2463L Flashcards
FINALS PREP
Optometric Techs provide all of the following except:
Performing Tests
Preliminary Assessments
Gathering Data
Diagnosis
Diagnosis
The Patient’s medical record is: A legal document A simple note about their health Not necessary to the Optometric Tech Not important
A legal document
Greeting the patient consists of each of the following except:
Addressing the patient formally
Introducing yourself
Filling out insurance forms
Describing an overview of the procedures
Filling out insurance forms
The patient’s history includes all of the following except:
Chief complaint
Ocular Health
Medications Used
How many doctors they are seeing
How many doctors they are seeing
According to the textbook three main parts of history taking are:
Interview, Questionaire, Summary
Essay,Short answer, Multiple choice
Spoken, Written, Read
Common Method, General Method,
Detail Method
Interview, Questionaire, Summary
After the patient history is recorded, the typical first data collected is:
Pupillary Distance
Refractive Error
Visual Acuity
Near Point Convergeance
Visual Acuity
Stereopsis is known as:
Vision loss in both eyes
Highest degree of depth perception
Vision in one eye only
Color Vision
Highest degree of depth perception
Accomodation is:
The ability of the eyes to focus
The turning inward of the eyes
The constriction of the pupil
The dilation of the pupil
The ability of the eyes to focus
Convergence is:
The ability of the eyes to focus
The turning inward of the eyes
The constriction of the pupil
The dilation of the pupil
The turning inward of the eyes
Cover Tests are used:
To evaluate the alignments of the eyes
To evaluate patients light sensitivity
To test focusing of the eyes
To determine refractive error
To evaluate the alignments of the eyes
The Broad H Test evaluates which of the following:
The ability of the eyes to following a
moving target
Jumping movements from one target to
another
Binocular vision
Determines Amplitude of Accommodation
The ability of the eyes to following a
moving target
Visual Acuity Tests (VA) do which of the following?
Provides the Rx
Measures a patient’s intraocular
pressure(IOP)
Measures the clarity of vision
Determines the depth of the anterior
chamber angle
Measures the clarity of vision
To protect against the transmission of diseases in the practice, tech should:
Wash Hands thoroughly
Wear Gloves
Minimize contact with tissues
Answers A, B, and C
Answers A, B, and C
The Cover-Uncover Test
Is used to measure the clarity of vision or the ability of the visual system to resolve detail
Main purpose is to assess the presence of third-degree fusion
Differentiates between a phoria and a tropia and determines if a tropia is alternating or unilateral
Determines the direction and the magnitude of a phoria or tropia but does not differentiate a phoria from a tropia
Differentiates between a phoria and a tropia and determines if a tropia is alternating or unilateral
Screening Visual Fields and finger Counting Visual Fields are…
Generally effective only for substantial field losses
usually the best method of discovering small amounts of vision loss in patients
automated methods to measure a patient’s visual fields
performed with the patient wearing their glasses
Generally effective only for substantial field losses
While recording visual acuity findings, “20” (as the first number) represents:
The testing distance
The size of the chart
The length of the letters
The number of attempts to read the chart
The testing distance
the Hirschberg Test purpose is to:
Test for astigmatism
Determine the approximate positions of the visual axis of the two eyes
Test pupil function
For Color Vision deficiencies
Determine the approximate positions of the visual axis of the two eyes
The Bruckner Test assess the symmetry of binocular fixation:
When motor fusion is present
By using the reflexes of the patient’s corneas
To determine the patient’s ability to converge the eyes while maintaining fusion
By comparing the brightness of the red reflex in each eye
By comparing the brightness of the red reflex in each eye
As a target is moved closer to the patient, the eyes will no longer be able to maintain a single image. This is known as:
Point Break
Recovery Point
Breaking Fusion
Near Point
Breaking Fusion
T/F Contact Lens disinfection procedures are the same for all contact lenses.
FALSE
T/F The Case History is a very important procedure in the examination process
TRUE
T/F Interpupillary Distance(PD) is the distance between the two eyes using centimeters as the unit of measurement
FALSE
T/F Information about patient occupation and hobbies is not necessary to the patient history.
FALSE
T/F Both aided and unaided visual acuity are recorded in the patient’s record.
TRUE
The cornea supplies approximately how much of the refractive power of the eye?
1/4
1/2
2/3
3/4
3/4
The instrument used to measure the curvature of the cornea is known as:
Lensometer
Keratometer
Tonometer
Slit Lamp
Keratometer
The measurement of intraocular pressure is known as:
Keratometry
Potential Acuity
Tonometry
Visual Field
Tonometry
IOP is caused by the production of:
Aqueous Humor
Vitreous Humor
Tonometry
Fluorecein
Aqueous Humor
Increased IOP can cause damage to the visual field and is known as:
Goldmann’s
Glaucoma
Applanation
Afferent Pupillary Defect
Glaucoma
Two methods to measure the IOP (intraocular pressure) are:
Goldmann Applanation tonometry and
Tonopen
Fluorecein and Anesthetic
Potential Acuity and Fundus
Visual and Non-visual
Goldmann Applanation tonometry and
Tonopen
When performing applanation tonometry, a reading is taken when:
The outer edges of the two semi-circles touch
The two semi-circles become a full circle
No edges of the two semi-circles touch
The inner edges of the two semi-circles touch
The inner edges of the two semi-circles touch
When you instill drops in a patient eyes, it’s important to record:
How long it took to instill the drops in the patient eyes
The patient’s initial reaction to the eye drops
The drops used, concentration of the drops, how many drops were instilled in each eye, and the time that the drops were instilled
The tear break-up time
The drops used, concentration of the drops, how many drops were instilled in each eye, and the time that the drops were instilled
Doing a Pinhole Visual Acuity check on a patient can provide valuable information because it can reveal…
If a decrease in vision is correctable with lenses and it will show a patient’s best potential visual acuity
if a patient has Optic Nerve Damage
If a patient has an Afferent Pupillary Defect
If a patient has visual field loss due to glaucoma
If a decrease in vision is correctable with lenses and it will show a patient’s best potential visual acuity
Fundus Photography takes color photos of the fundus which contains:
Cornea, Aqueous and Crystalline Lens
Iris, Pupil, Vitreous
Schlera, Conjunctiva, Lids
Retina, Optic Disc, Retinal Vessels
Retina, Optic Disc, Retinal Vessels
Fundus cameras are used to:
Take pictures only of the retina
Take photos of the retina, iris photos and photos of other structures and abnormalities in and around the eye
Assist in measuring the IOP
Help measure the depth of the anterior angle
Take photos of the retina, iris photos and photos of other structures and abnormalities in and around the eye
Before fitting a patient with contact lenses, this should be done to assess if a patient has a lacrimal insufficiency:
Visual Acuity
Tear break-up time
Fundus exam
Gonioscopy
Tear break-up time
When the anterior chamber angle is considered to be narrow by the van Herick Technique, this should be done before dilating drops are put in the patient’s eyes
Humphrey visual field
Photos taken of the retina
Gonioscopy
Scleral depression
Gonioscopy
Every point on the visual field corresponds to a point on the:
Cornea
Iris
Optic Nerve
Retina
Retina
The absence of retinal receptors form:
Scotomas
Cataract
Glaucoma
Astigmatism
Scotomas
Testing a patient’s visual field by moving a target through the patient’s visual field (meridian-by-meridian) from non-seeing to seeing is known as
Harrington Flocks
Kinetic Testing
Tangent Screen
van Herick Technique
Kinetic Testing
The Amsler Grid helps to evaluate and monitor
Grid loss
Glaucoma
Cataracts
Macular degeneration
Macular degeneration
When performing applanation tonometry on a patient which filter is used?
Blue
Green
Red
Yellow
BLUE
While performing applanation tonometry, the slit lamp light should be set:
As a thin line (Slit)
Fully Open (A circle)
Partially Open (Wide Line)
To the Off position
Fully Open (A circle)
Testing for APD requires:
Dim Room Lights and a PD Stick
Bright Room Lights and a Transilluminator or penlight
No light at all and no medical instruments
Dim Room Lights and a Transilluminator or penlight
Dim Room Lights and a Transilluminator or penlight
APD is sometimes confused with
NPD
HIPPA
HIPPUS
Marcus Gunn
HIPPUS
Which piece of equipment is used to provide a stereoscopic, magnified view of the eye?
Slit Lamp
Phoroptor
Tonometer
Transilluminator
SLIT LAMP
The aqueous filled space between the iris and the innermost corneal surface is known as:
Posterior Chamber
Anterior Chamber
Cilliary Body
Scelera
ANTERIOR CHAMBER
Checking the Anterior Chamber Depth requires the slit lamp light to be set:
As a Slit
As a Full Circle
Closed
As a Small Dot
AS A SLIT
Using the van Herick Technique, the Anterior Chamber Angle is considered narrow when…
The IOP is above 25
The IOP is below 18
The optic shadow is less than a quarter(1/4) the width of the White optic section
The optic shadow is two times the width of the optic section
The optic shadow is less than a quarter(1/4) the width of the White optic section
When cleaning the exterior of the projector, dust should be removed with
Cleaning agent
Soft brush
Alcohol
Vacuum
SOFT BRUSH
The projector slides are made of which material?
CR-39
Polycarbonate
Trivex
Glass
GLASS
The slides of the projector can be cleaned with
Alcohol
Water
Soft Cloth
Cleaning Agent
SOFT CLOTH
If using glass cleaner on reflective mirrors, mirrors should be cleaned with
Circular motions
Downward strokes
Upward Strokes
Back-and-forth motions
Downward strokes
Which of the following statements is true of projection screens?
Not all screens can be cleaned
All screens can be cleaned
Projector do not use screens
Projector screens do not need cleaning
Not all screens can be cleaned
Which of the following staments is true of projector bulbs?
Projectors do not use bulbs
Projector bulbs have no effect on testing
Projector bulbs can not be replaced
Dim bulbs can effect testing
Dim bulbs can effect testing
To remove dust from the slit lamp lenses use
Photographic lens paper
Paper Towels
Brush
Soaking the slit lamp in cleaner
Photographic lens paper
If the slit-lamp does not move “freely” on the table, lightweight oil should be applied
Through the top of the joystick
On the pad near the ball joint
To the outside of the joystick only
No lubrication is necessary
On the pad near the ball joint
If the slit lamp light does not illuminate, do which of the following first?
Replace the bulbs
Replace the slit lamp
Check the filters
Check the electrical connections
Check the electrical connections
When using the applanation tonometer, what procedure should be done first- prior to each patient?
Turn the machine on
Clean the tip with alcohol
Clean the tip with household cleaner
Check all electrical connections
Clean the tip with alcohol
The tonometer tip should periodically be soaked in
Bleach
Ammonia
Salt water
Hydrogen Peroxide
Hydrogen Peroxide
Calibration of the tonometer should be done
Never
Before every patient
At regular intervals
After every patient
At regular intervals
Cleaning chin and forehead rests should be done
Never
Before every patient
At regular intervals
After every patient
Before every patient
When changing light bulbs, which of the following is correct?
Never touch bulbs with bare hands
Never change the bulbs
Use bare hands to change bulbs, as they are delicate
Change light bulbs before every patient
Never touch bulbs with bare hands
Complete the following statement: At the end of the workday, eye clinic medical equipment should be…
Turned on to be ready to use the next workday
Checked for any computer viruses
Turned off and covered.
Soaked in alcohol.
Turned off and covered.
Xalatan(a.k.a. Lantanoprost) is an eye drop used to treat?
Fuchs dystrophy
Macular degeneration
Glaucoma
Cataracts
Glaucoma
Which of the following drug catagory types reduces aqueous production?
Antibiotics
Beta Blockers
Allergy Medications
Corticosteroids
Beta Blockers
Which of the following drugs is a beta blocker?
Timoptic
Acular
Ocuflox
Prednisolone
Timoptic
Which of the following drug catagories treats inflammatory conditions?
Antibiotics
Beta Blockers
Allergy Medications
Corticosteroids
Corticosteroids
Which of the following medications is used in the treatment of allergies?
Acular and Alrex
Timoptic and Travatan
Pred Forte and Prednisolne
Ocuflox and Ciloxan
Acular and Alrex
Which symptom indicates “absolute allergy” (not tear film dysfunction)?
Dry Eyes
Blurred Vision
Pain
Itchy Eyes
Itchy Eyes
The two drugs below that are used to treat dry eyes are:
Emadine and Livostin
Travatan and Lumigan
GenTeal and Bio Tears
Vexol and FML
GenTeal and Bio Tears
Treatment for allergies is recognized in two catagories. The catagories are:
Moderate Strength and Maximum
Strength
Acute and Chronic
Low Viscosity and High Viscosity
Beta Blocker and Prostaglandin
Acute and Chronic
Two medications that treat glaucoma are:
Patanol and Livostin
FML and Flarex
Erythromycin and Bacitracin
Trusopt and Azopt
Trusopt and Azopt
The most commonly prescribed drug types are used for:
Dry Eyes
Glaucoma
Inflammatory Conditions
Allergies
Dry Eyes
