HEENT Indications and Contraindications

Question 1

waht is used for asthma diagnosis

Answer 1

methacholine

Question 2

neurogenic bladder, acute postop non-obstructive urinary retention, constipation are indications for

Answer 2

bethanechol

direct acting

Question 3

Pilocarpine and carbachol are indicated in

Answer 3

glaucoma to reduce resistance to aqueous humor outflow

Question 4

what drug is indicated for nicotine addiction

Answer 4

Verenicline

Question 5

what is neostigmine indicated for

Answer 5

glaucoma

Question 6

what drug is used for atropine overdose

Answer 6

physotigmine

Question 7

what drug is indicated for mysthenia gravis diagnosis

Answer 7

edrophonium

indirect acting cholinomimetic

Question 8

what drug is indicated for treatment of myasthenia gravis

Answer 8

pyridostigmine

Question 9

what drugs are indicated for alzheimers and parkinsons

Answer 9

donepezil and rivastigmine

Question 10

what drug is indicated for cholinesterase inhibitor poisoning

Answer 10

pralidoxime

Question 11

what is brimonidine (alphagan P) indicated for

Answer 11

• elevated IOP (open angle glaucoma or ocular HTN)
• ocular redness OTC

Question 12

What is timolol indicated for?

Answer 12

elevated IOP or Ocular HTN
* part of 4 drug regimen of acute angle-closure glaucoma if dr can not see pt in 1 hr

Question 13

what is ophthalmic prostaglandins indicated for?

latanoprost (xalatan), Bimatoprost (latisse/lumigan)

Answer 13

• elevated IOP
• ocular htn
• hypotrichosis of the eyelashes (latisse)

Question 14

what is pilocarpine and carbachol indicated for?

Answer 14

• elevated IOP
• elevated IOP in closed angle if tx is delayed
• induction of miosis

Question 15

what is dorzolamide (trusopt) indicated for

Answer 15

ocular HTN/ glaucoma

Question 16

what drug is used to product mydirasis or cyclopegia during an eye exam

Answer 16

atropine

Question 17

what drug is indicated for young pts with allergic conjunctivitis

Answer 17

ketotifen (alaway)

Question 18

what drug is indicated for granular conjunctivitis

Answer 18

azithromycin opthalmic drops

Question 19

what drug is indicated for bacterial conjunctivitis

Answer 19

erythromycin ointment or Trimethoprim-polymyxin B drops

Question 20

what is asthma a CI to

Answer 20

cholionomimetic agents

Question 21

what are CI of beta adrenoreceptors ophthalmic solutions?

timolol/ Betaxolol

Answer 21

• bronchial asthma
• severe COPD
• sinus bradycardia
• av heart block
• chf

Question 22

Glaucoma, open angle is a CI of what antihistamine/mast cell stabilizer

Answer 22

naphcon A (naphazoline-phiniramine)

Question 23

what dx should you take caution when prescribing naphcon A

Answer 23

• CV disease
• HTN
• DM
• Prostatic hypertorphy
• UT obstruction

Question 24

what is a CI of vancomycin

Answer 24

Renal impairment

Question 25

what is initial therapy of orbital cellulitis

Answer 25

vancomycin IV + Ceftriaxone or Cefotaxime

Question 26

what abx should be added to orbital cellulitis treatment if iintracranial spread is suspected

Answer 26

metronidazole

Question 27

what abx are not used as initial therapy for orbital cellulitis bc of CNS side effects

Answer 27

ampicillin-sulbactam and piperacillin-tazobacam

Question 28

in adults/children with serious allergy to penicllin/cephalosporins what is the tx for orbital cellulitis

Answer 28

vancomycin + fluroquinolone