Glaucoma: angle closure risk: 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: angle closure risk

Sample item

Which patient is most at risk of primary angle closure glaucoma?

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

The answer and the reasoning

A. A 60-year-old hypermetropic woman with a shallow anterior chamber

Small hypermetropic eyes with shallow chambers and a thick lens, in women and older people, are predisposed to pupillary block. Myopes are less likely to have narrow angles.

Option by option

  • A. A 60-year-old hypermetropic woman with a shallow anterior chamber (correct)

    Correct. Hypermetropia, age and female sex are risk factors.

  • B. A 40-year-old aphakic man

    Aphakia has a deep anterior chamber.

  • C. A 10-year-old child with buphthalmos

    Buphthalmos is a congenital glaucoma with a large eye.

  • D. A 25-year-old high myopic man

    High myopia gives a deep chamber and protects against angle closure.

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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Questions about this Ophthalmology question

What is the answer to this Ophthalmology question?

The best answer is A, A 60-year-old hypermetropic woman with a shallow anterior chamber. Small hypermetropic eyes with shallow chambers and a thick lens, in women and older people, are predisposed to pupillary block.

Why is "A 40-year-old aphakic man" not the answer?

Aphakia has a deep anterior chamber.

Why is "A 10-year-old child with buphthalmos" not the answer?

Buphthalmos is a congenital glaucoma with a large eye.

Why is "A 25-year-old high myopic man" not the answer?

High myopia gives a deep chamber and protects against angle closure.

What concept does this question test?

It tests Glaucoma: angle closure risk in Ophthalmology. Myopes are less likely to have narrow angles.

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: angle closure risk?

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.