TQ Quiz | Glaucoma Yes or Glaucoma No? (Pittsburgh 2026)

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1. Which of the following is not generally considered to be part of the standard of care of glaucoma patients?*

A - IOP measurement

B - Gonioscopy

C - Threshold perimetry

D - Optical coherence tomography angiography (OCTA)

2. Which of the following is characteristic glaucomatous neuropathy?*

A - Focal rim damage

B - Generalized concentric enlargement

C - Disc pallor

D - Disc hyperemia

3. Which of the following is a characteristic of larger optic discs?*

A - They typically have greater pallor

B - They typically have larger cups

C - They typically have smaller cups

D - Cup size is independent of disc size

4. In glaucoma assessment, which of the following is the most likely error to occur in patients with smaller discs?*

A - Glaucoma will be over diagnosed

B - Glaucoma will be under diagnosed

C - Errors will typically not be influenced by optic disc size

D - Neurologic conditions such as ischemic optic neuropathy will be confused with glaucoma

5. In glaucoma assessment, which of the following is the most likely error to occur in patients with larger discs?*

A - Glaucoma will be over diagnosed

B - Glaucoma will be under diagnosed

C - Errors will typically not be influenced by optic disc size

D - Neurologic conditions such as ischemic optic neuropathy will be confused with glaucoma

6. Which of the following is not considered part of the six aspects of critical disc evaluation in glaucoma?*

A - Disc size

B - Rim color

C - Cup-to-disc ratio

D - Disc hemorrhages

7. Where on the optic nerve id a disc hemorrhage not likely to occur?*

A - Nasal

B - Inferior

C - Superior

D - Inferior temporal

8. What also occurs at the places where disc hemorrhages occur?*

A - Notches and RNFL defects

B - Cupping

C - Pallor

D - Parapapillary atrophy

9. According to the population-based Thessaloniki Eye Study, what percentage of glaucoma was over-diagnosed?*

A - 9%

B - 23%

C - 47%

D - 67%

10. According to the population-based Thessaloniki Eye Study, what percentage of undiagnosed glaucoma progressed to an advanced stage?*

A - 1/10

B - 1/3

C - 2/3

D - 3/4

11. According to the population-based Thessaloniki Eye Study, which of the following is not a possible consequence of over-diagnosing glaucoma?*

A - Fear of blindness

B - Side effects of unnecessary treatment

C - Decreased costs for individuals

D - Waste of clinical resources

12. Which of the following would be beyond minimum standard of care for glaucoma diagnosis?*

A - Gonioscopy

B - Threshold perimetry

C - Optic disc evaluation

D - Corneal hysteresis

13. Which of the following does not occur in a glaucomatous optic disc?*

A - Disc pallor

B - Focal rim defects (notching)

C - Hemorrhages

D - RNFL defects

14. Which optic disc feature is most characteristic of glaucoma?*

A - Focal rim defects (notching)

B - Hemorrhages

C - RNFL defects

D - Parapapillary atrophy

15. Which optic disc feature is considered a soft sign that occurs in normal people as well?*

A - Focal rim defects (notching)

B - Hemorrhages

C - RNFL defects

D - Parapapillary atrophy

16. What optic disc feature is most specific for glaucoma as opposed to a compressive lesion?*

A - Optic disc pallor

B - Disc hemorrhage

C - Focal optic nerve notching

D - Parapapillary atrophy

17. What feature is not indicative of a compressive lesion?*

A - Visual acuity less than 20/40

B - Horizontally aligned visual fields defects

C - Optic disc pallor in excess of cupping

D - Age younger than 50 years

18. Which of the following is not associated with glaucoma?*

A - Older

B - Better visual acuity

C - Greater vertical loss of neuroretinal rim

D - Disc pallor

19. Which of the following is the earliest measurable glaucoma visual field defect?*

A - Shallow fluctuation scotoma

B - Paracentral defect

C - Arcuate defect

D - Nasal step

20. Which of the following is not considered to be a glaucomatous visual field defect?*

A - Paracentral scotomas

B - Nasal steps

C - Arcuate scotomas

D - General depression

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