Optometry Pharmacology: Local Steroid Injections Quiz
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Questions and Answers

What is one of the advantages of using topical steroid administration for anterior segment disease?

  • It leads to adrenal suppression
  • It can aggravate dendritic ulcers
  • It has a high risk in children
  • It allows for simple application (correct)

According to Adamczyk's Rule of Steroid Treatment, why is it preferred to treat only the infected eye in Uniocular disease?

  • To avoid potential adrenal suppression
  • To cause aggravation of dendritic ulcers
  • To increase the chances of systemic effects
  • To reduce the risk of systemic effects (correct)

Which type of administration route is used for severe inflammation like chorioretinitis or optic neuritis?

  • Intravitreal
  • Systemic (correct)
  • Intracanalicular
  • Topical

What is a potential disadvantage of using topical steroid administration for anterior segment disease?

<p>Aggravation of dendritic ulcers (A)</p> Signup and view all the answers

When is Intravitreal steroid administration typically employed?

<p>For severe anterior uveitis and chorioretinitis (C)</p> Signup and view all the answers

What is the purpose of a loading dose in drug treatment?

<p>To start with a higher dose before decreasing to a maintenance dose (C)</p> Signup and view all the answers

According to Adamczyk's Rule of Steroid Treatment, what is advised when treating inflammation with steroids?

<p>Give a large amount of steroid judiciously (B)</p> Signup and view all the answers

In pulse therapy, how are high doses of medication administered?

<p>Giving high doses intermittently in pulses (C)</p> Signup and view all the answers

What is the rationale behind tapering off long-term, high-dose steroid therapy?

<p>To avoid side effects and potential relapse (C)</p> Signup and view all the answers

What type of treatment typically does not produce significant side effects according to the Principles of Steroid Treatment?

<p>Short-term, low-dose topical treatment (D)</p> Signup and view all the answers

What is the purpose of a loading dose?

<p>To enhance the therapeutic effect of the drug (B)</p> Signup and view all the answers

According to Adamczyk's Rule of Steroid Treatment, what should the dosage of steroids be dependent on?

<p>Location and severity of inflammation (B)</p> Signup and view all the answers

What does pulse therapy involve?

<p>Administering high doses of drugs intermittently to enhance therapeutic effect (B)</p> Signup and view all the answers

In comparison to antibiotics, how is the dosing frequency of steroids determined?

<p>Varies based on the severity of inflammation (A)</p> Signup and view all the answers

When treating idiopathic iritis with steroids, what may determine the dosing strategy according to the text?

<p>Trial and error (C)</p> Signup and view all the answers

What is the main reason to wait a few days after administering an antiviral before giving a steroid?

<p>To prevent the virus from becoming more active (A)</p> Signup and view all the answers

According to Adamczyk's Rule of Steroid Treatment, why are steroids needed in stromal infections?

<p>To address the inflammatory response in the eye (D)</p> Signup and view all the answers

When is a sub-Tenon's injection of steroids typically recommended?

<p>For chronic illness treatment (B)</p> Signup and view all the answers

Why is it crucial to administer both antiviral and steroid treatments in cases of epithelial and stromal infection?

<p>To achieve synergistic effects (A)</p> Signup and view all the answers

What is the key reason for giving periocular injections of steroids?

<p>To provide long-lasting anti-inflammatory effects (B)</p> Signup and view all the answers

What is the advantage of local steroid injections?

<p>Minimize systemic side effects (D)</p> Signup and view all the answers

Which adverse reaction is associated with local steroid injections?

<p>Optic nerve atrophy (B)</p> Signup and view all the answers

What is a disadvantage of local steroid injections?

<p>Potential for adrenal suppression (C)</p> Signup and view all the answers

Which condition can be treated with a Triamcinolone acetonide injection beneath Tenon’s capsule?

<p>Severe chronic anterior uveitis (D)</p> Signup and view all the answers

When is local steroid injection particularly good for patients?

<p>For non-compliant patients who are not using topical treatments as prescribed (C)</p> Signup and view all the answers

Which of the following is a common systemic steroid used in treating posterior segment inflammation?

<p>Prednisone (A)</p> Signup and view all the answers

Adamczyk's Rule of Steroid Treatment emphasizes the importance of:

<p>Avoiding most systemic effects (B)</p> Signup and view all the answers

Which route of steroid administration is known to have the potential risk of adrenal suppression?

<p>Systemic (D)</p> Signup and view all the answers

One of the disadvantages of topical steroid administration is:

<p>Potential adrenal suppression (A)</p> Signup and view all the answers

In steroid treatment, what is a significant consideration highlighted in Adamczyk's Rule?

<p>Avoiding systemic side effects (A)</p> Signup and view all the answers

What is the purpose of Retisert implant?

<p>Treatment of chronic posterior segment uveitis (B)</p> Signup and view all the answers

How long can the Retisert implant deliver sustained levels of drug?

<p>30 months (B)</p> Signup and view all the answers

What is a notable adverse drug reaction (ADR) associated with Retisert implant?

<p>Increased intraocular pressure (D)</p> Signup and view all the answers

Which drug is released by Iluvien and what is its use according to the text?

<p>Fluocinolone acetonide; Treatment of Diabetic Macular Edema (D)</p> Signup and view all the answers

What is the unique feature of Iluvien as mentioned in the text?

<p>It eventually settles to the bottom of the eye (D)</p> Signup and view all the answers

What is the main advantage highlighted about Dextenza intracanalicular inserts?

<p>Convenient single insertion lasting for 30 days (C)</p> Signup and view all the answers

What is a common concern associated with the use of Retisert implant?

<p>Vision loss due to increased IOP (C)</p> Signup and view all the answers

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