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Pre Tes Glaukoma Lanjut September-Oktober 2022

Total questions: 10

Worksheet time: 10mins

Name
Class
Date
1.

A patient pre sents with narrow angles and findings suspicious for iris and/or ciliary body cysts. What is the best imaging modality for further investigation?

a)

Anterior segment UBM

b)

AS- OCT

c)

B- scan ultrasonography

d)

computed tomography (CT) scan of the orbits

2.

A patient has a unilateral glaucoma in the right eye with an IOP of 35 mm Hg on maximal medical therapy. The IOP in the left eye is 13 mm Hg. The external examination of the right eye discloses proptosis, dilated, arterialized conjunctival vessels, and chemosis. What is the most likely finding on further examination? a. anterior chamber cells b. blood in Schlemm canal c. ubeosisr iridis d. sectoral iris atroph

a)

Anterior chamber cells

b)

Blood in Schlemm canal

c)

Rubeosis iridis

d)

Sectoral iris atrophy

3.

What pattern of visual field defect is most typical of glaucoma?

a)

arcuate scotoma

b)

blind spot enlargement

c)

centrocecal scotoma

d)

hemianopic defect

4.

A glaucoma suspect patient demonstrates superior and inferior defects on perimetry in the left eye with a reliable baseline visual field test (Swedish Interactive Threshold Algorithm Standard 24-2). What is the next best course of action?

a)

Begin medical therapy with a prostaglandin analogue

b)

Obtain imaging of the optic nerve head

c)

Order neuroimaging

d)

Repeat visual field testing

5.

A 50- year- old woman pre sents with an IOP of 27 in the right eye and 12 in the left eye. On examination, an abnormal corneal endothelium is noted in the right eye; the left eye is normal. The anterior segment exam is other wise unremarkable. On gonioscopy, PAS to the Schwalbe line are noted in 1 clock- hour. What is the most likely diagnosis?

a)

Chandler syndrome

b)

Cogan- Reese syndrome

c)

Essential iris atrophy

d)

Fuchs dystrophy

6.

An 89- year- old woman pre sents with eye pain in her right eye. She reports that the vision in her right eye has been poor for years, due to complications from a retinal detachment. On examination, the IOP in her right eye is 40. Her exam is significant for a white cataract with a wrinkled anterior capsule. On gonioscopy, ciliary body is visible in all quadrants. Cell and flare is noted in the anterior chamber, but no keratic precipitates are observed. What is the most likely diagnosis?

a)

lens particle glaucoma

b)

phacoantigenic glaucoma

c)

phacolytic glaucoma

d)

phacomorphic glaucoma

7.

A 60-year-old man came with gradually blurred vision since 3 months ago. No red no pain, no trauma, no surgery. VOD 0.7 and VOS 0.2. IOP were 15 and 36 mmHg. Anterior segment was within normal limit. Funduscopy showed c/d ratio were 0.3 and 0.7 In the right and left eye. Gonioscopy showed schwaible line in 4 quadrant on the right eye and after identation revealed scleral spur in 4 quadrants. Left eye showed Scwaible line in 4 quadrant and no difference after identation.

What is the diagnosis patient?

a)

RE: PAC and LE : PACS

b)

RE: PACG and LE: PAC

c)

RE:PAC and LE: POAG

d)

RE: PACS and LE : PACG

8.

A 70-year-old man came with graduality blurred vision on the right eye since 6 month ago. No

red eye or pain, no trauma, no systemic disease, no surgery history. VA RE 1/300 and VE LE

0.6 IOP were 36 mmHg and 16 mmHg in the right and left eye. Anterior segment

examination after pupillary dilatation showed bulls eye pattern on the right eye and lens

opacity in both eyes. Funduscopy showed c/d ratio were 0,9 and 0.3 on the right and left

eye. Gonioscopy of right eye showed Schwable line in 3 quadrants and scleral spur in 1 quadrant

What is the cause of the gonioscopy findings?

a)

Pupillary blocked

b)

Anteriorly displaced lens

c)

Fibrovascular membrane

d)

Peripheral anterior syncechia

9.

Male 35-year-old came with chief complaint of headhache. Left eye examination showed VA 6/6 with S-3.00, IOP 29 mmHg, anterior segment showed pigment deposits of corneal endothelium, funduscopy CDR 0,6 with notching in inferior. Gonioscopy showed homogenous and densely pigmented trabecular meshwork.

            What is best management for this patient?

a)

Filtering surgery

b)

Antiglaucoma medication

c)

Laser Iridoplasty

d)

Observation

10.

A 57 year old woman with right eye advanced glaucoma had a trabeculectomy last week. Now, she is complain of redness and pain in her right eye. The RE visual acuity is 5/60, digital tonometry examination find N-1. She has conjunctival hyperemia, mucopurulent infiltrate within the bleb, and minimal intraocular inflammation. What is the likely diagnosis of this patient? 

a)

Bleb-related endophthalmitis

b)

Blebitis

c)

Anterior uveitis

d)

TASS