TQ Quiz | How to Diagnose Glaucoma Like an Expert (Pittsburgh 2025)

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1. Therapy is indicated in ocular hypertension when the central corneal thickness (CCT) is under how many microns?*

A - 555

B - 565

C - 575

D - 585

2. Expert Panel Consensus recommends treatment for ocular hypertension when the risk percentage is greater than what percent?*

A - 5%

B - 10%

C - 12%

D - 15%

3. Mild or Early stage glaucoma when defined by visual field testing shows what?*

A - No visual field abnormalities

B - One arcuate defect

C - Two arcuate defects

D - Any loss outside the central 10 degrees

4. Severe Stage of Glaucoma, by visual field guidelines, includes:*

A - Defects within 2 degrees of fixation

B - Defects within 3 degrees of fixation

C - Defects within 5 degrees of fixation

D - Defects along the vertical midline

5. A key region of the optic disc to concentrate on for glaucoma defects is the?*

A - Cup

B - Peripapillary atrophy

C - The Neural Retinal Rim

D - The blood vessels

6. The test pattern/strategy on one perimeter that is the fastest and includes additional testing points around fixation is the?*

A - 30-2

B - 24-2

C - 24-2C

D - 24-2F

7. Based on OCT average RNFL Thickness Measurements, when do we typically expect to see visual field defects?*

A - 85 microns

B - 75 microns

C - 65 microns

D - 55 microns

8. Identifying good correlation between structural and functional loss in early glaucoma can help to improve?*

A - Scan quality

B - Diagnostic accuracy

C - How many scans are needed

D - How many visual field tests are needed

9. Advantages of Head Mounted Perimetry include each of the following EXCEPT?*

A - Improved patient comfort

B - Increased accessibility

C - Patient engagement

D - Utilize Superior hardware and software versus traditional devices

10. For the currently available Head Mounted VF devices the best general statement about their limitations is?*

A - They are all useless and should not be used

B - They are all perfect and there is no further use for traditional perimetry

C - They cannot match the stimulus and background intensity ranges required in clinical Standard Automated Perimetry

D - Patients don’t like wearing them on their heads.

11. What validated online tool can be used to assist in the management of ocular hypertension?*

A - ChatGPT4 program

B - Risk calculator

C - Glaucoma Facebook

D - IOP conversion metric

12. What is considered a low risk for developing glaucoma based on central corneal thickness?*

A - <555 µ

B - 555-588 µ

C - >588 µ

D - 490 microns

13. What is recommended for monitoring the rate of progression in glaucoma?*

A - Repeat VF and OCT testing every 2-3 years

B - Start with beta-blockers

C - Perform gonioscopy annually

D - Repeat VF and OCT testing q 6-12m

14. What is a tip mentioned for diagnosing glaucoma based on optic nerve head assessment?*

A - Emphasize the C/D ratio

B - Look for focal defects and generalized thinning

C - Evaluate only the right eye

D - Ignore disc hemorrhages

15. How many VF tests are needed to detect change in a patient progressing at -2dB per year?*

A - 2 tests over 1 year

B - 4 tests over 2 years

C - 6 tests over 2 years

D - 8 tests over 3 years

16. What is a true statement regarding the 24-2C and 10-2 test grids for VF testing?*

A - 24-2C provides more clusters of defects

B - 10-2 is not needed for central VF involvement in most eyes with glaucoma

C - Both grids return similar global indices of visual field performance

D - 10-2 grid is more time-consuming than 24-2C

17. What is a limitation of VR Perimetry compared to traditional bowl units is?*

A - Limited dynamic range

B - Geared for moderate and severe VF defects

C - Not suitable for mild stage glaucoma

D - No need for further validation

18. What is the optimal testing protocol for managing long term glaucoma patients?*

A - Using both OCT and visual fields

B - OCT Imaging alone

C - Using new Methods of Analysis

D - Identifying artifact

19. On a 24 hour basis, IOP is highest during what time period?*

A - Early morning hours 5 am - 8 am

B - Early evening hours 5 pm – 8 pm

C - Nocturnal period 12 am - 4 am

D - IOP has minimal fluctuation over 24 hours

20. The home tonometer uses what form of IOP measure*

A - Non-contact tonometry (NCT)

B - Rebound tonometry

C - Tonopen tonometry

D - Digital

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