Glaucoma: practice question

A Ophthalmology question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

Try it

Ophthalmology · Glaucoma

Sample item

Which symptom cluster is most concerning for acute angle-closure glaucoma?

APainful red eye with blurred vision, halos, and nauseaBPainless gradual loss of peripheral vision onlyCBrief eyelid twitchingDItchy eyes after pollen exposure

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Painful red eye with blurred vision, halos, and nausea

Acute angle closure can rapidly elevate intraocular pressure and presents with severe ocular pain, red eye, blurred vision, halos, headache, nausea, and a mid-dilated pupil; it requires urgent treatment to protect vision.

Option by option

A. Painful red eye with blurred vision, halos, and nausea (correct)
Correct: painful red eye with halos and nausea is an acute angle-closure warning pattern.
B. Painless gradual loss of peripheral vision only
Gradual peripheral loss is more typical of chronic open-angle glaucoma.
C. Brief eyelid twitching
Eyelid twitching is usually benign and does not indicate angle closure.
D. Itchy eyes after pollen exposure
Pollen-related itch suggests allergic conjunctivitis.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

Questions about this Ophthalmology question

What is the answer to this Ophthalmology question?

The best answer is A, Painful red eye with blurred vision, halos, and nausea. Acute angle closure can rapidly elevate intraocular pressure and presents with severe ocular pain, red eye, blurred vision, halos, headache, nausea, and a mid-dilated pupil; it requires urgent treatment to protect vision.

Why is "Painless gradual loss of peripheral vision only" not the answer?

Gradual peripheral loss is more typical of chronic open-angle glaucoma.

Why is "Brief eyelid twitching" not the answer?

Eyelid twitching is usually benign and does not indicate angle closure.

Why is "Itchy eyes after pollen exposure" not the answer?

Pollen-related itch suggests allergic conjunctivitis.

What concept does this question test?

It tests Glaucoma in Ophthalmology. The correct option holds because: Correct: painful red eye with halos and nausea is an acute angle-closure warning pattern.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Glaucoma?

Group the red eye by what to examine and what the pupil does. Then use the flashcards and the other Ophthalmology questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.