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Davis Slides

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
Name the four cardinal sign of inflammation   Redness Heat Pain Swelling  
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Steroids block the inflammatory process where   Arachidonic acid  
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NSAIDs block where   The COX cycle into the prostaglandins  
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How do Steroids work   ARACHNOID ACID Block the production of inflammatory agents Decrease dilation and permeability of vessels Decrease WBC proliferation and mast cell degranulation ( Allergic response)  
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Name two inflammatory agents   Prostaglandins Inflammatory mediators  
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Name three inflammatory mediators   Cytokines Leukotrienes complement  
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What are the SYSTEMIC side effects/ Complication of steroids   stomach ulcers more susceptible to infections-herpes mask underlying disorders delay wound healing psychoses moon face muscle and bone weakness growth retardation in children  
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How do you discontinue steroid Rx   Taper- Gradually  
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What are the main ocular side effects of steroids?   posterior sub-capsular cataract (PSC) Increased in IOP Reactivate herpes  
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Is PSC (posterior sub-capsular cataract)Reversible?   No  
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**Increased IOP due to steroids**   More common in patients with Glaucoma may Raise as high as 10mm Hg Generally reversible after 1-3 weeks  
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What are two forms of prednisolone gtts? Which one is stronger?   Acetate-strongest Phosphate  
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What is the strongest and most effective topical steroid?   Difluprednate *perdnisolone is the next strongest  
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Which is the least effective and weakest topical steroid?   Medrysone  
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Which topical steroid have the most and strongest side effects and which have to least?   Strongest- Difluprednate, prednisone acetate, Dexamthasone Weakest- Medrysone weakest- Fluorometholone  
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Steroids combined with what are frequently used to treat blepharitis and OSD?   Antibiotics  
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Name ocular disorders topical steroids commonly used to treat?   Blepharitis and OSD severe allergic blepharitis Phlyctentules stromal herpes simplex herpes zoster (Shingles) corneal transplant immune reactions post-operative cataract and glaucoma surgeries uveitis sclerities chemical burns  
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Name SYSTEMIC ocular disorders treated with steroids   Optic Neuritis Temporal Arteritis (Giant Cell Arterities-GCA) Graves Ophthalmopathy  
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Intravitreal steroids are used for?   CSME in diabetes, Vascular occlusion, WET ARMD  
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The body produces antibodies in response to what?   Antigens  
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What are Antigens?   Any substance that stimulates production of antibodies.  
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Anti-histamines block the allergic response where?   H-1 receptor site  
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Mast cell stabilizers act by during what?   Preventing granulation of Mast cells  
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Mast cell deanulation produce what?   Histamine, Cytokins, and prostaglandins  
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The lowest level of treatment of allergic conjunctivitis is what?   Astringents, AF, and other OCULAR Decongestants  
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Mild allergic conjunctivitis is treated how?   Antihistamines  
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Moderate allergic conjunctivites is treat with what?   Combination: antihistamines and mast cells stabilizers  
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Name some of the ocular decongestants   Phenylephrine 1/8%, Naphazoline 1/8%, Tetrahydrozoline 1/8%  
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What is the weakest decongestant?   Phenylephrine  
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Name three mast cell stab/anti-histamine drugs   Olpatadines, Ketotifens, Bepotastine  
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Which combination drug (mast cell stab/anti-histamine) is OTC   Ketotifens  
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Name a good anti-histamine?   Alcaftadine- works in minutes and last up to 16hrs  
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When a drug has '-A' at the end what kind is it?   Decongestant with antihistamine  
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what do you tell patients about the use of Anti-histamines   stings dry eye use for short time, because of rebound  
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pure mast cells destabilizes are primary use for what and how long does it take to be effective?   vernal conjunctives and Giant papillary conjunctives-4 weeks  
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what are the side effects of pure mast cells destabilizes?   Unpleasant taste, cough, runny nose, throat irritation  
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what is vernal keratoconjunctities? what are it's sign and symptoms?   Severe form of allergic conjunctivitis. GPC & phlctentules  
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what is atopic keratoconjunctivites   form of allergic skin lesions with ocular symptoms.  
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What are the anti-VEGF drugs used for? Name them   CSME in diabetes wet ARMD Vadcular occlusion to treat neovascularization  
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Name the anti-VEGF drugs   ranibizumab bevacizumab aflibercept  
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what three drugs are used to treat Retinal/choroidal diagnosis?   fluoroscein Indocyanine green Infracyanine green  
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WHAT IS THE DIFFERENCE BETWEEN Indocyanine Green AND Infracyanine Green   Indocyanine Green AND Infracyanine Green- USED IN THE CHOROID Infracyanine Green- DOES NOT HAVE IODINE  
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WHAT DRUG IS INJECTED INTRAVITREAL FOR CSME   STEROIDS  
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WHAT DRUG IS USED FOR PDT   VERTEPORFIN  
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WHAT DRUG IS USED TO STAIN THE ANTERIOR CAPSULE AND MACULAR MEMBRANES?   METHYLENE BLUE  
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WHAT ARE THE SIGNS OF DRY ARMD   ATROPHY AND PIGMENTARY CHANGES OF THE RPE AND RETINA, LARGE SOFT DRUSEN  
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TERMS OF DRUGS AFFECTING THE SYMPATHETIC NS   ADRENERGIC  
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TERMS OF DRUGS AFFECTING THE PARASYMPATHETIC NS   CHOLINERGIC  
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TERMS WHICH MEANS STIMULATE OR INCREASE THE ACTION   AGONIST MIMETIC  
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TERMS WHICH MEAN INHIBIT OR STOP THE ACTION   ANTAGONIST BLOCKER LYIC  
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YOU CAN GET ESSENTIALLY THE SAME EFFECT IF SYMPATHOMIMETIC DRUGS BY USING WHAT KIND OF DRUGS   PARASYMATHOLYIC  
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WOULD THE EFFECTS OF A SYMPATHOMIMTIC DRUG AND A PARASYMATHOLYTIC BE THE SIMILAR OR DIFFERENT?   SIMILAR  
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