CME Posttest: Fluroquinolone-induced tendinopathy; Ciliary injection

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FLUOROQUINOLONE-INDUCED TENDINOPATHY

1. Which fluoroquinolone was withdrawn from the market after reports of hepatotoxicity?


a. Trovafloxacin

b. Grepafloxacin

c. Gatifloxacin,

d. Gemifloxacin


2. An adverse reaction associated with fluoroquinolones is


a. Anaphylaxis

b. Phototoxicity

c. Blood dyscrasias

d. Urticaria


3. Risk factors for a ruptured Achilles tendon include


a. Diabetes

b. Renal insufficiency

c. Gout

d. All of the above


4. According to one 2002 study on fluoroquinolone-induced tendinopathy, the relative risk of this complication rose to 6.2 in patients older than 60 years who also had


a. Used corticosteroids

b. Magnesium deficiency 

c. A longstanding history of sports-related activity

d. Exposure to non-steroidal anti-inflammatory drugs (NSAID)


5. Recent studies have demonstrated that a significantly higher risk of Achilles tendon rupture is associated with


a. Age older than 60 years

b. Male sex

c. African American race

d. Positive family history


6. Fluoroquinolone-induced rupture of the Achilles tendon typically occurs


a. After the first dose

b. Within 48 hours of starting therapy

c. Within 30 days of starting therapy

d. After a month of therapy


CILIARY INJECTION


7. A feature of a bacterial eye infection is


a. Photophobia

b. A history of trauma

c. Intense pain

d. A gritty sensation


8. Chronic open-angle glaucoma typically manifests as


a. Abdominal symptoms

b. "Tunnel" vision

c. Ciliary injection of the conjunctiva

d. Mild elevation of intraocular pressure


9. Unlike acute angle-closure glaucoma, iritis is typically distinguished by


a. Low intraocular pressure

b. Ciliary injection

c. Moderately painful eye

d. Cornea marginally hazy


10. Which of the following can be seen on the endothelium 
of the cornea, arise from the iris, and usually manifest with iritis?


a. Retinal hemorrhages

b. Keratic precipitates

c. Synechiae

d. Cotton-wool spots


11. Iritis is associated with


a. Sarcoidosis

b. Fibromyalgia

c. Lyme disease

d. Gonorrhea


12. A medication that is used to treat acute angle-closure 
glaucoma is


a. Atropine

b. Phenylephrine

c. Pilocarpine

d. Prednisone


CME EXPIRATION DATE: DECEMBER 2011