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Ophthalmology · Glaucoma
Sample itemWhy is primary open-angle glaucoma often detected late?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Peripheral field loss develops gradually and painlessly
Primary open-angle glaucoma usually damages retinal ganglion cells slowly and painlessly, initially affecting peripheral visual fields while central acuity may remain good, making screening and regular monitoring important for at-risk patients.
Option by option
A. It always produces visible external redness
External redness is not a typical feature of chronic open-angle glaucoma.
B. Central acuity is lost before any field change
Central acuity may remain preserved until later stages.
C. Peripheral field loss develops gradually and painlessly (correct)
Correct: gradual painless peripheral loss can go unnoticed.
D. It causes severe early eye pain in everyone
Severe early pain is characteristic of acute angle closure, not typical open-angle disease.
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.
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