FREE ABO Glaucoma Questions and Answers

Question 1

A 68-year-old patient with newly diagnosed primary open-angle glaucoma (POAG) has an IOP of 28 mmHg in both eyes and early glaucomatous optic neuropathy.
What is the most appropriate initial medical therapy?

Accepted Answer

Latanoprost

Answer

Timolol

Answer

Brimonidine

Answer

Dorzolamide

Question 2

A 55-year-old female presents with sudden onset of severe eye pain, blurred vision, and a mid-dilated, non-reactive pupil. Gonioscopy of the fellow eye reveals a narrow, occludable angle. What is the most likely underlying mechanism?

Accepted Answer

Pupillary block

Answer

Plateau iris syndrome

Answer

Phacomorphic mechanism

Answer

Neovascularization of the angle

Question 3

During gonioscopy, what is the most posterior structure visible in a normal, open angle?

Accepted Answer

Ciliary body band

Answer

Schwalbe's line

Answer

Trabecular meshwork

Answer

Scleral spur

Question 4

A patient's Humphrey visual field test shows a dense scotoma that begins at the blind spot, arches over the macula, and ends at the horizontal raphe. What is this classic glaucomatous defect called?

Accepted Answer

Arcuate scotoma

Answer

Nasal step

Answer

Central scotoma

Answer

Altitudinal defect

Question 5

A 2-month-old infant presents with excessive tearing, light sensitivity, and eyelid squeezing. Examination reveals corneal clouding and an enlarged corneal diameter. This classic triad is most indicative of which condition?

Accepted Answer

Congenital glaucoma

Answer

Congenital cataract

Answer

Nasolacrimal duct obstruction

Answer

Retinoblastoma

Question 6

A 45-year-old patient with chronic anterior uveitis develops elevated IOP. Which mechanism is most likely responsible for the IOP spike during an active inflammatory episode?

Accepted Answer

Trabeculitis

Answer

Pupillary block from posterior synechiae

Answer

Steroid-induced IOP elevation

Answer

Angle neovascularization

Question 7

A patient who underwent a trabeculectomy 2 months ago presents with a low IOP of 4 mmHg, a shallow anterior chamber, and choroidal folds on fundus examination. What is the most likely diagnosis?

Accepted Answer

Hypotony maculopathy

Answer

Blebitis

Answer

Malignant glaucoma

Answer

Encapsulated bleb