Treatment of Glaucoma ✓ Passing Score: 50% 📝 Questions: 15 🎓 Practice Quiz Welcome! This is a practice quiz to test your knowledge. Please enter your details below to participate. Your results will be emailed to you upon completion. Your Information Name * Email * Start Quiz → Question 1 of 15 1 Acetazolamide, a systemic carbonic anhydrase inhibitor, is often reserved for acute, severe IOP spikes (like in acute angle-closure glaucoma) due to which significant potential side effect? * Dry mouth Bradycardia Metallic taste and paresthesias (tingling) Corneal edema Transient blurring of vision 2 Which class of glaucoma medications works by increasing the outflow of aqueous humor through the uveoscleral pathway? * Alpha-adrenergic agonists Beta-blockers Carbonic anhydrase inhibitors Prostaglandin analogs Cholinergic agonists 3 In the treatment of acute angle-closure glaucoma, which medication class is typically avoided initially because it can potentially worsen the angle closure? * Topical cycloplegics Topical beta-blockers Topical steroids Systemic carbonic anhydrase inhibitors Miotics (Cholinergic agonists) 4 The most common and often first-line topical treatment for primary open-angle glaucoma (POAG) belongs to which drug class? * Beta-adrenergic antagonists (Beta-blockers) Osmotic agents Carbonic anhydrase inhibitors Pilocarpine Rho kinase inhibitors 5 Which drug is an older, non-selective cholinergic agonist sometimes used for angle-closure glaucoma that can cause significant systemic side effects like salivation and bradycardia if absorbed? * Latanoprost Timolol Brimonidine Dorzolamide Pilocarpine 6 Mannitol is an osmotic agent used intravenously in severe glaucoma emergencies. How does it lower intraocular pressure? * It physically stretches the trabecular meshwork. It decreases the production of aqueous humor by 40%. It increases the permeability of the blood-aqueous barrier. It causes constriction of the ciliary body vasculature. It draws fluid out of the eye into the bloodstream via osmosis. 7 Which drug is often used as an adjunct therapy in glaucoma because it selectively stimulates alpha-2 adrenergic receptors, leading to reduced aqueous humor production and some increased uveoscleral outflow? * Acetazolamide Echothiophate Travoprost Levobunolol Brimonidine 8 Which systemic side effect is a major contraindication for using topical Timolol in a patient with glaucoma? * Type 1 Diabetes Mellitus Asthma or severe COPD Peptic Ulcer Disease Hyperthyroidism Essential Hypertension 9 Which newer class of glaucoma medication works by increasing the outflow of aqueous humor through both the trabecular meshwork and the uveoscleral pathways via Rho-kinase inhibition? * Osmotic agents Rho kinase inhibitors (e.g., Netarsudil) Beta-blockers Alpha-agonists Prostaglandin analogs 10 Which topical glaucoma medication is commonly associated with the side effects of iris hyperpigmentation, darkening of the eyelids, and increased eyelash growth (hirsutism)? * Apraclonidine Dorzolamide Timolol Latanoprost Brimonidine 11 A patient on topical glaucoma medication reports chronic dry eyes and burning sensation upon application. Which drug class is the most likely culprit? * Preserved Beta-blockers Alpha-agonists Cholinergic agonists Rho kinase inhibitors Prostaglandin analogs 12 Which medication is generally preferred over systemic carbonic anhydrase inhibitors for chronic, stable open-angle glaucoma management due to fewer systemic side effects? * Oral Mannitol Topical Pilocarpine IV Acetazolamide Topical Dorzolamide (a topical CAI) Oral Prednisolone 13 Which drug is contraindicated in patients with nasal or sinus obstruction (e.g., recent sinus surgery) due to its mechanism of action related to the nasolacrimal drainage system? * Travoprost Acetazolamide Netarsudil Brimonidine Timolol 14 Which drug class directly inhibits the enzyme carbonic anhydrase, thereby decreasing the formation of aqueous humor? * Sympathomimetics Carbonic Anhydrase Inhibitors (CAIs) Alpha-agonists Miotics Laser therapy 15 Pilocarpine, a cholinergic agonist, lowers intraocular pressure primarily by which mechanism? * Inducing diuresis Inhibiting endothelin receptors Decreasing aqueous humor production Increasing uveoscleral outflow Constricting the pupil and opening the trabecular meshwork ← Previous Next → Submit Quiz ✓