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WorksheetsIJCAHPO: COA QUICK STUDY CARDS (01-100)
Total questions: 100
Worksheet time: 50mins
What are the principles that dictate appropriate or inappropriate behaviors?
ethics
decency
morality
standards
Informed consent occurs
When the patient signs the consent form.
When the patient acknowledges understanding of the treatment recommended.
As a process patient education in the decision-making process with documentation in record of consent to treat
When a reasonable patient verbally agrees to the recommended treatment.
The application of coding facilitates the processing of insurance claims. The assigned code, as it refers to procedures and services, must be supported by
All billing practices
The medical records
The policies and procedures manual
The length of time of the appointment
Obtaining informed consent for a procedure
Is having the patient sign the consent form.
Begins at the preoperative visit
Is not needed if the procedure is medically necessary
Is a process involving education of the patient
A patient has been diagnosed with epidemic keratoconjunctivitis. The MOST effective role Allied Ophthalmic Personnel (AOP) can take in preventing the spread of epidemic keratoconjunctivitis (EKC) is to
Identify carriers of the disease
Treat all those infected with sulfacetamide drops
Wash hands and disinfect all ophthalmic instruments
Wear disposable gloves when coming in contact with all patients
Which of the conditions listed below may be characterized by a white pupillary reflex in a pediatric patient?
Choroidal nevus
Congenital glaucoma
Iris coloboma
Retinoblastoma
Color deficient individuals can be
Denied a driver’s license
Improved by drug therapy
Detected by visual field examination
Disqualified from certain occupations
The three-color receptors found in cones are
Blue, green, and yellow
Red, green, and blue
Red, green, and yellow
Red, yellow, and blue
If an ophthalmologist states that a patient's condition is "OU", this means that the condition is present in
Neither eye
The left eye
The right eye
Both eyes
What two items are used to clean the following lenses: retinoscopy, polarizing, red and Maddox rod?
Lens cloth and canned air
Lens cloth and alcohol
Cotton tip swab and glass cleaner
Cotton tip swab and alcohol
What is a symptom of hyperthyroidism?
Low voice
Dry skin
Weight gain
Shortness of breath
A latent deviation that can only be observed when binocular fusion is disrupted is called a(n)
Tropia
Hemianopia
Phoria
Ametropia
The denominator in the visual acuity recording of low vision patient is
Equal to the numerator
The same for both eyes
Larger than for the patient with normal visual acuity
Smaller than for a patient with normal visual acuity
What happens at the chiasmal junction?
All nerve fibers from the right eye cross to the left side of the brain and vice versa
Some of the nasal and some of the temporal fibers of each optic nerve cross over to the other side
The nasal fibers of each optic nerve cross over to the other side.
The temporal nerve fibers of each optic nerve cross over to the other side.
Enucleation is the
Inflammation of the ciliary body
Complete or partial separation of the retina from choroid
Complete surgical removal of the eyeball
Aberration of rays of light
Scattered light rays produce which visual phenomenon?
Diplopia
Photopsia
Glare
Metamorphopsia
What is the term for concentration of a chemical in a pharmaceutical solution?
Stability
Sterility
Tonicity
Toxicity
The name of the oil-secreting glands found in the posterior margin of the eyelid is the
Gland of Moll
Gland of Wolfring
Lacrimal gland
Meibomian gland
What is the name of the condition where both the globe and the ocular tissue are missing?
Anophthalmia
Anisocoria
Buphthalmos
Cytinosis
Evisceration is the
Surgical removal of the contents of the globe
Abnormal turning of the eye outward
Tendency of the eye to turn inward
Turning outward of the eyelid
What is the name of the condition where a fibrovascular growth forms on the conjunctiva to a portion of the cornea?
Pterygium
Pinguecula
Exoneration
Entropion
Almost all patients who enter the ophthalmologist’s office require a determination of what status regarding their eyes?
Diabetic retinopathy
Glaucoma
Refractive error
Strabismus
Calibration of the applanation tonometer is checked by
A qualified service technician
Using a measured weight attached to the tonometer balancing are at 0, 2, and 6.
Using a measured weight attached to the tonometer balancing arm at 0, 3, and 5.
Having a second technician verify the IOP measurements on several patients to confirm tonometry accuracy.
What is the possible side effect of Ampicillin?
Anaphylactic reaction
Colitis
Kidney damage
Renal damage
Axial length in IOL formulas refers to the distance from the
Cornea to the iris
Cornea to the lens
Lens to the retina
Cornea to the retina
Color vision defects may be
Refractive
Subjective
Congenital or acquired
More common in women
What is measured during the Schirmer testing?
Tear production
Corneal thickness
Pupillary reflexes
Corneal curvature
The purpose of glare testing (BAT), is to determine if visual acuity varies with different
Refractive errors
Pinhole sizes
Dark adaptations
Lighting conditions
What is the term for "eye up"?
Hypotropia
Esotropia
Hypertropia
Exotropia
Dioptric power of the cornea is determined by what type of reading?
Ultrasonography
Keratometry
Tonometry
Tomography
What is the name of the visual receptors that process color?
Rods
Cones
Ganglion
Bipolar
What is the term for the condition where the crystalline lens of the eye or its capsule, or both, becomes opaque, with consequent loss of visual acuity?
Neuritis
Hyphemia
Angioma
Cataract
A patient with severe seasonal allergic conjunctivitis relates that the primary care doctor will not prescribe medication for an allergy due to the patient's glaucoma. The doctor's concern is related to which type of glaucoma?
Angle closure
Open angle
Uveitic
Pigmentary
Which of the following is a sign?
A. A black speck in the field of vision
B. Complaints of difficulty reading
C. Double vision
D. A shallow anterior chamber
A condition in which blood has settled in the bottom half of the anterior chamber of the eye is called a (n)
Erythema
Hematoma
Hyphema
Hypopion
Which structure secrete aqueous fluid and serves as an attachment site for zonules?
Ciliary processes
Iris root
Lens capsule
Ora serrata
Which of the following organisms is likely to cause a corneal ulcer?
A. Adenovirus
B. Pneumococcus
C. Herpes simplex virus
D. Staphylococcus aureusum
Which of the following is NOT normally considered in the differential diagnosis of an inflamed, red eye?
Acute conjunctivitis
Keratitis
Dacryocystitis
Acute Iritis
Inflammation of the tear sac associated with faulty tear drainage is
Trichiasis
Blepharitis
Conjunctivitis
Dacryocystitis
A parent calls to say that his child has been hit in the eye with a rock from a sling shot. You advise the parent to
Bring the child to the office immediately
Give the child a mild analgesic for pain
Patch the eye tightly to stop bleeding
Pry the lids open to check the eye
Aqueous humor drains out into the
Canal of Schlemm
Ciliary body
Iris
Uveal Tract
A person with a fold of skin overlying the nasal area of the eye lid has
Blepharochalasis
Entropion
Epicanthus
Lagophthalmos
In which of the following ocular conditions is the direction of gaze a factor in intraocular pressure determination?
Chronic angle glaucoma
Thyroid Ophthalmopathy
Central Retinal Vein Occlusion
Iritis with secondary glaucoma
Which organ is included in the cardiovascular system?
Heart
Lungs
Brain
Kidneys
Which of the following is MOST likely to cause diplopia in a patient only when wearing spectacles
High minus lenses
High plus lenses
Improper centering of the lenses
Large frames
Which eye care professional specializes in fitting spectacles?
Orthopedist
Orthodontist
Orthoptist
Optician
Which eye care professional specializes in measurement of eye movement and the extraocular muscles?
Orthodontist
Orthopedist
Orthoptist
Optician
If a patient MUST be kept waiting, convey
Their appointment was never scheduled.
They should not complain.
How long the wait will be and unfortunately, schedules cannot always be controlled due to emergencies.
They should read the pamphlets in the waiting room.
What is a key factor affecting the overall rating of a practitioner?
Cost of Medicare coverage
Number of technicians in the office
Time spent in the waiting area
Size of the waiting area
A firmly applied unilateral eye pad will
Limit the movement in both eyes.
Limit the movement of the patched eye.
Limit the movement of the patched eyelid.
Reduce pressure on the globe.
How is a properly applied eye dress secured?
Alternating vertical and horizontal strips of adhesive tape.
Horizontal parallel strips of adhesive tape.
Parallel strips of surgical tape from the forehead to the cheekbone.
Strips of adhesive tape from the upper lip near the mouth to the forehead.
Which of the following is the MOST common complication of patching an eye?
Corneal Abrasion
Elevated intraocular Pressure
Dilation of the pupil
Tear flow reduction
Which of the following has been designed to measure visual acuity by bypassing optical medical defects?
ETDRS acuity charts
Snellen charts
HOTV
Laser Interferometry
A non-contact lens used to exam the macula is a
Gonio lens
Hruby lens
Koeppe lens
Maddox lens
The swelling of the optic disc with engorged blood vessels is known as
Papilledema
Endophthalmitis
Optic Nerve compression
Anterior Ischemic Optic Neuropathy
Which patient symptom would require the MOST immediate attention?
Double vision for less than a week
Lid swelling for less than 3 weeks
Blurred vision for more than a week
Progressive vision loss over the last 3 months
IN counseling a patient about upcoming surgery, which of the following is BEST left for the surgeon to discuss?
Specific risks and outcomes of the procedure
What to expect during the procedure
Instructions for postoperative care
Emergency contact information
IN counseling a patient for cataract surgery, which of the following statements is accurate?
A. A cataract is a film that grows over the eye.
B. A cataract need not be treated if vision is good.
C. A cataract may grow back.
D. A cataract must be “ripe” before it is removed.
Which of the following symptoms is of MOST concern in the early postoperative course following cataract surgery?
Intense pain
Redness
Blurry vision
Tearing
A patient who wears contact lenses has had a red eye for two days. How should this patient be triaged?
Schedule routinely within 1 month.
Schedule at your office within 1 week.
Send immediately to the nearest emergency room.
Schedule at your clinic as an urgent add-on with 24 hours.
What eye disorder reveals a constricted pupil and keratic precipitates?
Iritis
Conjunctiva
Episcleritis
Keratoconus
A patient has been hit in the eye with a racquetball and now sees flashes of light and cobwebs. You tell the patient
If the eye is not red or painful to schedule a routine appointment
To come into the office the same day.
If symptoms persist for at least 24 hours, to come into the office.
To patch both eyes and come into the office the next day.
Which of the following constitutes a medical emergency?
Angle closure glaucoma
Ocular Hypertension
Ocular Migraine
Open Angle Glaucoma
Atropine is not used to dilate the pupil for routine examinations in adults chiefly because
It induces allergic sensitization.
Its effects do not last long enough.
Its effects last too long.
It's a poor mydriatic.
What is an important question to ask a patient that complains of a "red-eye"?
Do you have blurred vision?
Do you see flashing lights?
Do you wears glasses?
Do you see floaters?
Symptoms associated with a red, irritated, bloodshot eye are MOST likely due to
Retinal Detachment
Cataracts
Conjunctivitis
Open-Angle Glaucoma
Which of the following conditions is NOT hereditary?
Migraines
Diabetes
Nystagmus
Conjunctivitis
What is the term used to refer to symptoms due to uncorrected refractive error?
Ametropia
Asthenopia
Esotropia
Anisometropia
A patient's history of pain and low vision could be attributed to
Acute Glaucoma
Strabismus
Stroke
Subconjunctival Hemorrhage
Which of the following is a symptom?
Flakes on the lashes
Flashes of light
Red eye
Swollen lid
Under what heading should the onset of current symptoms be recorded?
Current medications
Past history
Physical signs
Present illness
Which is the main reason for the patient's visit to the ophthalmologist recorded?
Chief complaint
Family history
Past medical history
Past ocular history
Which part of the patient examination is performed by asking specific questions in an orderly sequence?
History
Diagnosis
Measurement
Assessment
In an industrial injury in which the patient complains of a foreign body sensation, a 20/60 vision is recorded by the assistant. What is the next step the assistant should take?
Instill a fluorescein dye.
Patch the eye.
Return the patient to the waiting room.
Try a pinhole test to see if vision will improve.
Measuring visual acuity with a potential acuity meter is useful in patients with
Glaucoma
Cataracts
Optic Neuritis
Age-Related Macular Degeneration
Which of the following is a measure of distance of visual acuity?
20/20
40 arc seconds
D-15
Jaeger 2
What is a probable cause of blurred distance vision that is improved by squinting?
Esotropia
Glaucoma
Uncorrected Myopia
Uncorrected Presbyopia
Which statement correctly refers to the letters on the Snellen chart?
Because they subtend the same amount of arc, each letter is equally recognizable.
Even though they each subtend the same amount of arc, some letters are easier to recognize than others.
Different letters subtend different amounts of arc, yet each letter is equally recognizable.
Different letters subtend different amounts of arc; thus some letters are easier to recognize than others.
An effective means of estimating visual acuity in infants would be to use
An amblyoscope
Preferential looking.
Prism bars.
A Snellen Chart
Which of the following equivalencies is correct?
5/200 is equivalent to 20/400
6/60 is equivalent to 3/120
10/200 is equivalent to 20/100
20/200 is equivalent to 10/100
What is the recommended distance used for assessing the distance acuity?
3'
10'
20'
40'
If poor vision is simply due to refractive error, the acuity should improve with use of a(n)
Placido disc.
Pinhole disc.
Occluder over non-dominant eye.
Occluder over dominant eye.
Near vision charts should be held how many inches from the eye?
10-12
14-16
18-20
22-24
20/60 visual acuity means the patient sees a test object at
6 meters that someone with 20/20 vision would see at 20 feet
20 feet that someone with 20/20 vision would see at 60 feet
20 feet that someone with 20/20 vision would see at 60 meters
60 feet that someone with 20/20 vision would see at 20 feet
If a person is able to clearly see an object at 20 feet that can be seen at 60 feet by a person with no refractive error, their visual acuity us said to be
20/20
20/40
20/60
20/80
What examination distinguishes a constant tropia from an intermittent tropia?
The alternating cover test with prism
The cover-uncover test
The Krimsky test
The Hirschberg test
What is the best way to perform the Worth 4-Dot test on a child?
A. Tell the child there are four lights and ask which colors they see.
B. Tell the child to alternately close one eye and the other
C. Ask which color the child sees.
D. Give the child the flashlight before they put the glasses on.
Which test uses prisms to center the corneal reflex?
Hess
Worth four-dot
Hirschberg
Krimsky
How many nerves innervate the six extraocular muscles?
1
2
3
4
Stereocuity testing is indicated if a patient has
Retinitis
A phoria
A Chalazion
Hyperplasia
Which tool is a series of red cylinders to assess phoria?
Worth four-dot
Ishihara plates
Maddox rod
Marcus Gunn
Evaluating the range and symmetry of motion of both eyes together is known as
Ductions
Versions
Phorias
Tropias
Consensual light reflex in right eye results in
Right pupil constriction.
Right pupil dilation.
Left pupil constriction.
Left pupil dilation.
If the amount of light information transmittent from the brain to one eye differs from that of the other eyes, the patient has a (n)
A. Afferent pupillary defect.
B. Adie's pupil
C. Tonic pupil
D. Third nerve palsy
What is the term for pupillary constriction?
A. Mydriasis
B. Miosis
C. Cycloplegia
D. Anisocoria
When performing the swinging flashlight test on a patient with a relative afferent pupillary defect (Marcus-Gunn pupil) in the left eye, the expected findings would be a(n)
Constriction of both pupils with direct light OD and dilation of both pupils when the light "swings" to OS.
Constriction of both pupils with direct light OD and hippus movement when the light "swings" to OS.
Constriction of the left pupil in bright light and dilation of both pupils when the light "swings" to OD.
Initial dilation followed by constriction with direct light OD and total dilation OU when the light "swings" to OS.
Marcus – Gunn pupil
Has a diminished pupil reaction to light
Is fixed and dilated
Responds slowly to light
Shows asymptomatic anisocoria
Shining a bright light into one eye normally causes both pupils to constrict equally. The pupillary reaction in the illuminated eye is called
Indirect light reflex
Consensual light reflex
Direct light reflex
Near light reflex
The cones of the human eye are sensitive to which colors?
Red, green, and blue
Green, blue, and red
Blue, yellow, and red
Red, green, black
How many layers compromise the tear layer?
3
4
5
6
