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Ophthalmology · Glaucoma
Sample itemWhat is the typical visual-field defect in early primary open-angle glaucoma?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Peripheral arcuate field loss
Primary open-angle glaucoma causes progressive optic nerve damage and characteristic peripheral arcuate field defects before central vision is affected.
Option by option
A. Peripheral arcuate field loss (correct)
Correct: arcuate peripheral loss follows retinal nerve fibre bundles.
B. Central scotoma from optic neuritis
Central scotoma is typical of optic neuritis.
C. Homonymous hemianopia
Homonymous loss localizes behind the optic chiasm.
D. Sudden complete monocular blindness
Complete sudden blindness suggests a different vascular event.
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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