MSN Exam for Glaucoma

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Text Mode

Text Mode – Text version of the exam

1. Essential feature of glaucoma is:

  1. Optic neuropathy
  2. Raised intraocular pressure
  3. Reduced vision
  4. Painful eye

2. Which of these is not a feature of ocular hypertension?

  1. Elevated intraocular pressure
  2. Closed angle
  3. Normal visual fields
  4. Normal optic discs

3. Risk factors for glaucoma include:

  1. Cardiovascular diseases
  2. Family history of glaucoma
  3. Hypothyroidism
  4. All of the above

4. Which of these is not a likely cause of painful red eye in a patient?

  1. Open angle glaucoma
  2. Closed angle glaucoma
  3. Conjunctivitis
  4. Herpes simplex

5. Drugs that facilitate aqueous humor outflow include:

  1. Timolol
  2. Pilocarpine
  3. Epinephrine
  4. B and C only

6. Which one of the following agents lowers intraocular pressure by reducing aqueous production?

  1. Latanoprost
  2. Dorzolamide
  3. Epinephrine
  4. Pilocarpine

7. Which class of drug is the first line of therapy for open angle glaucoma when no contraindication exists?

  1. ß blockers
  2. a agonist
  3. Carbonic anhydrase inhibitors
  4. Prostaglandins

8. Side effects of oral carbonic anhydrase inhibitors include:

  1. Tingling sensation in the extremities
  2. Nausea and vomiting
  3. Fatigue
  4. All of the above

9. Dorzolamide is a:

  1. Oral carbonic anhydrase inhibitor
  2. Topical carbonic anhydrase inhibitor
  3. Prostaglandin
  4. d. None of the above

10. Which one of the following statements regarding pilocarpine is true?

  1. It is a sympathomimetic drug
  2. It is the mainstay of glaucoma treatment
  3. It can be employed in the treatment of both open angle and closed angle glaucoma
  4. It reduces production of aqueous humor

11. Uveo-scleral outflow of aqueous humor is increased by:

  1. Prostaglandins
  2. ß blockers
  3. Alpha agonist
  4. Carbonic anhydrase inhibitors

12. Which of the following are not suitable adjuncts?

  1. Timolol and latanoprost
  2. Pilocarpine and betaxolol
  3. Dorzolamide and timolol
  4. Brimonidine and betaxolol

13. In treatment of glaucoma, to achieve better effect blockers can be combined well with:

  1. Miotics
  2. T opical carbonic anhydrase inhibitors
  3. Prostaglandins
  4. Any of the above

14. A 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 intraocular pressure of 28 mmHg. Which of the following medication should be prescribed?

  1. Timolol
  2. Pilocarpine
  3. Latanoprost
  4. None of the above

15. Neuroprotection is well established with:

  1. Timolol
  2. Brimonidine
  3. Latanoprost
  4. None of the above
Answers
  1. A. Optic neuropathy
  2. B. Closed angle
  3. D. All of the above
  4. B. Closed angle glaucoma
  5. D. B and C only
  6. B. Dorzolamide
  7. A. ß blockers
  8. D. All of the above
  9. B. Topical carbonic anhydrase inhibitor
  10. C. It can be employed in the treatment of both open angle and closed angle glaucoma
  11. D. Carbonic anhydrase inhibitors
  12. B. Pilocarpine and betaxolol
  13. D. Any of the above
  14. C. Latanoprost
  15. B. Brimonidine

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