1. The following are all common characteristics of patients with NTG except: * a. History of migraines b. High BMI c. Female d. Asian e. Low blood pressure

2. The following are typical visual field defects of patients with early NTG except: * a. Arcuate b. Nasal step c. Altitudinal d. Paracentral e. All of the above are typical

3. All of the following statements about OCT scans are true except: * a. There is no consensus on what amount of thickness change is indicative of glaucomatous damage. b. Signal strength of 6 out of 10 indicates a reliable scan. c. Poor fixation can reduce the reliability of a scan. d. If the nerve is not aligned within the circle scan, it will be unreliable. e. There is a good normative database for patients 16 years of age

4.Which of the following is not an advised treatment for patients with NTG? * a. Prostaglandin analogs b. Alpha agonists c. Carbonic Anhydrase Inhibitors d. Beta blockers e. All of the above are appropriate

5. What is the equation for calculating your patient’s diastolic ocular perfusion pressure? * a. Systolic BP – IOP b. Diastolic BP – IOP c. Systolic BP – Diastolic BP – IOP d. 2/3 [diastolic BP + 1/3 (systolic BP – diastolic BP)] – IOP e. Diastolic BP – ICP – IOP

6.How many points test the central 20 degrees in a Humphrey 24-2 visual field? * a. 24 b. 12 c. 6 d. 36 e. 48

7. The following statements about ICP and glaucoma are true except: * a. Patients with normal IOP and high ICP are more likely to have glaucoma. b. Patients with high IOP and high ICP are less likely to have glaucoma. c. Patients with high IOP and normal ICP are more likely to have glaucoma. d. Patients with normal IOP and low ICP are more likely to have glaucoma. e. All of the above are true.

8. For patients with NTG, what purpose do optic nerve photos serve? * a. To look for drance hemorrhages b. To monitor rim thickness c. To monitor peripapillary atrophy d. To look for nerve fiber layer defects e. All of the above are true

9. The following statements about blood pressure and glaucoma are true except: * a. Low blood pressure leads to high ocular perfusion pressure b. Patients with NTG and low blood pressure are at higher risk for glaucomatous visual field loss. c. Patients with NTG are at higher risk for glaucomatous visual field loss if their blood pressure dips at night d. It is theorized that low perfusion of the optic nerve leads to cell damage and death. e. All of the above are true

10. You see a 72 year old white male for the first time in your clinic. During the exam, you measure the IOP to be 22 OD and 35 OS. Slit lamp exam reveals iris TIDs at the pupillary margin OS>OD and clear deposits on the anterior lens surface in a spoke-like pattern OS>OD. With gonioscopy, scleral spur is visible in all quadrants OU, and there is speckled pigment in the angle OU. Dilated fundus exam reveals C/D of 0.75 OD and 0.85 OS, and there is a superior nasal visual field defect OS with a screening visual field test. What is the most likely diagnosis? * a. Pigmentary glaucoma b. Primary open angle glaucoma c. Chronic angle closure glaucoma d. Pseudoexfoliative glaucoma e. Normal tension glaucoma