COA

Question 1

4 Serious Eye Conditions

Answer 1

1. Glaucoma
2. Cataracts
3. Macular degeneration
4. Retinal Detachment

Question 2

4 Allergic Responses

Answer 2

1. skin rash
2. itchy
3. rapid/weak pulse
4. difficulty breathing

Question 3

11 FH conditions

Answer 3

1. Glaucoma
2. Migraines
3. Color blindness
4. Diabetes
5. Retinitis Pigmentosa
6. Nystagmus
7. Retinoblastoma
8. Keratonocus
9. Marfan’s Syndrome
10. Stargardt’s disease
11. Sickle Cell Anemia

Question 4

1 meter

Answer 4

3.28 feet

Question 5

Anopsia

Answer 5

Amblyopia

Question 6

Define Amblyopia in 3 parts

Answer 6

1. “lazy eye,”
2. reduced vision in one eye that cannot be fully corrected with glasses
3. from abnormal visual development during childhood.

Question 7

LP w/ Proj

Answer 7

1. supronasal
2. suprotemporal
3. inferonasal
4. inferotemporal

Question 8

When kids follow light?

Answer 8

3 mo

Question 9

When kids reach for toys?

Answer 9

4-6 mo

Question 10

Kids fixates centrally

Answer 10

Grossly NL

Question 11

kid with eccentric but steady gaze

Answer 11

Probably <NL

Question 12

Name 5 Picture Charts

Answer 12

1. Allen Picture Chart (images)
2. Landolt’s Broken Ring Test
3. Tumbling E
4. Sheridan-Gardiner Test (letter matching, NVA, DVA, 10’ and 20’)
5. Teller Acuity Chart (infant and preverbal)

Question 13

What is Sheridan Gardiner Test and how far can you use it?

Answer 13

letter matching, NVA, DVA, 10’ and 20’

Question 14

4 facts about PAM

Answer 14

1. Potential Acuitty Meter
2. for anterior and posterior segment disease.
3. To check if macula is healthy, and if poor VA is d/t cat.
4. Snellen chart illuminated through 0.1mm opening.

Question 15

Fovea

Answer 15

point of fixation

Question 16

Define Absolute Scotoma and give one example

Answer 16

no light whatsoever.
ex: optic nerver

Question 17

Relative scotoma

Answer 17

diminished light perception

Question 18

Confrontation Field types and degrees

Answer 18

1. Kinetic vs Static
2. 120’ overlap, 35’ mono, 170’ blind

Question 19

2 facts and 3 questions for Amsler

Answer 19

1. central 20’ VF
2. 12-14”
3. all lines there? all straight? missing/wavy/double/distorted?

Question 20

Three sources of VF error?

Answer 20

1. False Positive
2. False Negative
3. Fixation Loss

Question 21

Define False Positive Error in VF

Answer 21

pretends to shine but doesn’t shine

Question 22

Define False Negative in VF

Answer 22

bright light but no response

Question 23

3 characteristics of VF Stimulus

Answer 23

1. size
2. intensity
3. color

Question 24

3 Fixation Targets

Answer 24

1. central
2. large diamond (paracentral)
3. small (paracentral)

Question 25

Neurologic VF defects

Answer 25

vertical

Question 26

Retinal VF defects

Answer 26

horizontal

Question 27

What's threshold?

Answer 27

mx level (intensity) of stimulus that can be seen 50% of times

Question 28

3 aspects of Normal Pupil

Answer 28

1. constrict equally 2. w/in 1mm 3. hippus

Question 29

4 reasons pupil is abnormal

Answer 29

1. irregular 2. initial dilation 3. >1mm 4. diff constriction

Question 30

Near Reflect Triad

Answer 30

1. accommodation 2. convergence 3. pupillary constriction

Question 31

Third Nerve Palsy (3 points)

Answer 31

1. worse with bright light 2. ptosis with large pupil 3. maybe dysmotility

Question 32

Anisocoria

Answer 32

when one of your pupils is bigger than the other.

Question 33

Horner's

Answer 33

1. worse with dim light 2. ptosis with small pupil 3. heterochromia if congenital

Question 34

Adie's pupil

Answer 34

1. no ptosis 2. maybe anisocoria

Question 35

Siderosis Bulbi

Answer 35

dark iris d/t foreign iron body

Question 36

other cause of pupil abnormality

Answer 36

1. trauma 2. physiologic 3. synechia

Question 37

PERRLA

Answer 37

pupils equal round respond to light accommodate

Question 38

Another name for RAPD

Answer 38

Marcus Gunn Pupil

Question 39

Three groups of RAPD reasons (3, 6, 1 w/ 2 specific ex)

Answer 39

1 unilateral optic neuropathies 2. ischemic/traumatic optic neuritis 3. optic nerve tumors 1. CRVO 2. CRAO 3. BRVO 4. BRAO 5. Retinal Detachment 6. Severe macular degeneration (20/400) 1. Retinal Infections - herpes -cytomegalovirus

Question 40

how to clean tonopen?

Answer 40

use optical quality gas to take away powder

Question 41

how often calibrate tonopen

Answer 41

every 3 mo at 0,20,60