Dany
Najjar, MD
Which of the following is TRUE concerning the intraocular pressure?
- It varies during the day with a peak in the early morning
- Normal value is 9-21 mmHg
- It can be normal in patients with glaucoma
- A and B only
- All of the above
2. Drugs that decrease aqueous production
include:
- Timolol
- Pilocarpine
- Mannitol
- Acetazolamide
- All of the above
3. Drugs that facilitate aqueous outflow include:
- Timolol
- Pilocarpine
- Epinephrine
- B and C only
- All of the above
4. Side effects of carbonic anhydrase inhibitors include:
- Tingling sensation in the extremities
- Nausea and vomiting
- Hypotension
- A and C
- All of the above
5. Interventions to decrease the IOP in patients with acute
angle closure
glaucoma include:
- Acetazolamide
- Mannitol
- Laser peripheral iridotomy
- Anterior chamber paracentesis
- All of the above
6. Glaucoma triple surgery refers to:
- Trabeculectomy + cataract extraction + IOL insertion
- Trabeculectomy + cataract extraction + penetrating keratoplasty
- Trabeculectomy + cataract extraction
- Trabeculectomy + cataract extraction + laser iridotomy
- Trabeculectomy + penetrating keratoplasty
7. An early sign of congenital glaucoma:
- Amblyopia
- Buphthalmos
- Leukocoria
- Anisocoria
- Ptosis
8. Indication(s) for glaucoma
surgery include (s):
- Failure of maximal medical therapy
- Phacolytic glaucoma
- Phacomorphic glaucoma
- A and C only
- All of the above
9. A 69 year old patient, cardiac and hypertensive was
found to have an IOP of 36 on routine ophthalmological exam with a C:D
ratio of 0.8.
Which of the following is TRUE ?
- This patient will definitely have visual field defects
- He definitely has a vision worse than 20/40
- Urgent treatment with an IOP lowering agent is mandatory
- A and C
- B and C
10. An
75 year old lady with a long standing history of asthma treated with
steroids presents to the clinic because of decreased vision. She is found
to have posterior capsular opacities as well as an IOP of 28 OU.
Which of the following medications would you start?
- Timolol
- Pilocarpine
- Latanoprost (Xalatan)
- A and B
- A and C
12. A 54 year old male patient with
negative past medical and ocular histories was found to have an IOP of 26
on routine eye examination. His C:D ratio is 0.4 OU , vision 20/30 OU and
he has normal fundi.
What’s the next step in the management of this patient?
- He should be started on topical beta blockers immediately to lower
the IOP
- A visual fields examination must be ordered first.
- He should be started on topical beta blockers while awaiting the
results of the visual fields.
- He should be given mannitol or IV acetazolamide before discharging
him from the clinic
- C and D
13. Risk factors for glaucoma
include:
- Cardiovascular diseases
- Family history of glaucoma
- Long term use of steroids
- Black race
- All of the above
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