Glaucoma and Related Ophthalmology MCQs
1. The treatment of choice for early congenital glaucoma is:
A) Medical treatment
B) Goniotomy
C) Cyclophotocoagulation
D) YAG-laser peripheral iridectomy
2. Which of the following is an expected complication of untreated unilateral congenital cataract?
A) Amblyopia
B) Descematocele
C) Symblepharon
D) Posterior synechia
3. Beta blocker ?timolol? antiglaucoma eye drop lowers intraocular pressure by:
A) Decreasing episcleral venous pressure
B) Increasing uveoscleral outflow
C) Increasing conventional trabecular outflow
D) Decreasing aqueous production
4. Most of the aqueous humor is drained through:
A) Uveoscleral outflow
B) Iris stroma
C) Trabecular meshwork
D) Choroidal circulation
5. Argon laser trabeculoplasty is used in the treatment of:
A) Primary angle closure glaucoma
B) Neovascular glaucoma
C) Chronic angle closure glaucoma
D) Primary open-angle glaucoma
6. Which of the following drugs does not decrease aqueous humor formation?
A) Beta blockers
B) Prostaglandin analogues
C) Carbonic anhydrase inhibitors
D) Alpha agonists
7. About medical treatment of primary open-angle glaucoma, which statement is wrong?
A) Several lines of treatment may be used for the same patient
B) First-line therapy may start with beta-blockers or prostaglandin analogues
C) Pilocarpine is the best adjuvant therapy
D) Trabeculectomy is indicated if medical therapy fails to decrease IOP
8. In a 12-month-old infant with bilateral buphthalmic eyes and tearing, which topical antiglaucoma medicat
A) Brimonidine eye drops
B) Timolol eye drops
C) Dorzolamide eye drops
D) Brinzolamide eye drops
9. Which of the following is a complication of ischemic central retinal vein occlusion?
A) Phacomorphic glaucoma
B) Inflammatory glaucoma
C) Angle recession glaucoma
D) Neovascular glaucoma
10. A 48-year-old patient was prescribed latanoprost (a prostaglandin analogue). What is its mechanism of
A) Increasing uveoscleral outflow
B) Increasing episcleral venous pressure
C) Decreasing aqueous production
D) Increasing conventional trabecular outflow
11. During an acute angle closure glaucoma attack, which of the following is not typical?
A) Glaucomatous optic cupping
B) Very shallow anterior chamber
C) Mid-dilated fixed pupil
D) Marked elevation of intraocular pressure
12. Which of the following types of glaucoma is a complication of hypermature senile cataract?
A) Phacomorphic glaucoma
B) Phacolytic glaucoma
C) Phacoantigenic glaucoma
D) Glaucoma capsulare
13. A 47-year-old patient with primary open-angle glaucoma under treatment. What is the most reliable test
A) Gonioscopy
B) Visual field
C) Intraocular pressure
D) Visual acuity
14. Which corneal sign is characteristic of bilateral congenital glaucoma?
A) Tranta?s spots within gelatinous limbal masses
B) Arcus juvenilis with lucid interval of Vogt
C) Enlarged hazy cornea
D) Fleischer?s ring with conical cornea
15. A 1-year-old infant with right leukocoria should be urgently referred. Which of the following is not a poss
A) Retinopathy of prematurity
B) Retinoblastoma
C) Congenital glaucoma
D) Coats? disease
16. Which of the following is not a presentation of buphthalmos?
A) Opaque cornea
B) Blue sclera
C) Photophobia
D) Normal intraocular pressure
17. A 59-year-old with axial length 21 mm is more prone to:
A) Complicated cataract
B) Papillitis
C) Myopia
D) Retinal detachment
18. Which is not a parameter in following a patient with POAG?
A) Visual acuity
B) Excavation of optic disc
C) Visual field
D) Corneal diameter
19. Which of the following types of glaucoma requires laser peripheral iridotomy?
A) Primary open-angle glaucoma
B) Primary angle closure glaucoma
C) Neovascular glaucoma
D) Steroid-induced glaucoma
20. All are causes of neovascular glaucoma except:
A) Proliferative diabetic retinopathy
B) Central retinal vein occlusion
C) Grade 4 hypertensive retinopathy
D) Intraocular tumors
21. What is the site of greatest resistance to aqueous outflow?
A) Corneoscleral meshwork
B) Episcleral veins
C) Uveal meshwork
D) Juxtacanalicular meshwork
22. A 47-year-old patient with primary open-angle glaucoma under medical antiglaucoma treatment. Which
A) Gonioscopy
B) Visual field
C) Intraocular pressure
D) Visual acuity
E) Corneal diameter
23. Which of the following types of glaucoma is a complication of ischemic central retinal vein thrombosis?
A) Phacomorphic glaucoma
B) Phacolytic glaucoma
C) Angle recession glaucoma
D) Neovascular glaucoma
E) Steroid-induced glaucoma
24. Shallow anterior chamber is seen in all EXCEPT:
A) Old age
B) Steroid-induced cataract
C) High hypermetropia
D) Angle closure glaucoma
25. The procedure of choice after medical control of IOP in acute angle closure glaucoma is:
A) Laser iridotomy
B) Goniotomy
C) Cyclophotocoagulation
D) Laser trabeculoplasty
