Glaucoma MCQ Study Notes

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Questions and Answers

A patient with a history of diabetes and hypertension is undergoing an eye exam. Which type of glaucoma is this patient MOST at risk of developing?

  • Angle-closure glaucoma
  • Secondary glaucoma (correct)
  • Primary open-angle glaucoma
  • Congenital glaucoma

A patient reports gradual loss of peripheral vision but otherwise feels fine. Which condition is MOST likely causing these symptoms?

  • Macular degeneration
  • Diabetic retinopathy
  • Advanced glaucoma (correct)
  • Cataracts

A researcher is investigating new treatments for glaucoma. Which of the following mechanisms of action would be MOST effective in reducing intraocular pressure?

  • Increasing blood flow to the retina
  • Inhibiting the production of aqueous humor (correct)
  • Strengthening the ciliary muscle
  • Constricting the pupil to improve focus

An optometrist is deciding on a course of treatment for a newly diagnosed glaucoma patient. Which of these would be the MOST appropriate initial goal of the treatment?

<p>Reducing intraocular pressure to prevent further vision loss (D)</p> Signup and view all the answers

To advise a patient on lifestyle changes, which recommendation would be MOST appropriate for someone aiming to manage their glaucoma risk?

<p>Engage in regular aerobic exercise (D)</p> Signup and view all the answers

A patient with a family history of glaucoma is concerned about developing the disease. Which of the following recommendations would be most appropriate for early detection?

<p>Schedule regular comprehensive eye exams with tonometry. (C)</p> Signup and view all the answers

A patient is diagnosed with primary open-angle glaucoma. What is the primary mechanism by which this condition leads to vision loss?

<p>Gradual damage to the optic nerve due to elevated intraocular pressure. (B)</p> Signup and view all the answers

A patient is prescribed a prostaglandin analog for glaucoma. What is the MOST likely mechanism of action of this medication?

<p>Increasing the outflow of aqueous humor through the uveoscleral pathway. (A)</p> Signup and view all the answers

A patient experiences sudden eye pain, blurred vision, and halos around lights. Which type of glaucoma is MOST likely indicated by these symptoms?

<p>Acute angle-closure glaucoma (A)</p> Signup and view all the answers

A patient is prescribed timolol eye drops for glaucoma. What is the primary mechanism by which timolol helps to lower intraocular pressure?

<p>Decreasing aqueous humor production (A)</p> Signup and view all the answers

When educating a patient on the use of glaucoma eye drops, what is the MOST important instruction to provide to minimize systemic absorption and potential side effects?

<p>Apply pressure to the inner corner of the eye after instillation. (B)</p> Signup and view all the answers

A patient with glaucoma is also taking oral carbonic anhydrase inhibitors. What is a potential side effect that the patient should be monitored for?

<p>Metallic taste and tingling in the extremities (D)</p> Signup and view all the answers

Which surgical procedure creates a new drainage pathway for aqueous humor to reduce intraocular pressure in glaucoma patients?

<p>Trabeculectomy (B)</p> Signup and view all the answers

Flashcards

At-risk population for glaucoma

Elderly individuals are at a higher risk of developing glaucoma.

Type of glaucoma from medical conditions

Secondary glaucoma is caused by an underlying medical condition.

Imaging technique for optic nerve damage

OCT (Optical Coherence Tomography) is useful for assessing optic nerve damage in glaucoma.

Common symptom in advanced glaucoma

Tunnel vision is a common symptom in advanced stages of glaucoma.

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Function of trabecular meshwork

The trabecular meshwork drains aqueous humor from the eye.

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Primary cause of glaucoma

Increased intraocular pressure (IOP) is the primary cause of glaucoma.

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Major risk factor for glaucoma

Family history is a significant risk factor for developing glaucoma.

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Most common type of glaucoma

The most common type of glaucoma is primary open-angle glaucoma.

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Best diagnostic method for glaucoma

Tonometry (measuring intraocular pressure) is the best diagnostic method for glaucoma.

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Part of the eye affected by glaucoma

The optic nerve is primarily affected in glaucoma, leading to vision loss.

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Drug class to reduce aqueous humor

Beta-blockers are commonly used to reduce aqueous humor production in glaucoma.

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Prostaglandin analog for treatment

Latanoprost is a prostaglandin analog used for glaucoma treatment.

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Acute angle-closure glaucoma symptom

Sudden eye pain and blurred vision are the most common symptoms of acute angle-closure glaucoma.

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Study Notes

Glaucoma MCQ Study Notes

  • Glaucoma Cause: Increased intraocular pressure (IOP) is the primary cause.
  • Glaucoma Risk Factors: Family history is a major risk factor.
  • Most Common Glaucoma Type: Primary open-angle glaucoma.
  • Glaucoma Diagnosis: Tonometry (measuring IOP) is the best diagnostic method.
  • Eye Part Affected: Optic nerve is primarily affected.
  • Aqueous Humor Production Reduction Drugs: Beta-blockers are commonly used.
  • Prostaglandin Analog: Latanoprost is a prostaglandin analog.
  • Prostaglandin Analog Mechanism: Increases aqueous humor outflow.
  • Acute Angle-Closure Glaucoma Symptoms: Sudden eye pain and blurred vision.
  • Carbonic Anhydrase Inhibitor: Acetazolamide.
  • Medical Emergency Glaucoma: Acute angle-closure glaucoma.
  • Primary Open-Angle Glaucoma First-Line Treatment: Prostaglandin analogs.
  • Glaucoma Surgical Procedure: Trabeculectomy.
  • Cholinergic Drug Neurotransmitter: Acetylcholine.
  • Cholinergic Agonist: Pilocarpine.
  • Beta-Blocker Glaucoma Mechanism: Decreases aqueous humor production.
  • Normal IOP Range: 10-21 mmHg.
  • Aqueous Humor Production & Outflow Medication: Brimonidine.
  • Prostaglandin Analog Side Effect: Increased eyelash growth.
  • High Risk Population for Glaucoma: Elderly individuals.
  • Underlying Condition Glaucoma Type: Secondary glaucoma.
  • Optic Nerve Damage Imaging: OCT (Optical Coherence Tomography).
  • Advanced Glaucoma Symptom: Tunnel vision.
  • Trabecular Meshwork Function: Draining aqueous humor.
  • Vitamin for Glaucoma Prevention: Not explicitly stated, but potential links to vitamins are mentioned.
  • Hyperosmotic Agent Purpose: Rapidly decrease IOP.
  • Glaucoma Treatment Goal: Reduce IOP.
  • Visual Field First Affected: Peripheral vision.
  • Epinephrine Mimicking Eye Drop: Alpha agonists.
  • Intraocular Pressure Reducing Lifestyle: Regular exercise.

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