TQ Quiz | The Glaucoma Grab Bag (Phoenix 2023) by Events@optometricedu.com | Apr 17, 2023 | 2023 Phoenix, TQ Courses | 0 comments "*" indicates required fields HiddenThe Glaucoma Grab BagHiddenDate (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. Which of the following drugs works by enhancing conventional (trabecular) aqueous outflow?* A - Latanoprostene bunod B - Brimonidine C - dorzolamide D - timolol 2. Which of the following side effects is unique to netarsudil?* A - Conjunctival hyperemia B - Corneal verticillata C - Lash growth D - Iris color change 3. Which of the following would be least effective in the case of an acute elevation in IOP?* A - Prostaglandin B - Oral carbonic anhydrase inhibitor C - Brimonidine D - Non-selective beta blocker (timolol) 4. A patient with Fuch’s corneal endothelial dystrophy should avoid which glaucoma medication?* A - Prostaglandin B - Brimonidine C - Carbonic anhydrase inhibitor D - Netarsudil 5. Contraindications to beta blocker use include all of the following EXCEPT:* A - Symptomatic bradycardia B - Emphysema C - Chronic bronchitis D - Angle recession glaucoma 6. Fixed combination therapy has which advantages over single agent therapy?* A - Potential improvement in adherence due to fewer drops per day B - Lower side effect profile C - Lower cost 7. Which of the following is FALSE regarding brimonidine?* A - It is contraindicated in children B - It is contraindicated in pregnancy C - It is contraindicated in lactating mothers D - It is available without BAK preservative 8. Oral carbonic anhydrase inhibitors are typically reserved for short term treatment of elevated IOP. This is due to:* A - Poor efficacy over the long term B - High cost C - High rate of undesirable side effects D - Tachyphylaxis 9. Pilocarpine is primarily reserved for what type of glaucoma?* A - Primary open angle B - Acute angle closure with pupillary block C - Acute angle closure without pupillary block (ex: Topamax-induced) D - Angle recession glaucoma 10. Netarsudil has been shown to reduce intraocular pressure by 3 different mechanisms. Which of the following is NOT one of those mechanisms?* A - Increased uveoscleral outflow B - Increased trabecular outflow C - Reduced aqueous production D - Reduced episcleral venous pressure 11. Your primary open angle glaucoma patient has a medical history of severe asthma and an allergy to brimondine. Which of the following fixed combination medications would be appropriate in her care?* A - Simbrinza B - Cosopt C - Combigan D - Rocklatan 12. Which of the following is a potential EARLY complication of trabeculectomy surgery?* A - Blebitis B - Scarring with failure of IOP control C - Hyphema D - Endophthalmitis 13. Which of the following is NOT a typical feature of minimally invasive glaucoma surgery (MIGS)?* A - Extremely low IOP (highly efficacious) B - High safety profile C - Ab interno approach D - Rapid recovery 14. All of the following MIGS procedures are thought to decrease the resistance to flow in the trabecular meshwork EXCEPT:* A - iStent B - iStent injector C - trabectome D - endocyclophotocoagulation (ECP) 15. The exception to the idea that MIGS are “blebless” procedures is:* A - Trabectome B - Xen Gel stent C - iStent D - endocyclophotocoagulation 16. MIGS are typically reserved for what type of glaucoma patient?* A - Mild to moderate glaucoma in an aphakic patient B - Advanced glaucoma in an aphakic patient C - Advanced open angle glaucoma in a phakic patient D - Mild to moderate glaucoma in a phakic patient 17. A patient returns for an IOP check after one month of prostaglandin therapy. The highest untreated IOP was 30mmHg and you set a target of 22mmHg or less. The patient says she is using the drops every night as prescribed. IOP on this return visit is 23mmHg. Which of the following is an appropriate “next step”?* A - Discontinue the prostaglandin analog and initiate a different class of medication B - Consider more time with the prostaglandin to see if she will meet the target C - Continue the prostaglandin and add a fixed combination such as brimonidine/timolol D - Discontinue the prostaglandin and send for trabeculectomy 18. A patient returns for an IOP check after one month of prostaglandin therapy. The highest untreated IOP was 30mmHg and you set a target of 22mmHg or less. The patient says she is using the drops every night as prescribed. IOP on the first return visit is 27mmHg. After another month of pga treatment, the IOP is 26mmHg. Which of the following is an appropriate “next step”?* A - Discontinue the prostaglandin analog and initiate a different class of medication B - Consider more time with the prostaglandin to see if she will meet the target C - Continue the prostaglandin and add a fixed combination such as brimonidine/timolol D - Discontinue the prostaglandin and send for trabeculectomy 19. Your moderate open angle glaucoma patient has an allergy to BAK preservative. Which of the following is the least appropriate choice for first line treatment?* A - Xelpros B - Zioptan C - Alphagan-P D - Vyzulta 20. Which of the following is FALSE regarding Rocklatan?* A - It is the only fixed dose combination with a prostaglandin B - It is the only fixed dose combination with once daily dosing C - It is the only fixed dose combination without a beta blocker D - A potential side effect is ocular redness Personal InformationName* First Last Email* Phone*OE Tracker # License # Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Payment InformationPromotional Code The Glaucoma Grab Bag | TQ Credit*After 6/16/2023, pricing will increase to $30. 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