View Exam | PowerPak

1. Which of the following types of conjunctivitis would likely need an immediate referral to an ophthalmologist?

A. Vernal Conjunctivitis (VKC) B. Seasonal allergic conjunctivitis (SAC) C. Perennial allergic conjunctivitis (PAC) D. Allergic Rhinitis E. None of the above

2. What proportion of the population reports experiencing symptoms of conjunctivitis at least once in their lifetime?

A. 1% to 5% B. 5% to 12.5% C. 15% to 40% D. 50% to 75% E. 75% to 100%

3. Which of the following is a specific predisposing factor to allergic (Seasonal/perennial) conjunctivitis?

A. Grass or Pollen Environmental Allergens B. Genetic predisposition to atopy C. Deficiencies of growth hormone D. Staphylococcus aureus infection E. Glaucoma Medications

4. Select the statement that is TRUE about guideline-directed care for patients with most forms of conjunctivitis.

A. Antibiotics should be added to antihistamines with mast cell activity agents B. Antihistamines/vasoconstrictor combinations should be taken in combination with mast-cell stabilizers for most forms of allergic conjunctivitis C. Antihistamines with mast cell stabilizing properties should be taken in conjunction with mast mast-cell stabilizers for vernal conjunctivitis to optimize care D. Corticosteroids are recommended as first-line agents for most forms of allergic conjunctivitis E. Topical NSAIDS are recommended as second-line agents for most forms of allergic conjunctivitis

5. MB is a 45 y/o patient who is suffering with bilateral ocular itching, redness, and watery discharge every spring when they are outside. The patient denies having any yellow discharge or any other major symptoms. Which of the following forms of conjunctivitis does the patient likely have and is correctly paired with the correct counseling message?

A. Vernal Conjunctivitis (VKC)—“You should avoid washing clothes and sheets to allow natural buildup of allergens” B. Seasonal allergic conjunctivitis (SAC)—“You should avoid daily showering to allow natural build-up of allergens” C. Perennial allergic conjunctivitis (PAC)—" “You should massage your eyes with your hands daily” D. Seasonal allergic conjunctivitis (SAC)—"You should consider wearing sunglasses daily” E. Vernal Conjunctivitis (VKC)—“You should avoid daily showering to allow natural build-up of allergens”

6. MB, from the previous case, continues to report bilateral eyelid edema despite your previous lifestyle recommendation. What would be an appropriate first-line agent to manage their seasonal allergic conjunctivitis?

A. Oral antihistamine B. Topical NSAID C. Topical Calcineurin Inhibitor D. Topical Antihistamine with mast cell stabilizer activity E. Topical Mast cell inhibitor

7. ND is a 35 y/o patient who presents to the community pharmacy complaining of symptoms suggesting perennial allergic conjunctivitis (PAC). The patient has a very busy work schedule and would like to start an agent immediately. Which of the following agents should be recommended to the patient?

A. Alcaftadine B. Azelastine C. Bepotastine D. Ketotifen E. Olopatadine

8. Which of the following drug classes or agents should be added to therapy after the failure of an antihistamines with mast cell stabilizer activity in patients with allergic conjunctivitis, Vernal keratoconjunctivitis, or Atopic keratoconjunctivitis?

A. Topical Corticosteroids B. Topical NSAID C. Topical Calcineurin Inhibitor D. Oral Antihistamines E. Topical Mast cell inhibitor

9. Which of the following adverse events are associated with topical optical corticosteroid use in patients with various forms of conjunctivitis?

A. Elevated intraocular pressure (IOP) B. Abnormal vision C. Cataracts D. Lower intraocular pressure (IOP) E. None of the above

10. Which of the following forms of conjunctivitis are topical calcineurin inhibitors recommended?

A. Seasonal allergic conjunctivitis (SAC) B. Perennial allergic conjunctivitis (PAC) C. Vernal keratoconjunctivitis (VKC) D. Adenoviral conjunctivitis E. None of the above