Chapter 13 – Glaucoma (QE) Sample Questions
1. Luz, a 55-year-old woman comes t your pharmacy for advice. Luz’s medical conditions are significant for Type 2 diabetes mellitus, asthma, congestive heart failure (CHF) and hypertension. Current medications are as follows:* Metformin 500 mg tid po, Linagliptin 5 mg daily po, Captopril 50 mg tid po, Bisoprolol 10 mg daily po. Furosemide 20 mg bid po and Symbicort 1-2 puffs tid-qid
BP: 135/85, A1c: 6.5%, K: 4 mEq/L, HR: 100 bpm, RR: 25 breaths/min; FEV: 55% predicted. Sulfa allergy. Luz tells you that her asthma has been out of control so she started using her corticosteroid puffer again. Her visit today is because of other symptoms concerning her eyes that include blurring of her vision. What are the glaucoma risk factors for this patient?
- A. Race, Age, Asthma
- B. Race, Age, Diabetes
- C. Asthma, Diabetes, hypertension
- D. Asthma, Diabetes, hypertension
Ans:
C
Tips: Glaucoma can occur to anyone. Certain factors increase the risk of developing disease include advanced age (80 yo or over) race (African American, Hispanic), family history, increase intraocular pressure, uncontrolled diabetes and blood pressure, routine and long term use of corticosteroids, hypothyroidism, history of migraines, eye injury, previous eye surgery, near sightedness, and thin central cornea thickness.
Research: National Eye institute www.nei.nih.gov
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