Glaucoma: open-angle 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.

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Ophthalmology · Glaucoma: open-angle glaucoma

Sample item

Which feature is most typical of primary open-angle glaucoma?

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

The answer and the reasoning

C. Gradual peripheral visual-field loss with raised optic cup-to-disc ratio

Primary open-angle glaucoma is a chronic optic neuropathy often associated with raised intraocular pressure and progressive peripheral field loss. It is usually asymptomatic until significant damage occurs.

Option by option

  • A. Central scotoma in a young adult only

    A central scotoma has other common causes such as macular disease or optic neuritis.

  • B. Sudden painful visual loss with corneal edema

    Sudden painful loss suggests acute angle closure.

  • C. Gradual peripheral visual-field loss with raised optic cup-to-disc ratio (correct)

    Correct. Cupping and peripheral field loss are typical.

  • D. Purulent discharge and itchy lids

    Discharge and itch suggest conjunctival 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.

More Ophthalmology questions

Questions about this Ophthalmology question

What is the answer to this Ophthalmology question?

The best answer is C, Gradual peripheral visual-field loss with raised optic cup-to-disc ratio. Primary open-angle glaucoma is a chronic optic neuropathy often associated with raised intraocular pressure and progressive peripheral field loss.

Why is "Central scotoma in a young adult only" not the answer?

A central scotoma has other common causes such as macular disease or optic neuritis.

Why is "Sudden painful visual loss with corneal edema" not the answer?

Sudden painful loss suggests acute angle closure.

Why is "Purulent discharge and itchy lids" not the answer?

Discharge and itch suggest conjunctival disease.

What concept does this question test?

It tests Glaucoma: open-angle glaucoma in Ophthalmology. It is usually asymptomatic until significant damage occurs.

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: open-angle 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.