The Management Plan & Prescribing

Which one of the following is not a true 'R' in the '5 Rs'?

• Recall

• Repeat

• Review

• Recommend

• Results

Which one of the following is not required to be discussed during the management plan?

• Prognosis of ametropia/condition

• Adaptation to new prescription

• Advantages and disadvantages of treatment choices

• Suitability for contact lens wear

• The current offers the practice has for spectacles

With presbyopia, the reading addition is likely to​ (a)   with increased age. Patients should therefore be reassured that this is not​ (b)   ​ .

• increase
• decrease
• remain the same
• pathological
• typical
• physiological

A sensible recall for a 24 year-old with a stable prescription and no ocular pathology would be ​ (a)  

• 2 years
• 1 year
• 6 months
• 3 years
• 4 years
• to only return if they have any problems

We class a significant prescription change as anything equal to, or above, +/- ​ (a)  

• 0.50
• 0.25
• 0.75
• 1.00

What does 'safety netting' mean?

• The patient has signed a legal notice that if their symptoms continue it isn't your fault

• The patient is given the details of the nearest hospital

• The patient is encouraged to return if their symptoms continue

• The patient is referred to ophthalmology to investigate the cause of their symptoms

Which one of the following about 'adaptation' is false?

• A swimming sensation is a common symptom

• The adaptation period is variable for each patient

• Adaptation is only discussed for patients who are first time varifocal wearers

• Patients should be encouraged to return if they cannot adapt to their prescription

Your final subjective prescription is +2.00DS in both eyes. Which one of the following prescriptions would be the least appropriate final prescription for a latent hyperope without symptoms?

• +2.00DS

• +1.00DS

• +1.50DS

• No prescription required

Your final subjective prescription is -0.50DS in both eyes. Which one of the following options is true?

• We do not have enough information here to choose a final prescription

• It is always inappropriate to prescribe a prescription of this size

• This can be prescribed in full if the patient is not symptomatic

• Prescribing this would be NHS fraud

If it ain't broke...