TQ Quiz | Will the Real Glaucoma, Please Stand Up (Sarasota 2026)

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1. Non glaucomatous cupping is believed to occur as ________ tissue thinning*

A - Pre-laminar cribosa

B - Laminar cribosa

C - RNFL

D - Choroid

2. Non glaucomatous optic neuropathy clinical findings typically include all except:*

A - Dimming or decreased vision

B - Asymmetric RNFL thinning

C - Reduced color vision

D - High IOP

3. Important historical questions for patients with RNFL changes include:*

A - Systemic and recreational drug use

B - Systemic vascular disease and control

C - Trauma or surgical

D - All of the above

4. Patients with optic nerve head buried drusen can have all except ____.*

A - Visual field defects

B - RNFL thinning

C - Red green color defect

D - NA-ION

5. Based on the current diagnostic protocol from ODDSC which of the following is most helpful in diagnosing ONH drusen?*

A - MRI of orbit

B - EDI OCT

C - Fundus photography

D - Fluorescein angiography

6. Studies have found that in relation to NAION*

A - Sildenafil can directly cause an NAION.

B - Patients who have ED are more likely to have comorbid issues that have a higher risk for NAION.

C - There is no correlation between sildenafil and NAION.

D - It is the ED that causes the increased risk of NAION.

7. Idiopathic intracranial hypertension is diagnosed using modified Dandy criteria which include all except:*

A - ONH Papilledema

B - Pulsatile tinnitus

C - Fully empty sella

D - No other cause of increased intracranial pressure

8. All of the following can lead to secondary glaucoma except:*

A - Idiopathic Intracranial Hypertension

B - ONH drusen

C - Multiple sclerosis

D - Ocular Hypertension

9. Eye care professionals should monitor patient with secondary glaucoma longterm utilizing*

A - Visual field and OCT

B - Slit lamp and Retinoscopy

C - MRI and CSF

D - Optometrists can’t monitor this.

10. A patient who has a bilateral optic neuritis and severe long term vision loss has a higher risk of which neurological disorder?*

A - Alzheimers disease

B - Neuromyelitis Optica spectrum disorder

C - Multiple myeloma

D - Schizophrenia

11. If you suspect someone has active optic neuritis, which is the most appropriate testing to order for the patient?*

A - MRI of head

B - CT of head

C - Xray of the head

D - MRI of the head and orbit

12. If your patient has bilateral swollen optic nerves and suspect Idiopathic intracranial hypertension, why is it important to have an MRI of the head?*

A - To check for a chiari malformation

B - To diagnose glaucoma

C - To evaluate for sinus infection

D - To check for NAION

13. Which of the following is the most appropriate blood work to order for a patient you suspect has giant cell arteritis?*

A - CBC and IgE

B - T3, T4, and TSH

C - ESR and CRP

D - Lipid profile

14. All of the following are possible causes of secondary glaucoma except which:*

A - Trauma

B - Surgery

C - Retinopathy of prematurity

D - Astigmatism

15. Which of the following topical IOP lowering medications theoretically have neuroprotective properties?*

A - Latanoprost

B - Brimonidine

C - Timolol

D - Pilocarpine

16. In a patient who has optic nerve head drusen, what is the likelihood that they will develop visual field defects during their lifetime?*

A - 0%

B - 10-20%

C - 30-40%

D - 50-90%

17. What age group is most likely to have giant cell arteritis or Ischemic optic neuropathy?*

A - 20-30 years of age

B - 50-60 years of age

C - 30-40 years of age

D - All ages have the same risk

18. What are the best in office tests to monitor for progression of a patient with secondary glaucoma?*

A - HVF and OCT

B - Testing is not indicated

C - Corneal topography and HVF

D - Fundus photos and visual acuity

19. Which of the following has not been found to have an association with idiopathic intracranial hypertension?*

A - PCOS

B - Transverse dural sinus narrowing

C - Hyperlipidemia

D - Weight

20. What is an indication for ordering a CT?*

A - Concern for metallic intraocular foreign body

B - Evaluating for suspected optic neuritis

C - Concern for pituitary tumor

D - CT’s are useless for the eye, don’t order them

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