Glaucoma Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 70-year-old man presents to the primary care office for evaluation of gradual loss of peripheral vision over the past year. He reports difficulty seeing objects that are in his peripheral vision while driving, and he has difficulty navigating in dimly lit environments. He does not have eye pain, redness, or sudden changes in vision. His medical history includes well-controlled hypertension and type 2 diabetes mellitus. On examination, visual acuity is normal. Peripheral vision is decreased minimally. There is no conjunctival erythema, and the pupils are equal round and reactive to light. Intraocular pressure (IOP) is measured at 28 mmHg in both eyes. Fundoscopy reveals optic disc cupping with a cup-to-disc ratio of 0.7 bilaterally. Gonioscopy shows a wide anterior chamber angle. Which of the following is the best next step in management?

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Iridectomy

Topical prostaglandin analogs

Intravenous mannitol

Surgical trabeculectomy

Mechanical shunt