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CA Optometry Law Exam > B&P > Flashcards

B&P Flashcards

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1
Q

Can an OD charge for dispensing TPA’s if not prescribed?

A

No, it shall be at no charge

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2
Q

Are antiamoebics included in the practice of optometry?

A

No

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3
Q

Are antiamoebics included in the practice of optometry?

A

No

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4
Q

True or false
OD can treat a patient under 18 with non-malignant ocular surface disease

A

True

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5
Q

Can an OD treat anterior segment inflammation if the patient is under 18 years old?

A

No, it is excluded.

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6
Q

Schedule I drugs

A

High abuse, no known medical use, lack of safety

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7
Q

Schedule II drugs

A

High abuse, some medical use, high risk dependency

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8
Q

Schedule III drugs

A

Lower abuse, medical use, and moderate dependency risk

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9
Q

Schedule IV drugs

A

Limited abuse, high medical use, limited dependency risk

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10
Q

Schedule IV drugs

A

Limited abuse, high medical use, limited dependency risk

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11
Q

Schedule V drugs

A

Minor problems, may be available without an Rx

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12
Q

Which drug schedule drugs must be on tamper-resistant Rx forms?

A

Schedules II, III & IV

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13
Q

All prescriptions for medications must be issued electronically unless?

A

Device malfunction or unavailable
Out-of state pharmacy
Preferred pharmacy closed
** Dr must document failure to transmit

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14
Q

Failure to use or lack of proficiency in using instruments for exam. Also failure to make careful record of findings

A

Professional inefficiency

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15
Q

Extreme departure from ordinary standards of conduct

A

Gross negligence

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16
Q

What is considered Repeated negligent acts or omissions

A

2 or more breach of standards of practice

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17
Q

Lack of knowledge or ability in discharging professional obligations

A

Incompetence

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18
Q

An OD must keep patient records for a minimum of ____ years from date of treatment is completed for an adult

A

7 years

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19
Q

For a minor how long does an OD need to keep patient records?

A

Minimum of 7 years or until patient reaches age 19

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20
Q

HMO MediCal records to be retained for how long?

A

10 years from date of service, audit or last date of contract

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21
Q

Civil penalty for altering or modifying medical records

A

$500

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22
Q

What are the minimum specifications for prescription for ophthalmic lenses?

A
  1. Name of patient
  2. Doctor signature, address, telephone number
  3. Issue date, Expiration date
  4. Specifications for GL—>
    - Lens power
    - Add
    - PD
    - Prism
    - material
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23
Q

Expiration date for spectacle lenses

A

2-4 years
If expired Rx may be filled in case of loss/damage

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24
Q

CL expiration date?

A

1-2 years, no less than 1 year from issue date
Expiration date not less than re-exam date

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25
Q

Mail order firms
Dr must respond within?

A

1 day or 2pm of next business day

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26
Q

Can a TPA certified OD perform corneal scraping with cultures?

A

Yes

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27
Q

True or false
OD can perform corneal debridement

A

True

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28
Q

Patient with central corneal ulcer, no improvement within 48 hours, what next?

A

Refer to OMD

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29
Q

Worsening Dacryoadenitis, no improvement within ____ hours, refer to OMD

A

48 hours

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30
Q

Conditions if no improvement within 48 hours refer to OMD

A
  • Central corneal ulcer
  • Dacryoadentitis (infection of the lacrimal gland)
  • Preseptal cellulitis
  • Adnexal infections
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31
Q

Refer or consult?
Patient on class III oral narcotic with persistent pain after 72 hours

A

Refer
** class III = lower abuse, medical use, moderate dependency risk

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32
Q

Refer or consult?
Idiopathic iritis worsening after 72 hours of initial treatment

A

Consult

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33
Q

Conditions if worse after 72 hours, CONSULT OMD

A

Idiopathic iritis
Episcleritis
Inflammatory keratitis
Traumatic iritis

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34
Q

Patient with HSV keratitis, worse after 1 week
What next?

A

Consult OMD

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35
Q

If dermatitis worsens after 1 week, what’s next?

A

Consult

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36
Q

Conditions, If not resolved after 3 weeks, consult

A

Idiopathic iritis
Episcleritis
Allergic conjunctivitis (on anti-allergy)

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37
Q

Refer or consult?
If reoccurrence within 1 year for Episcleritis and inflammatory keratitis

A

Consult

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38
Q

If still on meds after 1 year, refer

A

Idiopathic iritis

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39
Q

Limitations of debridement of corneal epithelium

A

Not associated with band keratopathy

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40
Q

How can an OD treat sebaceous cyst?

A

By expression

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41
Q

Removal of corneal FB limitations

A

Non-perforating, no deeper than mid-stroma and not reasonably anticipated to require surgical repair

42
Q

OD can perform lacrimal irrigation and dilation in patients aged ___?

A

12 years of age and older

** excluding probing of the naso lacrimal tract (at any age for that matter)

43
Q

True or false
OD can probe nasolacrimal tract

A

FALSE!!
cannot perform on any patients at any age

44
Q

Can an OD perform FA injection?

A

Yes, under OMD for fluorescein angiography

45
Q

What devices can ODs use to heat and massage MGs? (To unclog them in tx of dry eyes)

A

LipiFlow
TearCare
iLux

46
Q

OD can Rx oral analgesic for a maximum of __ days with referral to OMD

A

3 days max
WITH referral to OMD if pain persists

47
Q

An OD TPA and glaucoma certified can treat what types of glaucoma?

A

Primary open angle glaucoma (POAG)
Exfoliation syndrome (XF)
Pigment Dispersion syndrome (PDS)
Steroid-induced glaucoma

48
Q

An OD TPA and glaucoma certified using/rx topical and oral anti glaucoma meds can treat?

A

Primary open angle glaucoma (POAG)
Exfoliation syndrome (XF)
Pigment Dispersion syndrome (PDS)
Steroid-induced glaucoma

49
Q

Shatter resistant lenses include?

A

*lenses that don’t break easily
- heat treated
- chemically treated
- laminated glass
- resin lenses (CR 39)

50
Q

An OD cannot provide glasses that aren’t shatter-resistant or non-flammable to patients who are?

A

One-eyed
Law enforcement
Firefighters
Minors (under age 18)

51
Q

True or false
Displays or causes to be displayed or has in possession a cancelled, suspended, fraudulently altered license or fictitious license is considered a misdemeanor

A

True

52
Q

True or false
A license cannot be denied solely on the basis of felony conviction if applicant has certificate of rehabilitation

A

True

53
Q

True or false
Board may suspend or revoke license for not in compliance with a child support order or judgement

A

TRUE

54
Q

What is anti-kickback and fee-splitting?

A

Unlawful to offer, deliver, receive or accept any rebate, refund, commission, preference of discount as compensation for referring patients

55
Q

Violations of rebates for patient referrals can lead to?

A

Public offense, punishable by imprisonment for not more than 1 year or fine up to 10k or both

56
Q

Federal stark law against self-referrals

A

Unlawful to refer to immediate family members that are health care providers

57
Q

Immediate family members include

A

Spouse
Child
Parents
Spouses of children

58
Q

True or false
Referral in which licensee has financial interest is never permitted

A

False
Permitted if financial interest is disclosed in writing at time of referral/request

Or

If there is no alternative provider within 25 miles or 40 minutes away

59
Q

What is the definition of significant financial interest?

A

$5,000 or 5% of the whole

60
Q

True or false
Advertising can include NBEO certification

A

False
Can only include certification by board of association regained by state board of optometry such as ABO

61
Q

Can affiliation with hospitals or clinics be included in advertisement?

A

Yes

62
Q

True or false
A bona fide mistake is considered a defense

A

True
A mistake made in good faith is considered a defense

63
Q

True or false
Law allows OD to lease space from an optician (ex: LensCrafters) or health plan

A

True

64
Q

True or false
Lease term can be less than one year for OD leasing a space from an optician

A

FLASE
Lease term CANNOT be less than one year and cannot be terminated for a reason that interferes with practice of optometry

65
Q

True or false
OD is free to contract with a health plan of their choice

A

True

66
Q

Every insurance and every licensed person must report within ___ days to the board every settlement or arbitration award over $_____ of a claim or action for damages for death or personal injury and any judgement in malpractice action.

A

30 days
$3,000

67
Q

Clerk of a court in which licensee is convicted of a crime must notify the applicable board within ___ hours

A

48 hours (2 days)

68
Q

Patient with central corneal ulcer shows no improvement within 48 hours what do you do?

A

Refer to OMD

69
Q

True or false
TPA certified OD can treat malignant conditions and disease of the anterior segment and adnexa

A

FALSE
Can treat NON- maligant

70
Q

What does adnexa refer to?

A

Eyelids
Muscles within eyelids
Lacrimal system (gland and drainage)
Skin (eyebrows to orbital rims, excluding intraorbital muscles and orbital contents)

71
Q

OD prescribing oral analgesic controlled substances are limited to ____ days and requires?

A

3 DAYS and requires referral to an OMD if pain persists

72
Q

What requirements must an OD have to prescribe hydrocodone combination products?

A

DEA number
Register with CA DOJ, PDMP or CURES

73
Q

OD TPA and glaucoma certified can prescribe topical and oral anti-glaucoma agents to treat which types of glaucoma?

A

All POAG
Exfoliation
Pigmentary
Steroid induced
*** in patients 18 years and older

74
Q

Refer or consult
If reoccurrence within 1 year for idiopathic iritis

A

Refer

75
Q

Consult or refer
Patient with dacryoadenitis shows no improvement within 48 hours

A

REFER

76
Q

Consult or Refer
Patient on class III oral narcotic and pain persists longer than 72 hours (3 days)

A

REFER
(Recall OD can only Rx for 3 days and just refer to OMD)

77
Q

Refer or Consult
Patient with idiopathic iritis still on meds after 6 weeks

A

REFER

78
Q

Consult or Refer
Patient with herpes simplex keratitis that has not improved in 1 week

A

REFER

79
Q

Consult or refer
Patient with inflammatory keratitis that is getting worse after 72 hours

A

CONSULT

80
Q

Refer or Consult
Patient with inflammatory keratitis that reoccurs within a year

A

CONSULT

81
Q

Licensed OD shall provide to each patient that makes a payment to the practice, excluding insurance co-payments and deductibles with what information?

A
  1. OD’s name and license number
  2. Place of practice address
  3. Description of goods and services provided and amount charged
82
Q

Misdemeanor to sell equipment for more than $___ to unlicensed person

A

More than $100

83
Q

Complaints filed with SBO must be acknowledged in ___ days

A

10 days

84
Q

Notification of change of address
Licensee must notify board of any changes in mailing address within ____ days after change

A

30 days

85
Q

True or false
It is a felony to engage in impersonation during licensing exams

A

True
It’s a felony that is punishable by a fine of $2,000 to $6,000 or imprisonment in state prison

86
Q

True or false
Board may cite or fine a licensed OD if they are in default on a education or health education assistance loan

A

True
* or they may deny renewal until default is cleared or repayment arrangements are made

87
Q

Excessive prescribing, excessive treatment or diagnostic procedures is deemed?

A

Unprofessional conduct

88
Q

Aids or abets substance abuse in workplace shall be guilt of?

A

Unprofessional conduct and subjected to a suspension or revocation of license

89
Q

Central file is purged of a complaint if the board has failed to act in the complaint/ report within ___ years or if it’s without merit

A

5 years

90
Q

Must report within 30 days to Board every settlement or arbitration award over $___ of a claim of action in malpractice. Intentional failure to complain is a public offense with a fine of ____

A

Over $3,000

Punishable by a fine of $5,000 years to $50,000

91
Q

Submitting false or fraudulent claim for payment is considered?

A

Unprofessional conduct

92
Q

True or false
Ophthalmology Physician and surgeon may be employed by an optometric/ optometrist corportiaon

A

TRUE

93
Q

Definition of prescription lens

A

Any device that alters or changes the visual powers of human eye or any plano contact lens

94
Q

True or false
OD must orally inform patient of expiration date

A

True, must verbally tell patient when Rx will expire

95
Q

Duties of RDO

A

Registered dispensing optician may
- fit
- adjust
- dispense
Contact lenses if Rx by OMD or OD authorizes it.
* acting on advice, direction and responsibility of prescriber

96
Q

True or false
An assistant can prescribe glasses or contact lenses

A

FALSE
They may not prescribe GL or CL

97
Q

RDO must be registered with?

A

State board of optometry

98
Q

It’s unlawful for an RDO to do what?

A

RDOs cannot:
- advertise services of optometrist or surgeon
- directly employ an OD
- duplicate or change lenses without RX
- order from a person duly licensed to use the same

99
Q

True or false
There is no prohibition against the sale of Plano goggles, sunglasses, colored lenses or occupational protective eyewear

A

True

100
Q

Can an RD fit and adjust spectacle lenses?

A

Yes

101
Q

true or false
Tech or assistant can fit CL

A

False
They must be under direct supervision of OMD/ OD

102
Q

Definition of ophthalmic lenses

A

Have spherical, cylindrical or prismatic value

CA Optometry Law Exam (4 decks)

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