Download Irene Gold BOARDS PART 1 Spinal Anatomy Exam with Answered Questions 2023. and more Exams Nursing in PDF only on Docsity! Irene Gold BOARDS PART 1 Spinal Anatomy Exam with Answered Questions 2023. What is responsible for Light and sound reflexes, proximal flexor relay, motoric relay CN III-IV? - correct answer ✅midbrain What is responsible for Relay station, sensory fibers, PULVINAR region - integration of sensory info? - correct answer ✅thalamus Which Nuclei of the Thalamus is responsible for sensory from face? - correct answer ✅VPM Which Nuclei of the Thalamus is responsible for sensory arms and legs? - correct answer ✅VPL Which Nuclei of the Thalamus is responsible for sensory from eyes? - correct answer ✅Lateral Geniculate Which Nuclei of the Thalamus is responsible for sensory from ears? - correct answer ✅Medial Geniculate Intellect and association areas of the brain are found in what area? - correct answer ✅Cerebrum/Cerebral Cortex What area of the brain is this? →Localization - somesthetic cortex Irene Gold BOARDS PART 1 Spinal Anatomy Exam with Answered Questions 2023. →Broadman 1,2,3 →Problem Solving - correct answer ✅Parietal Lobe has areas for What area of the brain is this? →Vision →Brodmann 17 - correct answer ✅Occipital Lobe has areas for What area of the brain is this? →Superior Temporal - hearing →Inferior Lobe - long term memory (hippocampal cells) - smell - parahippocampal cells in Uncal area - correct answer ✅Temporal Lobe What area of the brain is this? →Junction of parietal, occipital and temportal lobe used for sensory m atching and interpretation Irene Gold BOARDS PART 1 Spinal Anatomy Exam with Answered Questions 2023. Which specialized cell of the nervous system is involved with blood brain barrier Store glucose? - correct answer ✅Astrocytes Which specialized cell of the nervous system is involved with Macrophages of brain? - correct answer ✅Microglia Which specialized cell of the nervous system is involved with Line ventricles Make Choroid plexus = CSF production? - correct answer ✅Ependymal cells Which specialized cell of the nervous system is involved with Resorb CSF? - correct answer ✅arachnoid granulations of superior sagittal sinus Which specialized cell of the nervous system is involved with Myelin insulation on CNS? - correct answer ✅Oligodendrocytes Which specialized cell of the nervous system is involved with Myelin in CNS? - correct answer ✅Schwann Cells Demyelination disease in PNS - correct answer ✅Guillian-Barre Demyelination disease in Irene Gold BOARDS PART 1 Spinal Anatomy Exam with Answered Questions 2023. CNS - correct answer ✅MS Meissner plexus Allows peristalsis - correct answer ✅Mucosa Auerbach Plexus allows peristalsis in - correct answer ✅muscles What happens if there is an Absence of Meissner and Auerbach Plexus? - correct answer ✅no peristalsis and congenital megacolon aka Hirschsprung's disease Renshaw Cells - correct answer ✅Inhibit alpha motor neuron Which brain wave is this? quiet/meditation (disappear during sleep) - correct answer ✅Alpha Which brain wave is this? intense mental activity (during REM sleep) - correct answer ✅Beta Which brain wave is this? deep sleep/coma - correct answer ✅Delta Which brain wave is this? Irene Gold BOARDS PART 1 Spinal Anatomy Exam with Answered Questions 2023. normal in children - in adults cause stress/suicide Non-rem sleep - correct answer ✅Theta ARAS - Ascending Reticular Activating System = - correct answer ✅Wakes up cortex from sleep What fiber of the cerebrum is this? connections within same hemisphere - correct answer ✅Association What fiber of the cerebrum is this? connect left and right hemisphere - correct answer ✅Commissural What fiber of the cerebrum is this? vertical connections in brain - correct answer ✅Projection Circle of Willis - correct answer ✅→Anterior Spinal/Vertebral Arteries →Inferior Cerebellar →Basilar Artery →Pontine Artery Irene Gold BOARDS PART 1 Spinal Anatomy Exam with Answered Questions 2023. Reticulospinal tract from reticular formation in midbrain = - correct answer ✅Extensor muscles of back and arms Back muscles NOT innervated by reticulospinal tract - correct answer ✅→Rhomboids (dorsal scap) →Levator (dorsal scap) →Latissimus Dorsi (thoracodorsal) Tectospinal tract from tectum of midbrain - correct answer ✅→Neck muscles →Reflex to light (superior colliculus) →Reflex to sound (inferior colliculus) Vestibulospinal tract from cerebellum and vestibular nuclei - correct answer ✅→Extensor muscles of back and legs →CN III, IV, VI - medial longitudinal fasciculus →Cerebellum - dentate →nucleus - anterior horn Irene Gold BOARDS PART 1 Spinal Anatomy Exam with Answered Questions 2023. →spinal cord - gamma →motor neurons - intrafusal fibers for tone Corticospinal/Pyramidal tracts from precentral gyrus of frontal lobe (giant cells of Betz) - correct answer ✅→Lateral Corticospinal - decussation at medulla (pyramids) flexors of distal extremities →Ventral corticospinal - decussates at spinal level for trunk flexors →Precentral Gyrus - anterior horn - alpha motor neurons - extrafusal fibers - movement Lobes of the cerebellum - correct answer ✅→Flocculonodular - midline - balance of spine →Anterior lobe - balance from arms/legs →Posterior - connection to cortex Cerebellar Nuclei - correct answer ✅→Fastigial - spine →Globus - proximal joints (glenohumeral) Irene Gold BOARDS PART 1 Spinal Anatomy Exam with Answered Questions 2023. →Emboliform - middle joints (elbow) →Dentate - distal joints (digits) Cerebellar Peduncles - simple connections - correct answer ✅→Superior - Midbrain →Middle - Pons →Inferior - Medulla Spinocerebellar pathways - correct answer ✅Carry unconscious proprioception Muscle SPINDLE fibers - correct answer ✅Stretch - 1a fibers Golgi TENDON organs - correct answer ✅Tension - 1b fibers THE MIDBRAIN: 3 portions of midbrain - correct answer ✅→Tectum - tectospinal tract/corpora quadrigemina/reflexes to light and sound →Tegmentum - axons of CN III/IV cerebral aqueduct Irene Gold BOARDS PART 1 Spinal Anatomy Exam with Answered Questions 2023. →Trochlear - motor In midbrain →Comes through superior orbital fissure in sphenoid →Innervates superior oblique muscle of eye - correct answer ✅CNIV What Cranial nerve is this? →Trigeminal - sensory and motor In pons →Comes through foramen rotundum in sphenoid →Afferent corneal - correct answer ✅CNV What Cranial nerve is this? →Abducens - motor In pons →Comes through superior orbital fissure of sphenoid Irene Gold BOARDS PART 1 Spinal Anatomy Exam with Answered Questions 2023. →Innervates lateral rectus of eye - correct answer ✅CNVI What Cranial nerve is this? →Facial - sensory and motor In pons →Comes through internal auditory meatus/stylomastoid foramen and pierces parotid gland →Taste, → facial muscles/stapedius - correct answer ✅CNVII What Cranial nerve is this? →Vestibulocochlear - sensory In pons →Comes through internal auditory meatus of temporal →Balance and hearing - correct answer ✅CNVIII Irene Gold BOARDS PART 1 Spinal Anatomy Exam with Answered Questions 2023. What Cranial nerve is this? →Glossopharyngeal - sensory and motor In medulla →Comes through jugular foramen btw temporal and occipital →Taste post 1/3 and stylopharyngeus - correct answer ✅CNIX What Cranial nerve is this? →Vagus - sensory and motor In medulla →Comes through jugular foramen btw temporal and occipital →Palate, →pharynx/larynx, tympanic membrane - correct answer ✅CNX What Cranial nerve is this? →Spinal Accessory - motor Irene Gold BOARDS PART 1 Spinal Anatomy Exam with Answered Questions 2023. Parotid glands Vagus innervates that portion of transverse colon? - correct answer ✅→First two-thirds (2/3) →S2-4 innervate distal one-third (1/3) - S2,3,4 keeps it off the floor Nucleus with greatest parasympathetic input to taste? - correct answer ✅Nucleus Solitarius - CN VII, IX, X Where is the sympathetic nervous system housed? - correct answer ✅Lateral Horns T1-L2 Cardiac Plexus is made of - correct answer ✅T1-T4 Greater splanchnic is made of - correct answer ✅T5-T9 Lesser Splanchnic is made of - correct answer ✅T10/11 Least Splanchnic is made of - correct answer ✅T12 Inferior hypogastric nerves innervate the colon and come from what spinal levels? - correct answer ✅L1/2 Irene Gold BOARDS PART 1 Spinal Anatomy Exam with Answered Questions 2023. Adrenergic receptors are receptive to norepinephrine and epinephrine. Which receptor is this? →vasoconstriction of central arteries/dilate pupils - correct answer ✅Alpha 1 Adrenergic receptors are receptive to norepinephrine and epinephrine. Which receptor is this? →autoinhibitory to alpha 1 (shut off) - correct answer ✅Alpha 2 Adrenergic receptors are receptive to norepinephrine and epinephrine. Which receptor is this? →increase heart rate and contractility of muscles - correct answer ✅Beta 1 Adrenergic receptors are receptive to norepinephrine and epinephrine. Which receptor is this? →shut down digestion and cause bronchodilation - correct answer ✅Beta 2 Alpha receptors are more sensitive to ________ - correct answer ✅norepinephrine Irene Gold BOARDS PART 1 Spinal Anatomy Exam with Answered Questions 2023. Beta receptors are more sensitive to __________ - correct answer ✅epinephrine Cholinergic receptors are found in - correct answer ✅ALL PARASYMPATHETICS In the sympathetic nervous system what types of receptors are found? - correct answer ✅→Muscarinic (ANS) - sweat glands/ piloerector →Nicotinic (AND+Sk Muscle) - arterioles of muscles/skin Cervical Chain Ganglia Superior Sympathetic - correct answer ✅→Ganglia - above C4 pupil dilation →Middle Sympathetic Ganglia - C4-5 →Inferior Sympathetic Ganglia - C6-8 →Stellate Ganglion - C8-T1 - merges cervical and thoracics Ganglia - correct answer ✅Ganglia - above C4 pupil dilation Middle Sympathetic Ganglia - correct answer ✅Middle Sympathetic Ganglia - C4-5 Irene Gold BOARDS PART 1 Spinal Anatomy Exam with Answered Questions 2023. Embryology of eye: →placodes from surface ectoderm - correct answer ✅Lens Fovea centralis - correct answer ✅→Most acute vision Has. Cones - bright lights/colors →Macular degeneration in elderly →Bright lights shut off rods/hyperpolarization Rods - correct answer ✅→Around periphery of eye →Dim light and night vision →Glaucoma first effects rods →Signs and symptoms of degeneration - rings around lights Pigment in eye - correct answer ✅→Rhodopsin - purple →Vitamin A helps rods produce retinol/retinal Irene Gold BOARDS PART 1 Spinal Anatomy Exam with Answered Questions 2023. →Deficiency of Vitamin A = nyctalopia/keratomalacia (softening of cornea) Vision is associated with which cortical lobe? - correct answer ✅→Occipital lobe →Broadman 17 Myototic reflex aka - correct answer ✅Stretch reflex - elicited by reflex hammer Monosynaptic reflex - correct answer ✅→Strike tendon →Stimulate muscle spindle →Synapse on alpha motor neuron →Reflex elicited How are reflexes affected by upper motor lesions ? - correct answer ✅hyperreflexia How are reflexes affected by lower motor lesions? - correct answer ✅hyporeflexia These are signs of what kind of motor lesion? Irene Gold BOARDS PART 1 Spinal Anatomy Exam with Answered Questions 2023. →Clonus due to lack of inhibition →Muscle Spasticity, increased firing and increased tone →Hyperreflexia →LACK OF INHIBITION - correct answer ✅upper motor lesions These are signs of what kind of motor lesion? →Fasciculations - muscle dying/spontaneously firing due to no innervation →Hypotonia due to loss of 1a/1b afferents which maintain muscle tone →Hyporeflexia - no connection - correct answer ✅lower motor lesions 2 main functions of the ear - correct answer ✅Hearing and balance Overview of how hearing works - correct answer ✅Sound waves converted to fluid waves - sound vibrates tympanic membrane which moved the malleus then incus then stapes transfers vibrations through oval window which contains perilymph (NA+out K+in) - organ of corti/spiral ganglion/hair cells of CN VIII are depolarized firing cochlear nerve Irene Gold BOARDS PART 1 Spinal Anatomy Exam with Answered Questions 2023. These are derived from what part of the ectoderm: →epidermis, →ant. Pituitary, →lens of eye skin, →enamel, →hair, →nails - correct answer ✅Surface Ectoderm These are derived from what part of the ectoderm: →post pituitary, →retina of eye, → CNS, →oligodendrocyte - correct answer ✅Surface Ectoderm - epidermis, ant. Pituitary, lens of eye skin, enamel, hair, nails These are derived from what part of the ectoderm: →post pituitary, →retina of eye, →CNS, Irene Gold BOARDS PART 1 Spinal Anatomy Exam with Answered Questions 2023. →oligodendrocyte →CNS - brain/cord - correct answer ✅Neuroectoderm/Neural Tube These are derived from what part of the ectoderm: Outside CNS - →sympathetic chain, →DRG, →ANS, →PNS, →Schwann Cells, →Parafollicular cells thyroid, →adrenal medulla - correct answer ✅Neuroectoderm/Neural Tube Embryological order starting with NOTOCORD---- - correct answer ✅Notocord →Neural Groove → Neural Tube → Neural Crest Cells CNS pathology from neural tube: Spina Bifida Occula - correct answer ✅lamina fail to fuse Which meninges protrude from cord? - correct answer ✅Meningocele Which meninges has the cord protrudes out - undeveloped meninges? - correct answer ✅Myelocele Irene Gold BOARDS PART 1 Spinal Anatomy Exam with Answered Questions 2023. Which meninges has the cord and meninges protrude out? - correct answer ✅Meningomyelocele Which Arnold Chiari type is this? cerebellar peduncles fall through magnum - correct answer ✅type I Which Arnold Chiari type is this? cerebellar peduncles fall through magnum plus meningomyelocele - correct answer ✅type II What is is called when maxillary and palatine fail to fuse? - correct answer ✅Cleft Palate Embryological development of Mesoderm - correct answer ✅→Notochord - nucleus pulposus →31 pair mesodermal somites from paraxial mesoderm →Sclerotome - membranous vertebral column → myotome - muscle Irene Gold BOARDS PART 1 Spinal Anatomy Exam with Answered Questions 2023. →31 pair mesodermal somites - correct answer ✅paraxial mesoderm What Embryological development does this come from? →membranous vertebral column - correct answer ✅Sclerotome (mesoderm) What Embryological development does this come from? →muscle - correct answer ✅myotome (mesoderm) What Embryological development does this come from? →skeletal muscle - correct answer ✅somatic (mesoderm) What Embryological development does this come from? →smooth muscle - correct answer ✅splanchnic (mesoderm) What Embryological development does this come from? →dorsal, →posterior mm →extensors - correct answer ✅epimere (mesoderm) Irene Gold BOARDS PART 1 Spinal Anatomy Exam with Answered Questions 2023. What Embryological development does this come from? →ventral, →anterior mm, →flexors - correct answer ✅hypomere (mesoderm) What Embryological development does this come from? →nerves - correct answer ✅Dermatome (mesoderm) Ossification development embryo: →mesenchymal tissue to bone, →clavicle and →skull flat bones - correct answer ✅Intramembranous/intramedullary Ossification development embryo: →cartilage to bone - everything but clavicle and skull - correct answer ✅Endochondral ossification What is the GI embryology of the Mouth? - correct answer ✅stomodeum Irene Gold BOARDS PART 1 Spinal Anatomy Exam with Answered Questions 2023. What is the GI embryology of the back of throat to 1st one-third (1/3) of duodenum? - correct answer ✅Foregut What is the GI embryology of the last two-thirds (2/3) duodenum to 1st two- thirds (2/3) transverse colon? - correct answer ✅Midgut What is the GI embryology of the last one-third (1/3) transverse colon to anus? - correct answer ✅Hindgut What is the Gubernaculum in males? - correct answer ✅scrotal ligament aka gubernaculum testis What is the in Gubernaculum females? - correct answer ✅suspensory ligament of ovary, ovarian ligament and round ligament Axons impulse _______ cell body - correct answer ✅send impulse away from body Dendrites impulse ______ cell body - correct answer ✅send impulse toward body Path from stimulus to motor response - correct answer ✅→Receptor/Dendrite Irene Gold BOARDS PART 1 Spinal Anatomy Exam with Answered Questions 2023. Ascending Limb = - correct answer ✅NA+ in (stimulus) Descending Limb = - correct answer ✅K+ out (absolute refractory) Subnormal period - correct answer ✅→Hyperpolarization →Absolute refractory period Rheobase = - correct answer ✅minimum current for action potential Chronaxie = - correct answer ✅time needed for 2 rheobase for action potential Inhibitory post-synaptic potential - correct answer ✅Cl- rushes in Maybe - K+ out Inhibitory Neurotransmitter in Cord - correct answer ✅Glycine Inhibitory Neurotransmitter in Brain - correct answer ✅GABA (Gamma amino butyric acid) Irene Gold BOARDS PART 1 Spinal Anatomy Exam with Answered Questions 2023. What is responsible for Respiratory and cardiac centers, autonomics and Cranial nerves 5 to 12? - correct answer ✅Medulla/Pons Structures and function of vestibular system - correct answer ✅→Utricle - static equilibrium →Macula/Saccula - functional part of utricle - linear mvmt →Semicircular Canals - angular accelleration (roller coaster) →Crista Ampularis - dilation of semicircular canals - no crystals Sensory pathway of smell - correct answer ✅→Sensory neuron Cribriform plate of ethmoid →Olfactory bulb (mitral cells) →Olfactory radiations Uncus - smell associated with rhinencephalon →Bowman's gland produces mucous which is required for smell Irene Gold BOARDS PART 1 Spinal Anatomy Exam with Answered Questions 2023. BSR Franklin Spinal anatomy EAR/NOSE/Eyes https://quizlet.com/405769399/bsr-q6-franklin-spinal-anatomy-eye-ear-and- tongue-flash-cards/ - correct answer ✅BSR Franklin Spinal anatomy EAR/NOSE/Eyes https://quizlet.com/405769399/bsr-q6-franklin-spinal-anatomy-eye-ear-and- tongue-flash-cards/ Limbic portion of nose - correct answer ✅→Sense of Smell - uncus of parahippocampus →Memory and smell - dentate of hippocampus →Midline connection to hippicampus - fornix →Emotional response to smell - amygdaloid Drainage of nose - correct answer ✅→Superior nasal meatus - posterior ethmoid recess →Inferior nasal meatus - nasolacrimal duct Irene Gold BOARDS PART 1 Spinal Anatomy Exam with Answered Questions 2023. →SS - supraspinous →LN - ligamentum nuchae →ITL - intertransverse →CL - capsular UPPER CERVICAL LIGAMENTS - correct answer ✅→Transverse Ligament - holds dens to atlas →Cruciate Ligaments - occiput to C2 (includes transverse) →Alar Ligament - dens to occipital condyles →Apical Dental - apex of dens to and foramen magnum What are the 21 ligaments along the spinal cord that connect pia to dura mater? - correct answer ✅Dentate Ligaments Where do the 31 pairs of spinal nerves come from - correct answer ✅→8 cervical →12 thoracic →5 lumbar Irene Gold BOARDS PART 1 Spinal Anatomy Exam with Answered Questions 2023. →5 sacral →1 coccygeal Where do spinal cord enlargements occur? - correct answer ✅→Largest - C1 →C3-T2 - upper extremities →T10-T12 - lower extremities The median medial and lateral sacral crests are remnants of what? - correct answer ✅→Median - spinous processes →Medial - articular pillars →Lateral - transverse processes IVDs: What percentage of the spine is made up by the IVDs - correct answer ✅25% IVDs are made of type ____ collagen and are avascular after the age of _____ which requires movement to __________ - correct answer ✅→Type II collagen →Avascular after age 20 Irene Gold BOARDS PART 1 Spinal Anatomy Exam with Answered Questions 2023. →Move to provide/imbibe nutrients Transversospinal Muscles all provide some degree of contralateral rotation - correct answer ✅→Rotatores - 1-2 segments →Multifidus - 2-4 segments →Semispinalis - 3-6 segments Dural sac, cauda equina, and filum terminale - correct answer ✅→Dural Sac - L2-S2 (no cord here) →Cauda Equina - horses tale - frome conus medularis (L1/2 down) →Filum Terminale - From conus medularis to coccyx What are the inner and outer portions of the filum terminale made of? - correct answer ✅→Inner - pia mater →Outer - dura mater Vascular supply and innervation of suboccipital muscles - correct answer ✅→Blood Supply - Vertebral Artery Irene Gold BOARDS PART 1 Spinal Anatomy Exam with Answered Questions 2023. What rib is this? →Short and flat →Groove for subclavian artery and vein →Tubercle for anterior and middle scalene →Full facet and demifacet on T1 - correct answer ✅1st rib What rib is this? →Surface for posterior scalene and serratus anterior - correct answer ✅2nd rib What rib is this? →full facet and superior demifacet on T10 - correct answer ✅rib 10 What rib is this? →both are floating ribs and have a single full facet - correct answer ✅rib 11 + 12 Ligaments pertaining to ribs - correct answer ✅→Radiate ligament - head of rib to vertebral body →Interarticular Ligament - front of rib to body of vertebra Irene Gold BOARDS PART 1 Spinal Anatomy Exam with Answered Questions 2023. →Costotransverse ligament - connect rib to TP Primary movement types of spinal regions - correct answer ✅→Cervical - rotation 1st extension 2nd →Thoracic - rotation 1st extension 2nd →Lumbar - flexion 1st extension 2nd (minimal) Spinal Fusion types - correct answer ✅→Pathological - ankylosis →Surgical - arthrodesis →Coalition - congenital Fascial coverings of nerves - correct answer ✅→Endoneurium - fiber →Perineurium - fascicle →Epineurium - nerve Which vertebra has the smallest spinous process? - correct answer ✅L5 Irene Gold BOARDS PART 1 Spinal Anatomy Exam with Answered Questions 2023. Vertebral body shape and spinal canal shape in each region - correct answer ✅→Cervical body - round + canal - triangular →Thoracic Body - heart + canal - oval/round →Lumbar Body - kidney + canal - triangle/trefoil Suboccipital n, spinal level - correct answer ✅C1 - suboccipitals Greater occipital n, spinal level - correct answer ✅C2 - medial dorsal primary rami Lesser occipital n, spinal level - correct answer ✅C2,3 - sensory behind ear Least occipital n, spinal level - correct answer ✅C3 - 1st nerve compressed by disc Great auricular, spinal level - correct answer ✅C3,4 - sensory of ear/around ear Phrenic n, spinal level - correct answer ✅C3,4,5 diaphragm alive Irene Gold BOARDS PART 1 Spinal Anatomy Exam with Answered Questions 2023. First palpable spinous - correct answer ✅C2/Axis Hyoid bone spinal level - correct answer ✅C3 Carotid artery bifurcation spinal level - correct answer ✅C3,4 Superior and Inferior thyroid cartilage spinal levels - correct answer ✅Superior - C4 Inferior - C5 Cricoid Cartilage/Carotid Tubercle spinal level - correct answer ✅C6 Vertebral Prominens - correct answer ✅C7 Episternal Notch/Carina of Trachea spinal level - correct answer ✅T2 Spine of Scapula spinal level - correct answer ✅T3 Sternal Angle of Louis/2nd Costochondral Cartilage and Nipple Dermatome spinal level - correct answer ✅T4 Xiphoid dermatome - correct answer ✅T7 Irene Gold BOARDS PART 1 Spinal Anatomy Exam with Answered Questions 2023. Vertebral level of Umbilicus and Xiphoid process - correct answer ✅T10 Transpyloric line level - correct answer ✅L1 Vertebral level of umbilicus - correct answer ✅L3 Iliac crest spinal level - correct answer ✅L4 body and spinous process at same level Transtubercular line - correct answer ✅L5 PSIS spinal level - correct answer ✅S2 tubercle Slope of neck made by this muscle which also has cranial and cervical innervation - correct answer ✅Trapezius other than the trapezius what other neck muscle has both cranial and cervical innervation - correct answer ✅SCM This muscle is innervated by T1-T4 and elevates the first four ribs during inspiration - correct answer ✅Serratus Posterior Superior This muscle is innervated by T9-T12 and depresses the last 4 ribs during expiration - correct answer ✅Serratus posterior inferior Irene Gold BOARDS PART 1 Spinal Anatomy Exam with Answered Questions 2023. What creates aqueous humor and what is a consequence of an excess of it? - correct answer ✅→Ciliary Bodies make it →Glaucoma is a consequence due to increased intraocular pressure and cupping of the disc