TQ Course | Rapid Fire Grand Rounds Questions (Orlando 2022) by Optometric Education Consultants | May 20, 2022 | 2022 Orlando, TQ Courses | 0 comments "*" indicates required fields HiddenRapid Fire Grand Rounds QuestionsHiddenDate (Hidden) MM slash DD slash YYYY HiddenEvent Date (Hidden) MM slash DD slash YYYY HiddenEvent 60 days past date (Hidden) MM slash DD slash YYYY HiddenEvent Date Difference (Hidden)1. The use of macular thickness OCT scans is helpful in:* a. Early diagnosis of glaucoma b. Late diagnosis of glaucoma c. Only helpful if inner segmented layers are measured, not full thickness d. Is NOT helpful in the diagnosis of glaucoma 2. Choose the CORRECT statement about the use of a macular thickness OCT in glaucoma diagnosis:* a. The retinal nerve fiber layer (RNFL) scans are a more reproducible measure compared to the macular scans b. There is more anatomic variability in macular scans than in peripapillary nerve fiber layer scans c. Macular scans for glaucoma are not helpful in patients who have concurrent macular disease such as epiretinal membrane d. Macular scans have replaced RNFL scans in the diagnosis of glaucoma 3. All of the following statements about OCT in myopic patients are true EXCEPT:* a. It can be more difficult to acquire a good quality image in a highly myopic eye b. The RNFL tends to be thicker in highly myopic eyes than in emmetropic eyes c. There is a higher incidence of segmentation errors in highly myopic eyes d. The instrument database is not typically adjusted for refractive error or axial length 4. Which statement is TRUE regarding the 10-2 visual field strategy in glaucoma?* a. The 10-2 test pattern may pick up EARLY glaucomatous loss in some eyes that is not seen on a 24-2 or 30-2 test pattern b. The 10-2 is never beneficial in EARLY glaucoma c. The 10-2 is always more sensitive than a 24-2 or 30-2 in EARLY glaucoma d. The 10-2 should replace the 24-2 or 30-2 in glaucoma testing 5. Which of the following is FALSE regarding laser injury to the fovea?* a. May be seen more commonly in children with behavioral problems b. May produce damage that is progressive in nature c. May result in widespread reduction in amplitude in multifocal ERG d. May mimic inherited retinal dystrophies 6. Which of the following OCT appearances would be consistent with laser injury to the fovea?* a. Vitreomacular traction b. Subretinal fluid in the fovea c. Disruption of photoreceptor layer d. Cystic spaces in the inner retina 7. The immune checkpoint inhibitors can have all of the following immune-related adverse ocular effects EXCEPT:* a. Bullseye maculopathy b. Dry eye c. Anterior uveitis d. Posterior uveitis 8. Choose the FALSE statement about immune-related adverse ocular effects due to immune checkpoint inhibitor therapy:* a. Immune-related adverse ocular effects occur in approximately 1% of immune checkpoint inhibitor patients b. Immune-related adverse ocular effects are typically mild c. Immune-related adverse ocular effects may be managed with topical, intravitreal, or oral corticosteroid therapy d. The development of immune-related adverse ocular effects ALWAYS necessitate discontinuation of the immune checkpoint inhibitor therapy 9. The classification of angle closure in which a drug-induced choroidal expansion causes uniform narrowing of the anterior chamber is:* a. Primary angle closure with pupillary block b. Primary angle closure without pupillary block c. Secondary angle closure with pupillary block d. Secondary angle closure without pupillary block 10. All of the following represent appropriate management of topiramate-induced (Topamax-induced) angle closure EXCEPT:* a. Topical cycloplegic agent b. Topical pilocarpine c. Topical aqueous suppressants d. Topical corticosteroid 11. Which of the following is NOT utilized in the management of topiramate-induced angle closure?* a. Topical corticosteroid b. Laser peripheral iridotomy c. Topical timolol d. Topical brimonidine 12. The classic triad of pigment dispersion syndrome includes all of the following EXCEPT:* a. Krukenberg spindle b. Heavy pigment deposition in the trabecular meshwork c. Narrow anterior chamber angles d. Midperipheral spoke-like transillumination defects of the iris 13. Characteristics common in pigmentary glaucoma include all of the following EXCEPT* a. Unilateral b. Young, myopic males c. Widely variable intraocular pressure (IOP) d. Episodic eye pain/blurred vision, especially after physical exercise 14. In pigmentary glaucoma there may be backward bowing of the iris, causing the iris to rub against the zonules and cause pigment release. Which of the following is NOT an attempt to reverse the MECHANISM of pigment dispersion?* a. Pilocarpine b. Selective laser trabeculoplasty c. Laser peripheral iridotomy d. Laser iridoplasty 15. Which medical treatment is often NOT well tolerated by pigmentary glaucoma patients, based on age of onset?* a. Prostaglandin analog b. Brimonidine c. Carbonic anhydrase inhibitor d. Pilocarpine 16. In highly myopic eyes, which is NOT typical of the retinal nerve fiber layer (RNFL) OCT?* a. Thinner RNFL in myopic eyes compared to emmetropic eyes b. Shifting of the superior and inferior peaks of the RNFL temporally c. Increased number of false negative OCT results (“Green disease”) d. More challenging image acquisition 17. Which of the following is NOT consistent with macular ganglion cell OCT findings in a high myopic eyes?* a. Diffuse circular thinning with irregular inner margin b. Increased false positive (“red disease”) c. Positive “Ganglion-cell hemifield test” finding (“squeegee sign”) d. Reduced overall thickness compared to emmetropic eyes 18. The “macular vulnerability zone” described by Don Hood et al describes the most common location of early damage to the macula in glaucoma. Which of the following locations is considered the macular vulnerability zone?* a. Area just inferior/temporal to fovea b. Area just inferior/nasal to fovea c. Area just superior/temporal to fovea d. Area just superior/nasal to fovea 19. Topiramate-induced angle closure typically happens in what time frame related to initiation of medication?* a. Within the first 24 hours b. Within the first 2 weeks c. Within the first month d. At least 6months after initiation 20. In addition to elevated intraocular pressure and narrow angles, topiramate-induced angle closure may cause what type of refractive error change?* a. Increase in myopia b. Increase in hyperopia c. Increase in astigmatism d. 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