TQ Course | Going Viral: HZO, HSV, EKC (Scottsdale 2022) by Optometric Education Consultants | Feb 24, 2022 | 2022 Scottsdale, TQ Courses | 0 comments HiddenGoing Viral: HZO, HSV, EKCHiddenDate (Hidden) MM slash DD slash YYYY 1. A true dendrite has 2 characteristics that help to differentiate it from a pseudodendrite. Those 2 characteristics are:* a. Terminal end bulbs and ulceration b. Terminal end bulbs and a heaping of tissue c. A branching pattern and ulceration d. An infiltrate and an anterior chamber reaction 2. In Herpes Zoster Ophthalmicus, a rash on the tip of the nose is termed* a. Hutchinson’s triad b. Hutchinson’s sign c. Rizzuti’s sign d. Lhermitte’s sign 3. Which patient with Herpes Zoster Ophthalmicus most needs a systemic workup to rule out potential immunocompromise?* a. 68 year old diabetic male b. 94 year old female c. 58 year old male with high blood pressure and rheumatoid arthritis d. 34 year old female 4. The most common ocular manifestation of Herpes Zoster Ophthalmicus is?* a. Conjunctivitis b. Dendritic keratitis c. Uveitis d. Vascular occlusion 5. All of the following are potential advantages of Valacyclovir compared to Acyclovir. Which one is not?* a. Better dosing schedule b. More bioavailable c. More effective outside the 72 hour window d. Cheaper 6. Which of the following is a correct dosing regimen for Herpes Zoster Ophthalmicus?* a. Acyclovir 400 mg 5x/day b. Valacyclovir 1000 mg 3x/day c. Famcyclovir 250 mg 3x/day d. Viroptic 9x/day for 1 week 7. Which of the following statements regarding vaccines for the varicella-zoster virus is false?* a. The Varivax vaccine has largely prevented children from developing chicken pox over the past 10-20 years. b. The Varivax vaccine has played a part in increasing zoster rates over the past few years since children are no longer getting chicken pox and therefore not providing an immune booster to adults around them. c. The Zostivax vaccine is recommended for everyone over the age of 30. d. The Zostivax vaccine should only be given to those who had chicken pox as a child. 8. All of the following are potential symptoms of viral conjunctivitis. Which one is not?* a. Red eye that started in one eye and went to the other b. History of being around people with a “red eye” c. Burning/stinging d. Significant mucopurulent discharge 9. According to the literature, nearly 90% of patients with EKC have a positive node/lymphadenopathy. Where is that positive node most often located?* a. Submental b. Preauricular c. Submandibular d. Axillary 10. According to the “rule of 7’s” or “rule of 8’s”, when are subepithelial infiltrates (SEI’s) most likely to develop after the start of the red eye in EKC?* a. Day 3 b. Day 10 c. Day 21 d. Day 30 11. How long is the average course of epidemic keratoconjunctivitis (EKC) without treatment?* a. 3-7 days b. 10-14 days c. 18-24 days d. 40-50 days 12. Which of the following is not a potential treatment option for epidemic keratoconjunctivitis (EKC)?* a. Betadine b. Zirgan c. Lotemax d. Moxeza 13. Which of the following statements concerning the management of EKC is false?* a. Steroids should usually be reserved for when SEI’s develop b. Betadine will be most effective in treating the EKC if given early in the course of the EKC (day 1-5) c. The standard regimen for Betadine in treating EKC is Betadine QID X 7 days d. The standard Zirgan treatment regimen in EKC is 5x/day for 1 week, then 3x/day for an additional week. 14. Patients with a unilateral anterior uveitis caused by viruses tend to have an IOP in the involved eye that is:* a. Lower than the uninvolved eye b. Higher than the uninvolved eye c. Equal to the uninvolved eye d. There is no IOP trend in virally caused anterior uveitis 15. Which easy test can be used to assist in making the potential diagnosis of herpes simplex keratitis?* a. Corneal swab/culture b. Schirmer test c. Corneal sensitivity test d. Tear lab test e. Jones test 16. We talked about 7 different ways/forms that herpes simplex presents in the cornea. What form is by far the most common?* a. Vesicular keratitis b. Marginal keratitis c. Endotheliitis d. Immune stromal keratitis e. Dendritic keratitis 17. Which of the following could be potential treatment options for herpes simplex dendritic keratitis?* a. Zirgan 5x/day until the dendrite heals, then 3x/day for an additional week b. Viroptic 9x/day for 1 week, then 5x/day for an additional week c. Valtrex 500 mg 3x/day for 10 days d. All of the above 18. The treatment of choice for immune stromal keratitis is* a. Oral antivirals b. Topical antivirals c. Topical steroids with prophylactic antiviral cover d. Debridement 19. All of the following are acceptable treatment options for a herpes related neurotrophic ulcer. Which one is a recent addition to our armamentarium that has proven particularly useful for the neurotrophic ulcers that are very slow to heal?* a. Preservative free artificial tears q1h b. Lubricating ung at night c. Patching at night d. Tarsorrhaphy e. Amniotic membrane (Prokera) 20. Which of the following is not a potential advantage of Zirgan over Viroptic?* a. Cheaper b. Better dosing schedule c. Less toxicity to the cornea d. 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