The following exam consists of 30 multiple choice and true/false questions. Click on the circle in front of the correct answer. If you change your mind, clicking on a different circle will erase your first choice and mark your current choice. At the end of this exam is a button which will allow you to submit your answers electronically via the World Wide Web.

1. Which of the following prescriptions is an appropriate treatment for herpes zoster ophthalmicus?
   a. Zovirax, 800mg bid x 7 days
   b. Famvir 500mg 5 x day for 7 days
   c. Valtrex 1gm tid x 7 days
   d. Valtrex 500mg tid for 7 days
2. Reduced corneal sensitivity is a common finding in patients with herpes dendritic keratitis.
   a. True
   b. False
3. The initial treatment of herpes simplex keratitis is usually with oral acyclovir.
   a. True
   b. False
4. A leading cause of corneal blindness in the USA is which of the following
   a. Fungal keratitis
   b. Bacterial keratitis
   c. Acanthamoeba keratitis
   d. Herpes simplex keratitis
5. By adulthood, what percent of the population has herpes simplex antibodies?
   a. 25%
   b. 90%
   c. 10%
   d. 50%
6. The mucocutaneous border of the lid margin is a potential site for Type 1 herpes simplex.
   a. True
   b. False
7. Which situation listed below is a common factor for recurrent herpes simplex keratitis?
   a. Ultraviolet exposure
   b. Topical steroids
   c. Stress
   d. All the above
8. Which statement regarding recurrent herpes simplex keratitis is false?
   a. Decreased corneal sensitivity
   b. Edges of ulcer stain with Rose Bengal
   c. Microdendrites are a possible presentation
   d. All the above are true.
9. Which statement regarding treatment of herpes simplex keratitis is true?
   a. Antivirals can be toxic to the cornea
   b. Viroptic is the treatment of choice in epithelial disease
   c. The disease can recur as a disciform keratitis
   d. All the above are true statements.
10. Which statement regarding the use of topical corticosteroids is false?
    a. Enhances viral replication
    b. Long term use may increase IOP
    c. Never used in stromal disease
11. Which sign is not characteristic of herpes zoster ophthalmicus?
    a. Hemifacial vesicles
    b. Neuralgia
    c. Dendritic ulcers with prominent end bulbs
    d. Nummular opacities
12. Which sign is not characteristic of epidemic keratoconjunctivitis (EKC)?
    a. Acute follicular conjunctivitis
    b. Pseudomembrane formation
    c. Bilateral
    d. Early onset of subepithelial infiltrates
    e. Diffuse punctate epithelial keratitis
13. Which sign is not characteristic of inclusion conjunctivitis?
    a. Mucopurulent discharge
    b. Two-week duration
    c. Limbal subepithelial infiltrates
    d. Possible urethritis
14. What is the initial dose of trifluridine in a herpes simplex keratitis patient?
    a. 1 gt q1-2h
    b. 1 gt qid
    c. 1 gt q6h
    d. 1 gt bid
15. An advancing herpes simplex keratitis case may become a geographic ulcer.
    a. True
    b. False
16. For best results, it is optimal to start herpes zoster patients on antiviral therapy within 72 hours.
    a. True
    b. False
17. Pseudodendrites can be seen in herpes zoster ophthalmicus.
    a. True
    b. False
18. Involvement of the nasociliary branch of the trigeminal is less likely to have ocular involvement in the case of herpes zoster ophthalmicus.
    a. True
    b. False
19. A common differential for herpetic disciform keratitis not responding to treatment is acanthamoeba keratitis.
    a. True
    b. False
20. Which of the following would be an appropriate management option for epidemic keratoconjunctivitis?
    a. Topical steroid
    b. Topical antiviral
    c. Oral antiviral
    d. Oral prednisone
21. Long-term use of Viroptic may cause corneal toxicity.
    a. True
    b. False
22. For the prevention of discform keratitis secondary to herpes simplex, an accepted dosage of Acyclovir would be 800mg 5 times a day x 6 months.
    a. True
    b. False
23. Elevated IOP can be seen in the acute stage of herpes zoster ophthalmicus.
    a. True
    b. False
24. A geographic herpetic ulcer may result from the inappropriate use of topical steroids in a dendritic herpes simplex ulcer.
    a. True
    b. False
25. Removal of pseudomembranes in EKC has not been proven to help patient comfort.
    a. True
    b. False
26. Iris atrophy may be seen as a result of chronic herpes zoster ophthalmicus uveitis.
    a. True
    b. False
27. Topical steroids will benefit the comfort level of EKC patients.
    a. True
    b. False
28. Preauricular lymphadenopathy is not commonly noted in EKC.
    a. True
    b. False
29. The following are potential complications of herpes zoster ophthalmicus.
    a. Neurotrophic ulcer
    b. Iris atrophy
    c. Nummular scar formation
    d. Glaucoma
    e. All of the above
30. A predominant feature of adult inclusion conjunctivitis is large follicles in the inferior palpebral conjunctiva.
    a. True
    b. False

Be sure to enter your name below before submitting your test answers.