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Ophthalmology · Community ophthalmology: onchocerciasis
Sample itemWhich drug is used for mass treatment of river blindness?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Ivermectin
Onchocerca volvulus is spread by the blackfly Simulium and causes keratitis and uveitis. Annual or biannual ivermectin reduces microfilarial load and transmission.
Option by option
A. Azithromycin
Azithromycin is used for trachoma.
B. Ivermectin (correct)
Correct. Ivermectin is used for onchocerciasis control.
C. Albendazole alone
Albendazole alone is not effective against onchocerciasis.
D. Praziquantel
Praziquantel is for schistosomiasis.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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