Board Certified Ophthalmologist Glaucoma Diagnosis and Management 2

Question 1

Goldmann applanation tonometry is most likely to OVERESTIMATE true IOP in which situation?

Accepted Answer

Thick central cornea

Answer

A thick central cornea resists applanation, so the reading comes out falsely high.

Question 2

Which peripapillary RNFL quadrant/sector most commonly shows the earliest glaucomatous thinning on OCT?

Accepted Answer

Inferotemporal

Answer

The inferotemporal arcuate bundles are most vulnerable early, consistent with the ISNT rule being violated inferiorly.

Question 3

The Glaucoma Hemifield Test on Humphrey perimetry primarily evaluates:

Accepted Answer

Asymmetry between mirror-image superior and inferior sectors

Answer

GHT compares five mirror-image sector pairs across the horizontal meridian to detect glaucomatous asymmetry.

Question 4

On gonioscopy, a scalloped pigment line anterior to Schwalbe line (Sampaolesi line) is most characteristic of:

Accepted Answer

Pseudoexfoliation syndrome

Answer

Sampaolesi line is classic for pseudoexfoliation, though it can also appear in pigment dispersion.

Question 5

A patient with a dense superior paracentral scotoma near fixation on 24-2 testing should additionally undergo which test for better characterization?

Accepted Answer

10-2 visual field

Answer

The 10-2 has 2-degree spacing that better detects and monitors central/paracentral glaucomatous damage.

Board Certified Ophthalmologist Practice Test