wayground logo

Free Printable Worksheets

NEW

Font size

S
M
L
XL
Worksheets

GLAUCOMA

Total questions: 18

Worksheet time: 9mins

Name
Class
Date
1.

  1. A 55-year-old man was brought to the hospital’s emergency department by his family with complaints of pain in his right eye radiating to the right side of the head, accompanied by nausea and vomiting for the past 3 hours. He also experienced blurred vision, redness, and watering of the eye. No history of trauma or similar episodes.
    Ophthalmological examination revealed:

  • VOD: 1/300

  • VOS: 20/40

  • TOD: 60 mmHg

  • TOS: 18 mmHg

  • Right anterior segment: mixed conjunctival injection, hazy cornea, shallow anterior chamber, fixed mid-dilated pupil

  • Left eye: within normal limits.
    What is the most likely diagnosis?

a)

  • Ocular Hypertension

b)

  • Normal-Tension Glaucoma

c)

  • Primary Open-Angle Glaucoma

d)

  • Acute Primary Angle-Closure Glaucoma

e)

  • Chronic Primary Angle-Closure Glaucoma

2.

  1. A 55-year-old man was brought to the hospital’s emergency department by his family with complaints of pain in his right eye radiating to the right side of the head, accompanied by nausea and vomiting for the past 3 hours. He also experienced blurred vision, redness, and watering of the eye. No history of trauma or similar episodes.
    Ophthalmological examination revealed:

  • VOD: 1/300

  • VOS: 20/40

  • TOD: 60 mmHg

  • TOS: 18 mmHg

  • Right anterior segment: mixed conjunctival injection, hazy cornea, shallow anterior chamber, fixed mid-dilated pupil

  • Left eye: within normal limits.

  1. What is the pathophysiology of the above condition?

a)

  1. Vascular insufficiency of the optic nerve

b)

  1. Presence of hemorrhagic particles blocking the trabecular meshwork

c)

  1. Degeneration of the trabecular meshwork and Schlemm’s canal, partly due to genetics

d)

  1. Inflammatory cells blocking aqueous humor flow in the trabecular meshwork

e)

  1. Pupillary block due to risk factors like shallow anterior chamber and narrow angles

3.

  1. A 55-year-old man was brought to the hospital’s emergency department by his family with complaints of pain in his right eye radiating to the right side of the head, accompanied by nausea and vomiting for the past 3 hours. He also experienced blurred vision, redness, and watering of the eye. No history of trauma or similar episodes.
    Ophthalmological examination revealed:

  • VOD: 1/300

  • VOS: 20/40

  • TOD: 60 mmHg

  • TOS: 18 mmHg

  • Right anterior segment: mixed conjunctival injection, hazy cornea, shallow anterior chamber, fixed mid-dilated pupil

  • Left eye: within normal limits.

  1. What is the definitive treatment for this patient?

a)

  1. Goniotomy

b)

  1. Trabeculotomy

c)

  1. Trabeculectomy

d)

  1. Laser Trabeculoplasty

e)

  1. Peripheral Iridectomy

4.

  1. A 65-year-old woman came to the primary care clinic complaining of blurry vision in both eyes, described as tunnel vision for the past 2 years, worsening over the past month. No other symptoms or systemic disease.
    Examination:

  • VODS: 1/60

  • TODS: 35 mmHg

  • Anterior segment: appears quiet, fixed mid-dilated pupils
    What is the next investigation to confirm the diagnosis?

a)

  • Fundoscopy

b)

  • Gonioscopy

c)

  • Fundus Photography

d)

  • OCT of the optic nerve

e)

  • Visual field perimetry

5.

  1. Based on fundoscopy, what is the most likely diagnosis?

a)

  1. Ocular Hypertension

b)

  1. Normal-Tension Glaucoma

c)

  1. Primary Open-Angle Glaucoma

d)

  1. Acute Primary Angle-Closure Glaucoma

e)

  1. Chronic Primary Angle-Closure Glaucoma

6.

  1. What is the pathophysiology of this condition?

a)

  1. Vascular insufficiency of the optic nerve

b)

  1. Hemorrhagic particles blocking the trabecular meshwork

c)

  1. Degeneration of trabecular meshwork and Schlemm’s canal, partly due to genetics

d)

  1. Inflammatory cells blocking aqueous humor flow

e)

  1. Pupillary block due to shallow anterior chamber and narrow angles

7.

  1. A 70-year-old man came to the primary clinic complaining of blurry vision in his right eye for the past year, worsening in the last month. Associated with redness and pain. No systemic disease.
    Examination:

  2. VOD: 1/300

  3. VOS: 2/60

  4. TOD: 38 mmHg

  5. TOS: 20 mmHg
    Right eye image shows signs suggestive of:

a)

  • Phacolytic Glaucoma

b)

    • Phacomorphic Glaucoma

c)

  • Primary Open-Angle Glaucoma

d)

  • Acute Primary Angle-Closure Glaucoma

e)

  • Chronic Primary Angle-Closure Glaucoma

8.

  1. A 70-year-old man came to the primary clinic complaining of blurry vision in his right eye for the past year, worsening in the last month. Associated with redness and pain. No systemic disease.
    Examination:

  2. VOD: 1/300

  • VOS: 2/60

  • TOD: 38 mmHg

  • TOS: 20 mmHg

  1. What is the pathophysiology of the condition above?

a)

  1. Intumescent cataract blocking the pupil and narrowing the anterior chamber angle

b)

  1. Hypermature cataract causing lens protein leakage, leading to inflammatory reaction and trabecular meshwork blockage

c)

  1. Degeneration of trabecular meshwork and Schlemm’s canal

d)

  1. Inflammatory cells blocking aqueous humor flow

e)

  1. Pupillary block due to shallow anterior chamber

9.

  1. A 1-year-old boy is brought to the clinic by his mother with complaints of an enlarged left eye since birth, excessive tearing, and photophobia.
    Examination shows :

  • Buphthalmic left eye, hazy cornea, blepharospasm, and epiphora.
    What is the pathogenesis?

a)

  • Hemorrhagic particles blocking the trabecular meshwork

b)

  • Degeneration of trabecular meshwork and Schlemm’s canal

c)

  • Inflammatory cells blocking aqueous humor flow

d)

  • Isolated trabeculodysgenesis causing incomplete separation of the iridocorneal angle

e)

  • Pupillary block due to shallow anterior chamber

10.

  1. A 55-year-old man came to a general clinic with complaints of bilateral blurry vision for the past year. Describes progressive tunnel vision in the last 6 months. No other complaints.
    Ophthalmology exam:

VODS: 20/80

  • TODS: 30 mmHg

  • Anterior segment and chamber: normal

  • Optic disc: cupping, CDR 0.7

  • Visual field: narrowed
    What is the diagnosis?

a)

  • Glaucoma Suspect

b)

  • Ocular Hypertension

c)

  • Normal-Tension Glaucoma

d)

  • Primary Open-Angle Glaucoma

e)

  • Primary Angle-Closure Glaucoma

11.

  1. A 55-year-old man came to a general clinic with complaints of bilateral blurry vision for the past year. Describes progressive tunnel vision in the last 6 months. No other complaints.
    Ophthalmology exam:

  • VODS: 20/80

  • TODS: 30 mmHg

  • Anterior segment and chamber: normal

  • Optic disc: cupping, CDR 0.7

  • Visual field: narrowed

    1. What is the pathomechanism of blurred vision in the acute glaucoma case described previously?

a)

  1. High IOP irritates ciliary body due to epithelial damage

b)

  1. Sudden IOP increase causes pain, nausea, vomiting

c)

  1. Corneal edema and accompanying uveitis from increased IOP

d)

  1. Damage to optic nerve axons and ganglion cells

12.

  1. A 55-year-old man complains of bilateral blurry vision worsening over 1 year, with tunnel vision for 6 months.
    Exam:

  • VODS: 20/80

  • TODS: 25 mmHg

  • Anterior segment: normal

  • Optic disc cupping (CDR 0.6), narrowed visual field
    What is the initial treatment?

a)

  • Timolol 0.75% 2x/day

b)

  • Betaxolol 1% 2x/day

c)

  • Pilocarpine 0.4% 2x/day

d)

  • Acetazolamide 500 mg once daily

e)

  • Prostaglandin analog 1x/day

13.

  1. Increased IOP without visual field or optic nerve damage is characteristic of:

a)

  1. Primary Open-Angle Glaucoma

b)

  1. PACG

c)

  1. Plateau Iris Syndrome

d)

  1. Ocular Hypertension

14.

  1. Which of the following is NOT a risk factor for PACG?

a)

  1. Shallow anterior chamber angle

b)

  1. Myopia

c)

  1. Short axial length

d)

  1. Small corneal diameter

e)

  1. Older age

15.

  1. Which form of open-angle glaucoma occurs without elevated IOP?

a)

  1. Ocular Hypertension

b)

  1. Normal-Tension Glaucoma

c)

PACS

d)

PAS

16.

  1. Which of the following is NOT a cause of secondary open-angle glaucoma?

a)

  1. Intumescent Cataract

b)

  1. Long-term steroid use

c)

  1. Traumatic Hyphema

d)

  1. Uveitis (inflammatory cells)

17.

  1. Where is aqueous humor produced?

a)

  1. Trabecular Pathway

b)

  1. Uveoscleral Pathway

c)

  1. Ciliary Processes

d)

  1. Ciliary Artery

18.

  1. Which of the following is NOT a physiological mechanism of aqueous humor entering the posterior chamber?

a)

  1. Active Secretion

b)

  1. Ultrafiltration

c)

  1. Simple Diffusion

d)

  1. Ultrasecretion

Similar Resources on Wayground

Dental Cholinergic, anticholinesterase and antimuscarinic agents

20 questions

Dental Cholinergic, anticholinesterase and antimuscarinic agents

quiz

Worksheet

•

University

ITCA - Food Groups Review

13 questions

ITCA - Food Groups Review

quiz

Worksheet

•

9th Grade - University

Regulação da pressão arterial

20 questions

Regulação da pressão arterial

quiz

Worksheet

•

University

Pharmacology Quiz: Hartman Chapter 26

20 questions

Pharmacology Quiz: Hartman Chapter 26

quiz

Worksheet

•

12th Grade - University

Chapter 3: Directional Terms Regions & Planes

19 questions

Chapter 3: Directional Terms Regions & Planes

quiz

Worksheet

•

10th Grade - University

UA PALS Final Review

13 questions

UA PALS Final Review

quiz

Worksheet

•

University

Quiz of the Physiology of Pancreas

15 questions

Quiz of the Physiology of Pancreas

quiz

Worksheet

•

University

HISTOLOGI SISTEM SARAF

20 questions

HISTOLOGI SISTEM SARAF

quiz

Worksheet

•

University