Question

126968 | Pre-survey | Enhancing Awareness and Improving Care in Open-Angle Glaucoma: A Clearer Look at the Role of Rho Kinase Inhibition

1.
Which of the following is TRUE about glaucoma?

It affects White individuals more often than Black individuals

It is most commonly diagnosed in childhood

It is the leading cause of irreversible blindness in the United States (US)

Black individuals with glaucoma are more susceptible to blindness

Unsure

2.
Which of the following BEST describes open-angle glaucoma (OAG)?

The iris is pushed forward, blocking drainage of aqueous humor

Aqueous humor drains from the eye too quickly, elevating intraocular pressure (IOP)

Resistance within the trabecular meshwork reduces aqueous humor outflow

Optic nerve damage and visual field loss occur under normal IOP

Unsure

3.
Which patient scenario warrants urgent glaucoma evaluation based on risk factors and presentation?

A 32-year-old Hispanic patient with seasonal allergies and blurry vision

A 67-year-old Black patient with diabetes and gradual peripheral vision loss

A 45-year-old Black patient with conjunctivitis and eye redness for 1 day

A 70-year-old White patient with stable cataracts and no visual complaints

Unsure

4.
Which of the following is TRUE about OAG?

OAG onsets suddenly, causing blurry vision and eye pain

OAG onsets suddenly, causing immediate loss of peripheral vision

OAG onsets gradually, initially presenting with little or no symptoms

OAG onsets gradually, initially presenting with loss of central vision

Unsure

5.
Which of the following best describes IOP elevation caused by abnormal protein accumulation in the eyes’ drainage system?

Exfoliative glaucoma

Normal-tension glaucoma

Neovascular glaucoma

Corticosteroid-induced glaucoma

Unsure

6.
Which of the following is an advantage of rho kinase (ROCK) inhibitors over traditional OAG treatments?

They maintain nutrient and oxygen delivery to anterior chamber tissues

They eliminate the need for regular ophthalmologic follow-up

They reverse optic nerve damage caused by IOP elevation

They increase aqueous humor production to restore IOP balance

Unsure

7.
Which of the following statements BEST summarizes the evidence supporting the netarsudil/latanoprost fixed-dose combination?

It was inferior to each monotherapy in the MERCURY studies

It was superior to each component alone in reducing IOP

It is approved only to treat angle-closure glaucoma

It is dosed twice daily to improve efficacy and safety

Unsure

8.
Daniel, age 72, comes to the pharmacy to refill his glaucoma eye drops. While chatting, he says, “My vision hasn’t changed in months, so I think the glaucoma is gone. I might stop using the drops after this bottle.” Which of the following is the most appropriate response?

“That’s a good idea; one less medication would alleviate your treatment burden.”

“The pharmacist can better explain why stopping your drops may cause vision loss.”

“That’s great to hear, but you should only reduce use to every other day instead.”

“You can only safely stop all your glaucoma medications once your vision improves.”

Unsure

9.
Jackie, a new glaucoma patient, picks up netarsudil for the first time. She says she’s never used eye drops and isn’t sure how to keep the medicine from running down her cheek. Which of the following is the BEST counseling point to reinforce?

Close your eyes and gently press the inner corner for 1-2 minutes after using the drop

Use 2 drops in each eye, so more medicine is appropriately absorbed

Place the dropper directly up against the eye when administering

Tilt your head forward so the drop stays in the front of the eye instead of running down

Unsure

10.
Cynthia is late refilling her latanoprost prescription. When asked, she says she sometimes skips doses to make the bottle last longer because of the cost. Which of the following is the most appropriate action to take?

Recommend stopping the medication until his next eye exam to see if it is still needed

Suggest spacing out doses to every other night to save drops but remain consistent

Let the pharmacist know so they can discuss generic options or assistance programs

Tell her to squeeze the bottle more gently to use smaller drops, so the bottle lasts longer

Unsure

Answer 1

1. Black individuals with glaucoma are more susceptible to blindness
2. Resistance within the trabecular meshwork reduces aqueous humor outflow
3. A 67-year-old Black patient with diabetes and gradual peripheral vision loss
4. OAG onsets gradually, initially presenting with little or no symptoms
5. Exfoliative glaucoma
6. They maintain nutrient and oxygen delivery to anterior chamber tissues (ROCK inhibitors can improve outflow and ocular blood flow)
7. It was superior to each component alone in reducing IOP
8. “The pharmacist can better explain why stopping your drops may cause vision loss.” (Do not stop—glaucoma can progress silently and cause irreversible vision loss; continue therapy and contact the eye doctor.)
9. Close your eyes and gently press the inner corner for 1–2 minutes after using the drop (punctal occlusion to reduce run-off and systemic absorption)
10. Let the pharmacist know so they can discuss generic options or assistance programs