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Glaucoma 3

Total questions: 5

Worksheet time: 4mins

Name
Class
Date
1.

You are consulted to see a patient who has intractable elevated IOP despite maximal glaucoma treatments. You decide on prescribing intravenous mannitol. How does this drug cause a reduction in IOP?

a)

It causes contraction of the longitudinal ciliary muscle

b)

It increases osmolality of the vitreous cavity

c)

It draws water out of the vitreous cavity

d)

It reduces production of aqueous humor by the ciliary processes

2.

You are examining a 19/F with history of pauciarticular juvenile idiopathic arthritis. She has a hx of chronic angle closure glaucoma d/t her persistent ocular inflammation. On gonioscopy, in what location would her peripheral anterior synechiae (PAS) most likely be concentrated?

a)

Superior quadrant of the angle

b)

Inferior quadrant of the angle

c)

Nasal quadrant of the angle

d)

Temporal quadrant of the angle

3.

Besides the central island of vision, which of the following parts of the visual fields is typically last to be affected by end-stage glaucoma

a)

Superonasal visual field

b)

Superotemporal visual field

c)

Inferonasal visual field

d)

Inferotemporal visual field

4.

Which of the following goniolenses CANNOT be used in performing "dynamic" gonioscopy?

a)

Zeiss lens

b)

Goldmann lens

c)

Posner lens

d)

Sussman lens

5.

45/F referred to you for iris thinning OD. On PE,

VA OD 20/30,OS 20/20.

IOP 32 OD, 16 OS.

SLE OD seen in picture (beaten brown corneal endothelium & corneal edema), OS unremarkable.

No hx of ocular procedures. Which of the ff is the most likely diagnosis?

a)

Schwartz syndrome

b)

Secondary glaucoma from iris melanoma

c)

Chandler syndrome

d)

Axenfeld-Reiger syndrome