TQ Quiz | Complications of Pharmaceuticals Every Optometrist Should Know (Detroit 2025)

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1. Which of the following agents is contraindicated in pregnancy, breast feeding and in children less than 8 years old as it may cause stained teeth?*

A - Celecoxib (Celebrex)

B - Valacyclovir (Valtrex)

C - Ethambutol (Myambutol)

D - Doxycycline (Doryx)

2. Which of the following agents has a known adverse event of secondary (idiopathic) intracranial hypertension/pseudotumor cerebri?*

A - Celecoxib (Celebrex)

B - Doxycycline (Doryx)

C - Valacyclovir (Valtrex)

D - Ethambutol (Myambutol)

3. Which of the following medications may have the ability to cause hyperpigmentation of the skin?*

A - Doxycycline (Doryx)

B - Netarsudil (Rhopressa)

C - Delafloxacin (Baxdela)

D - Dapagliflozin (Farxiga)

4. Which of the following medications is most likely to cause tendonitis or tendon rupture?*

A - Levofloxacin (Levaquin)

B - Delafloxacin (Bexdela)

C - Acyclovir (Zovirax)

D - Estrogen (Premarin)

5. If a patient reported an antibiotic sulfa allergy. Which medication would you not prescribe?*

A - Acetazolamide (Diamox)

B - Dorzolamide (Trusopt)

C - Sulfamethoxazole/trimethoprim (Bactrim)

D - Brinzolamide (Azopt)

6. The main reason for early discontinuation of oral acyclovir in the Herpetic Eye Disease Study (HEDS) was?*

A - Corneal melt

B - Gastrointestinal side effects

C - Optic neuritis

D - Increased blood glucose levels

7. Which oral antiviral herpetic medication is lactose free in the brand and generic formulations?*

A - Amoxicillin/potassium clavulanate (Augmentin)

B - Acyclovir (Zovirax)

C - Famciclovir (Famvir)

D - Valacyclovir (Valtrex)

8. Which oral antiviral herpetic medication has the lowest incidence of hallucinations in the generic population?*

A - Amoxicillin/potassium clavulanate (Augmentin)

B - Acyclovir (Zovirax)

C - Famciclovir (Famvir)

D - Valacyclovir (Valtrex)

9. Which of the following medications may cause floppy iris syndrome, which may complicate cataract surgery?*

A - Netarsudil (Rhopressa)

B - Tamsulosin (Flomax)

C - Delafloxacin (Baxdela)

D - Amiodarone (Cordarone)

10. Which of the following oral medications is most likely to cause corneal microdeposits and optic neuritis?*

A - Netarsudil (Rhopressa)

B - Alendronate (Fosamax)

C - Delafloxacin (Baxdela)

D - Amiodarone (Cordarone)

11. Which of the following agents can result in vision loss from irregular astigmatism which can be imaged on a corneal topographer?*

A - Amiodarone (Cordarone)

B - Valacyclovir (Valtrex)

C - Alendronate (Fosamax)

D - Delafloxacin (Baxdela)

12. Which of the following glaucoma medications has a known side effect or adverse event of up to 17.2% of conjunctival hemorrhages?*

A - Cetirizine (Zerviate)

B - Netarsudil (Rhopressa)

C - Latanoprostene bunod (Vyzulta)

D - Voretigine neparvovec (Luxturna)

13. Which of the following glaucoma medications has a known side effect or adverse event of up to 20.9% of cornea verticillata?*

A - Cetirizine (Zerviate)

B - Netarsudil (Rhopressa)

C - Latanoprostene bunod (Vyzulta)

D - Voretigine neparvovec (Luxturna)

14. Which oral medication for the treatment of Tuberculosis has a known adverse event of a toxic optic neuropathy?*

A - Acyclovir (Zovirax)

B - Famciclovir (Famvir)

C - Valacyclovir (Valtrex)

D - Ethambutol (Myambutol)

15. Which biologic agent used for atopic dermatitis has a know side effect of conjunctivitis and keratitis?*

A - Cenegermin-bkbj (Oxervate)

B - Teprotumumab-trbw (Tepezza)

C - Dulipumab (Dupixant)

D - Tocilizumab (Actemra)

16. Which biologic agent used for FR-alpha positive platinum resistant ovarian cancer (PROC) needs cleared and monitored by an eye care physician due to superficial keratopathy, corneal deposits, and keratitis?*

A - Cenegermin-bkbj (Oxervate)

B - Teprotumumab-trbw (Tepezza)

C - Mirvetuximab Soravtansine (Elahere)

D - Tocilizumab (Actemra)

17. Which oral medication for the treatment of multiple sclerosis has a known adverse event of macular edema?*

A - Acyclovir (Zovirax)

B - Famciclovir (Famvir)

C - Fingolimod (Gilenya)

D - Valacyclovir (Valtrex)

18. Bull’s eye maculopathy is most likely to occur with which of the following medications?*

A - Amiodarone (Cordarone)

B - Fingolimod (Gilenya)

C - Hydroxychloroquine (Plaquenil)

D - Doxycycline (Doryx)

19. When testing for hydroxychloroquinine (Plaquenil) retina toxicity focus on?*

A - Foveola

B - 1.0-1.5 mm radius from center of foveola

C - 2 disc diameters from the foveola

D - Far periphery

20. One of the best ways to diagnose early hydroxychloroquinine (Plaquenil) retina toxicity?*

A - Color vision

B - Ideal body weight

C - Fundus photography

D - Optical Coherence Tomography (OCT) spectral domain

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