Question 1

Which of the following is the correct technique for instilling ophthalmic (eye) drops in an adult patient?

Accepted Answer

Pull the lower eyelid down to create a pocket, instill the drop into the pocket, close the eye gently, and apply light pressure to the inner corner of the eye for 1-2 minutes.

Question 2

A patient is prescribed two different ophthalmic medications: one solution and one suspension. What is the correct order and timing for administration?

Accepted Answer

Instill the solution first, wait 5 minutes, then instill the suspension.

Question 3

Which of the following SIG codes is correctly matched with its meaning?

Accepted Answer

OS: left eye

Question 4

Why is punctal occlusion recommended after instilling ophthalmic drops?

Accepted Answer

To reduce systemic absorption and increase local effect by preventing drainage into the nasolacrimal duct

Question 5

When instilling otic (ear) drops in a child under 3 years old, what is the correct technique for positioning the ear?

Accepted Answer

Pull the ear backward and downward

Question 6

Which of the following statements about the sterility of ophthalmic and otic drops is correct?

Accepted Answer

Ophthalmic drops must be sterile, but some otic drops are not.

Question 7

A patient is using contact lenses and is prescribed an ophthalmic antibiotic for an eye infection. What is the best advice regarding contact lens use?

Accepted Answer

Remove contacts before instilling drops and wait at least 15 minutes before reinserting them.

Question 8

Which of the following is a key counseling point for a patient using a nasal spray?

Accepted Answer

Blow your nose before use, keep your head upright, and aim the spray tip away from the septum.

Question 9

A patient is prescribed a buccal transmucosal medication. Which instruction is most important to ensure proper absorption?

Accepted Answer

Place the medication between the cheek and gum and do not eat, drink, or smoke until it has fully dissolved.

Question 10

Which of the following is a common indication for otic medications containing carbamide peroxide?

Accepted Answer

Removal of earwax (cerumen)

Question 11

A parent is instructed to instill ear drops in their 5-year-old child. Which of the following is the correct technique?

Accepted Answer

Pull the ear backward and upward

Question 12

Which of the following is a unique consideration when using multi-dose ophthalmic products containing preservatives?

Accepted Answer

They may cause irritation or sensitivity in some patients.

Question 13

A patient asks if they can use their leftover ophthalmic antibiotic drops for an ear infection. What is the best response?

Accepted Answer

Ophthalmic drops can be used in the ear if sterile, but you should consult your healthcare provider first.

Question 14

Which of the following is the correct instruction for using a sublingual transmucosal medication?

Accepted Answer

Place the medication under the tongue and allow it to dissolve completely without swallowing.

Question 15

A patient is using both an ophthalmic ointment and an ophthalmic solution. What is the correct order and timing for administration?

Accepted Answer

Instill the solution first, wait 10 minutes, then apply the ointment.

Question 16

Which of the following is a critical step when teaching a caregiver to instill eye drops in a young child?

Accepted Answer

Lay the child back on a flat surface, create a pocket in the lower eyelid, and instill the drop away from the tear duct.

Question 17

Which of the following is a correct counseling point for a patient using nicotine gum as a transmucosal product?

Accepted Answer

Chew the gum slowly until you feel a tingling sensation, then 'park' it between your cheek and gum.

Question 18

Which of the following is the best practice for using nasal drops in infants?

Accepted Answer

Lay the infant on their back with the head slightly tilted back, instill the drops, and keep the head back for about 1 minute.

Question 19

Which of the following is a key reason why health literacy and patient-centered care are emphasized when counseling on dosage forms?

Accepted Answer

To ensure patients understand and can follow instructions for safe and effective medication use.

Patient Counseling and Techniques for Ophthalmic, Otic, Nasal, and Transmucosal Dosage Forms

Study Guide - Practice Questions

Study Guide - Flashcards