B&P Flashcards
Can an OD charge for dispensing TPA’s if not prescribed?
No, it shall be at no charge
Are antiamoebics included in the practice of optometry?
No
Are antiamoebics included in the practice of optometry?
No
True or false
OD can treat a patient under 18 with non-malignant ocular surface disease
True
Can an OD treat anterior segment inflammation if the patient is under 18 years old?
No, it is excluded.
Schedule I drugs
High abuse, no known medical use, lack of safety
Schedule II drugs
High abuse, some medical use, high risk dependency
Schedule III drugs
Lower abuse, medical use, and moderate dependency risk
Schedule IV drugs
Limited abuse, high medical use, limited dependency risk
Schedule IV drugs
Limited abuse, high medical use, limited dependency risk
Schedule V drugs
Minor problems, may be available without an Rx
Which drug schedule drugs must be on tamper-resistant Rx forms?
Schedules II, III & IV
All prescriptions for medications must be issued electronically unless?
Device malfunction or unavailable
Out-of state pharmacy
Preferred pharmacy closed
** Dr must document failure to transmit
Failure to use or lack of proficiency in using instruments for exam. Also failure to make careful record of findings
Professional inefficiency
Extreme departure from ordinary standards of conduct
Gross negligence
What is considered Repeated negligent acts or omissions
2 or more breach of standards of practice
Lack of knowledge or ability in discharging professional obligations
Incompetence
An OD must keep patient records for a minimum of ____ years from date of treatment is completed for an adult
7 years
For a minor how long does an OD need to keep patient records?
Minimum of 7 years or until patient reaches age 19
HMO MediCal records to be retained for how long?
10 years from date of service, audit or last date of contract
Civil penalty for altering or modifying medical records
$500
What are the minimum specifications for prescription for ophthalmic lenses?
- Name of patient
- Doctor signature, address, telephone number
- Issue date, Expiration date
- Specifications for GL—>
- Lens power
- Add
- PD
- Prism
- material
Expiration date for spectacle lenses
2-4 years
If expired Rx may be filled in case of loss/damage
CL expiration date?
1-2 years, no less than 1 year from issue date
Expiration date not less than re-exam date
Mail order firms
Dr must respond within?
1 day or 2pm of next business day
Can a TPA certified OD perform corneal scraping with cultures?
Yes
True or false
OD can perform corneal debridement
True
Patient with central corneal ulcer, no improvement within 48 hours, what next?
Refer to OMD
Worsening Dacryoadenitis, no improvement within ____ hours, refer to OMD
48 hours
Conditions if no improvement within 48 hours refer to OMD
- Central corneal ulcer
- Dacryoadentitis (infection of the lacrimal gland)
- Preseptal cellulitis
- Adnexal infections
Refer or consult?
Patient on class III oral narcotic with persistent pain after 72 hours
Refer
** class III = lower abuse, medical use, moderate dependency risk
Refer or consult?
Idiopathic iritis worsening after 72 hours of initial treatment
Consult
Conditions if worse after 72 hours, CONSULT OMD
Idiopathic iritis
Episcleritis
Inflammatory keratitis
Traumatic iritis
Patient with HSV keratitis, worse after 1 week
What next?
Consult OMD
If dermatitis worsens after 1 week, what’s next?
Consult
Conditions, If not resolved after 3 weeks, consult
Idiopathic iritis
Episcleritis
Allergic conjunctivitis (on anti-allergy)
Refer or consult?
If reoccurrence within 1 year for Episcleritis and inflammatory keratitis
Consult
If still on meds after 1 year, refer
Idiopathic iritis
Limitations of debridement of corneal epithelium
Not associated with band keratopathy
How can an OD treat sebaceous cyst?
By expression
Removal of corneal FB limitations
Non-perforating, no deeper than mid-stroma and not reasonably anticipated to require surgical repair
OD can perform lacrimal irrigation and dilation in patients aged ___?
12 years of age and older
** excluding probing of the naso lacrimal tract (at any age for that matter)
True or false
OD can probe nasolacrimal tract
FALSE!!
cannot perform on any patients at any age
Can an OD perform FA injection?
Yes, under OMD for fluorescein angiography
What devices can ODs use to heat and massage MGs? (To unclog them in tx of dry eyes)
LipiFlow
TearCare
iLux
OD can Rx oral analgesic for a maximum of __ days with referral to OMD
3 days max
WITH referral to OMD if pain persists
An OD TPA and glaucoma certified can treat what types of glaucoma?
Primary open angle glaucoma (POAG)
Exfoliation syndrome (XF)
Pigment Dispersion syndrome (PDS)
Steroid-induced glaucoma
An OD TPA and glaucoma certified using/rx topical and oral anti glaucoma meds can treat?
Primary open angle glaucoma (POAG)
Exfoliation syndrome (XF)
Pigment Dispersion syndrome (PDS)
Steroid-induced glaucoma
Shatter resistant lenses include?
*lenses that don’t break easily
- heat treated
- chemically treated
- laminated glass
- resin lenses (CR 39)
An OD cannot provide glasses that aren’t shatter-resistant or non-flammable to patients who are?
One-eyed
Law enforcement
Firefighters
Minors (under age 18)
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
True
True or false
A license cannot be denied solely on the basis of felony conviction if applicant has certificate of rehabilitation
True
True or false
Board may suspend or revoke license for not in compliance with a child support order or judgement
TRUE
What is anti-kickback and fee-splitting?
Unlawful to offer, deliver, receive or accept any rebate, refund, commission, preference of discount as compensation for referring patients
Violations of rebates for patient referrals can lead to?
Public offense, punishable by imprisonment for not more than 1 year or fine up to 10k or both
Federal stark law against self-referrals
Unlawful to refer to immediate family members that are health care providers
Immediate family members include
Spouse
Child
Parents
Spouses of children
True or false
Referral in which licensee has financial interest is never permitted
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
What is the definition of significant financial interest?
$5,000 or 5% of the whole
True or false
Advertising can include NBEO certification
False
Can only include certification by board of association regained by state board of optometry such as ABO
Can affiliation with hospitals or clinics be included in advertisement?
Yes
True or false
A bona fide mistake is considered a defense
True
A mistake made in good faith is considered a defense
True or false
Law allows OD to lease space from an optician (ex: LensCrafters) or health plan
True
True or false
Lease term can be less than one year for OD leasing a space from an optician
FLASE
Lease term CANNOT be less than one year and cannot be terminated for a reason that interferes with practice of optometry
True or false
OD is free to contract with a health plan of their choice
True
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.
30 days
$3,000
Clerk of a court in which licensee is convicted of a crime must notify the applicable board within ___ hours
48 hours (2 days)
Patient with central corneal ulcer shows no improvement within 48 hours what do you do?
Refer to OMD
True or false
TPA certified OD can treat malignant conditions and disease of the anterior segment and adnexa
FALSE
Can treat NON- maligant
What does adnexa refer to?
Eyelids
Muscles within eyelids
Lacrimal system (gland and drainage)
Skin (eyebrows to orbital rims, excluding intraorbital muscles and orbital contents)
OD prescribing oral analgesic controlled substances are limited to ____ days and requires?
3 DAYS and requires referral to an OMD if pain persists
What requirements must an OD have to prescribe hydrocodone combination products?
DEA number
Register with CA DOJ, PDMP or CURES
OD TPA and glaucoma certified can prescribe topical and oral anti-glaucoma agents to treat which types of glaucoma?
All POAG
Exfoliation
Pigmentary
Steroid induced
*** in patients 18 years and older
Refer or consult
If reoccurrence within 1 year for idiopathic iritis
Refer
Consult or refer
Patient with dacryoadenitis shows no improvement within 48 hours
REFER
Consult or Refer
Patient on class III oral narcotic and pain persists longer than 72 hours (3 days)
REFER
(Recall OD can only Rx for 3 days and just refer to OMD)
Refer or Consult
Patient with idiopathic iritis still on meds after 6 weeks
REFER
Consult or Refer
Patient with herpes simplex keratitis that has not improved in 1 week
REFER
Consult or refer
Patient with inflammatory keratitis that is getting worse after 72 hours
CONSULT
Refer or Consult
Patient with inflammatory keratitis that reoccurs within a year
CONSULT
Licensed OD shall provide to each patient that makes a payment to the practice, excluding insurance co-payments and deductibles with what information?
- OD’s name and license number
- Place of practice address
- Description of goods and services provided and amount charged
Misdemeanor to sell equipment for more than $___ to unlicensed person
More than $100
Complaints filed with SBO must be acknowledged in ___ days
10 days
Notification of change of address
Licensee must notify board of any changes in mailing address within ____ days after change
30 days
True or false
It is a felony to engage in impersonation during licensing exams
True
It’s a felony that is punishable by a fine of $2,000 to $6,000 or imprisonment in state prison
True or false
Board may cite or fine a licensed OD if they are in default on a education or health education assistance loan
True
* or they may deny renewal until default is cleared or repayment arrangements are made
Excessive prescribing, excessive treatment or diagnostic procedures is deemed?
Unprofessional conduct
Aids or abets substance abuse in workplace shall be guilt of?
Unprofessional conduct and subjected to a suspension or revocation of license
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
5 years
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 ____
Over $3,000
Punishable by a fine of $5,000 years to $50,000
Submitting false or fraudulent claim for payment is considered?
Unprofessional conduct
True or false
Ophthalmology Physician and surgeon may be employed by an optometric/ optometrist corportiaon
TRUE
Definition of prescription lens
Any device that alters or changes the visual powers of human eye or any plano contact lens
True or false
OD must orally inform patient of expiration date
True, must verbally tell patient when Rx will expire
Duties of RDO
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
True or false
An assistant can prescribe glasses or contact lenses
FALSE
They may not prescribe GL or CL
RDO must be registered with?
State board of optometry
It’s unlawful for an RDO to do what?
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
True or false
There is no prohibition against the sale of Plano goggles, sunglasses, colored lenses or occupational protective eyewear
True
Can an RD fit and adjust spectacle lenses?
Yes
true or false
Tech or assistant can fit CL
False
They must be under direct supervision of OMD/ OD
Definition of ophthalmic lenses
Have spherical, cylindrical or prismatic value
