History Taking
A history is obtained by:
a. asking a series of organized and specific questions
b. observing the patient's actions in the exam room
c. allowing the patient to discuss anything he/she wishes
d. asking the same questions of each patient during every exam
What is A. The questions should be organized and specific, directing the patient's narrative and tailored to the problems at hand.
All of the following would be well documented using slit-lamp photography except:
a. pterygium
b. hypertropia
c. corneal scar
d. iris lesion
Answers A, C, D are all entities of the anterior segment that would be ideal to document via slit-lamp photography.
In hyperopia:
a. the object image focuses on the retina
b. the object image focuses on the cornea
c. the object image focuses in the vitreous
d. the object image focuses beyond the macula
What is D
The hyperopic eye does not have enough plus power to focus the image on the retina. Instead, the image falls beyond the retina/macula.
The extent of vision beyond the central fixation point is known as the:
a. binocular field
b. visual field
c. neurologiccal field
d. pathway of light
What is B
OSHA has developed laws regarding:
a. Standards for safey lenses
b. eye protection in the workplace
c. privacy laws
d. scope of practice
What is B
OSHA deals with employee safety and has rules regarding eye protection in the work place.
The "presenting complaint" is:
a. The main reason that the patient has come to the office
b. Always the most serious of the patient's many complaints
c. The only item with which the history is really concerned
d. The main reason the patient should be dilated
What is A.
The presenting complaint is the patient's main reason for coming in. An accurate history might include other complaints as well.
The primar area of interest in the fundus photo of a glaucoma patient is?
a. the optic disc
b. the macula
c. the retinal vessels
d. the choroid
What is A
The optic disc is the primary object of interest in monitoring glaucoma patients.
The classic symptom of myopia is:
a. blurred vision at near
b. blurred vision at distance
c. blurred vision and near and distance
d. headaches
What is B
Myopis is "nearsightednes"; the patients ision is at near and blurred at distance.
The key to performing any type of peripheral vision exam is to have the patient:
a. maintain fixation
b. look at the moving target
c. gaze into all four quadrants
d. use both eyes
What is A
The basis for medical ethics is:
a. The oath of Hammurabi
b. The Hippocratic Oath
c. The Mayflower Compact
d. The Constitution of the United States
What is B
A symptom is?
a. something you notice when you look at the patient
b. something that can always be tested and proven
c. a change noticed by the patient
d. any change that results from injury
What is C.
A symptom is a change that the patient notices, whether from injury, illness or other situation. it cannot always be proven or seen by looking.
Proper pupil dilation to facilitate fundus photography requires:
a. any dilation is acceptable
b. dilation is not necessary
c. a minimum pupil size of 4 to 5 mm
d. a minimum pupil size of 8 mm
What is C
4 to 5 mm dilation would be the minimum size for fundus photos (8 mm would be best but it is not minimum)
The condition of having no lens is referred to as:
a. astigmatism
b. ametropia
c. aphakia
d. pseudophakia
What is C
The prefix "a" means without. The term "phakia" refers to the lens, so aphakia means without a lens.
The confrontation visual field:
a. requires the use of elaborate equipment
b. will not pick up gross visual field defects
c. can be performed on a patient in any position
d. cannot be performed on children
What is C
One advantage of the confrontational visual field (CVF) is that it can be performed on a patient in any position. Properly done, the test will pick up gross defects. Most schoold aged children can cooperate for a CVF.
At its most basic, the duty of a scribe is:
a. personal assistant to the practitioner
b. patient educator and advocate
c. coding and charting coordinator
d. patient flow coordinator
What is A
Scribing is essentially being the practitioner's right hand.
A patient with heart problems
a. may need to eat something during an eye exam
b. cannot be dilated
c. may have hardening of the arteries in the eye
d. always has high cholesterol
What is C
Ocular disorders associated with heart problems include hardening of the arteries and/or blood vessel blockage. Patients can be safely dilated in most cases.
All of the following can result in inadequate corneal topography except:
a. pupil centered in the rings
b. poor fixation
c. eye not opened wide enough
d. long eyelashes
What is A
The ideal alignment is achieved when the pupil is centered in the rings.
A 45 year old male who has never worn glasses complains of decreased near vision. Mot likely he is:
a. myopic
b. presbyopic
c. astimatic
d. aphakic
What is B.
Presbyopia begins around age 40 whether the patient has worn glasses or not.
The trial lens is used when testing:
a. the entire visual field
b. the central 30 degrees
c. the central 40 degrees
d. the peripheral field
What is B
The trial lens is used to compensate for the patient's need for a near add and is thus used for the central 30 degrees.
Each of the following is a key element of informed consent except:
a. potential risks and benefits
b. description of procedure
c. watching a video about the procedure
d. optional treatments
What is C
Watching a video may be part of the practice's patient education routine, but there are numerous ways in which a patient may be advised regarding the risks, benefits, procedure, and optional treatments.
It is important to know if a patient is taking birth control pills because:
a. an overdose can cause blindness
b. the hormones can cause loss of depth perception
c. these hormones can cause changes in the retina
d. forgetting to take them can cause loss of depth perception
What is C.
Birth control pills can cause changes in the retina, including retinal artery and vein occlusion.
A postoperative refractive surgery patient is complaining of glare and ghosting. Which of the following would provide the most helpful analysis?
a. slit lamp evaluation
b. endolthelial cell count
c. corneal anesthesiometry
d. corneal topography
What is D
Corneal topography can show the location of the ablation zone. If the pupil does not fall within the central portion of the zone, visual disturbances can occur
The test for the reading add, the standard near card is placed:
a. at the distance preferred by the patient
b. at 10 inches
c. at 14 inches
d. at 20 inches
What is A
The technician should measure the distance preferred by the patient, place the near test card at that distance, and move in the direction of plus, giving the least amount of add that will enable the patient to read clearly and comfortably.
A point that is not seen is represented on a ga scale printout by:
a. A white area
b. a dot
c. a black area
d. an X
What is C
A point that is not seen would appear as a black area.
The "Red Flags Rule" was developed by the FTC in order to prevent:
a. employee injuries
b. identity theft
c. insurance fraud
d. sexual harassment in the workplace
What is B
The Red Flags Rule was developed by the FTC in order to detect identity theft. The rule requires businesses to develop a plan of identifying relevant patterns, practices, and specific forms of activity "the red flags" that signal possible identity theft.