COA Flashcards - ATP
The most common method of sterilizing instruments is ______.
Steam Sterilization
Name the two types of anatomical scrubs
Timed and counted
A safety precaution when lasers are being used is wearing appropriate ______ ______.
Eye Protection
Name the four shapes of needle points
Taper, cutting, reverse cutting and spatula
When performing a proper site identification, what two things must be identified?
Correct patient and correct side
The YAG laser is a ______ type of laser and uses pulses of energy.
Cold
What is the method of choice in sterilizing intraocular lens implants?
Ethylene Oxide
Name the two main classified sections of most ophthalmic surgical procedures.
Intraocular and Extraocular
Gross evaluation of the patient’s peripheral vision can be accomplished with ______ visual field testing.
Confrontation
The ______ visual field test compares the boundaries of the patient’s visual field with that of the examiner.
Confrontation
The Amsler grid test determines the presence and location of defects in the _______ portion of the visual field.
Central
During Amsler grid testing the patient should be instructed to view the grid through his or her ______ correction.
near
Because there are no rods or cones in the optic nerve head a ______ blind spot is created in the normal visual field.
Physiologic
A defect in the patient’s superior temporal retina, will affect the patient’s ______ field of vision.
Inferior nasal
The two basic methods employed to map the field of vision are ______ and _______.
Kinetic, static
A localized area of reduced sensitivity in a visual field that is surrounded by an area of greater sensitivity is termed a _______.
Scotoma
During visual field testing the decibel is the unit utilized to indicate the ______ of the test object.
Brightness
A visual field defect occupying the right or left half of the visual field is termed a ________.
Hemianopia
A presbyopic patient’s near add should be used in testing the central _______ degrees of the visual field
Thirty (30)
The presence of ptosis can result in a ______ visual field defect.
Superior
A pupil diameter of less than ______ can produce a contraction of the visual field.
2 to 2.5 mm
Normal peripheral limits of the visual field are ______ degrees nasally, ______ degrees superiorly, ______ degrees inferiorly and ______ degrees temporally.
60, 60, 70, 90
In the grayscale printout of an automated perimeter the lighter area corresponds to ______ levels of illumination being seen by the patient.
Dim
The visual acuity notation 20/200 indicates the patient could see the 200 optotype at ______ feet.
Twenty (20)
If the patient perceives light and can indicate the source direction, the vision is recorded as ______.
Light perception with projection (LPw/P)
The distance of 20 feet is used in visual acuity assessment because it approximates ______.
Optical infinity
The pinhole acuity test is used to confirm whether a ______ ______ is the cause of a decrease in visual acuity.
Refractive error
Jaeger notation, the point system and the Snellen M Unit are units of measure used in recording ______ visual acuity.
Near
In visual assessment the acronym PAM represents the principal testing device known as the ______.
Potential acuity meter
The ability of human vision to discern shapes by their relative lightness and darkness is termed ______.
Contrast sensitivity
During visual acuity assessment the patient is able to clearly read the 20/20 line but misses one letter, the acuity is recorded as _____.
20/20 -1
Why is it important to observe the patient during visual acuity testing?
To ensure proper occlusion
While assessing visual acuity the assistant notes the patient consistently misses the optotype on the temporal side of the chart, indicating a possible ______.
Visual field defect
In visual acuity assessment the brightness acuity tester (BAT) is used to evaluate ______ when there are opacities in the ocular media.
Glare
In patients with nystagmus visual acuity often improves dramatically when vision is assessed ______.
Binocularly
At what distance are adult near visual acuity charts designed to be read?
14-16 inches from the eye
Normal visual acuity in a two-month old infant may be estimated by?
Fixation
Name the nine components of the ophthalmic history.
Chief complaint, present illness, past ocular history, ocular medications, general medical & surgical history, systemic medications, allergies, social history and family history
Why is it important to specifically ask a patient about the medications they are taking?
Because certain medications may affect the eyes
What is the proper response to a patient’s request from the ophthalmic technician for medical advice or a diagnosis?
Refer the patient to the ophthalmologist
What is the term used for the reason for the patient’s visit?
Chief complaint
What elements are important in social history taking?
Smoking, alcohol and drug use
Prior use of topical ocular pharmaceutical agents is part of a patient’s ______.
Past ocular history
Pertinent family history of a patient should include which relatives?
Parents, grandparents, and genetic siblings
A patient describing an experience of getting hives after taking sulfa drugs is providing information about _____.
An allergic reaction
What is the term for the specific, rhythmic dilating, and contracting pupillary movements during pupil function testing?
Hippus
What is the name of the test used for detecting a relative afferent pupillary defect?
Swinging flashlight test
Which muscle of the iris constricts in bright light?
Sphincter
What is pupil dilation termed?
Mydriasis
What is the name of the test to determine the correct myopic correction using red/green filter on the projector?
Duochrome test
What is another reference or starting point for refracting a patient who has a poor retinoscopy reflex?
Keratometry
What normally determines the strength of an add power for near correction?
The age of the patient
What type of refractometry is indicated for children with accommodative esotropia or patients who have latent hyperopia?
Cycloplegic
What is the distance from the back surface of a lens to the front surface of the eye called?
Vertex distance
In what order should refinement of a refraction be performed?
Sphere, axis, then power of the cylinder
What accessory phoropter lens is utilized to refine cylinder axis and power?
Jackson Cross
Name the two methods of refractometry?
Objective and Subjective
In refractometry, the ______ method requires the patient to give answers to the examiner.
Subjective
When is the spherical equivalent best used in a spectacle Rx?
If a patient is an adult who has never worn glasses and requires a large astigmatic correction
Define refractometry.
The measurement of the refractive error of an eye.
What is the name of the instrument that houses various lenses to determine the refractive error of an eye?
Phoropter
What is an important factor when preparing a patient for refraction?
The refractionist must explain to the patient to choose the lens that provides the clearest vision.
What is a common mistake made by the refractionist?
Moving or flipping the lenses too quickly for the patient
What are three appropriate starting points for refracting a patient?
Retinoscopy, autorefractometry, or a patient’s current spectacle Rx
______ photography documents the posterior segment of the eye.
Fundus
______ devices create three dimensional digital images of the optic nerve, and retina.
Tomography
Three of the most common tomographic image devices are ______, _______ and ______ damage.
OCT - optical coherence tomography, HRT - heidelberg retinal tomography, and GDx scanner laser polorimeter
The data provided by tomographic devices are useful in evaluating progressive ______ and ______ damage.
Optic nerve and retinal nerve fiber layer
Ophthalmic photography serves to ______ and ______ ophthalmic conditions.
Document and diagnose
In fundus photography, when the camera is too far from the eye, a ______ ______ will form around the image.
Blue-grey halo
“Diagnostic” or “standardized” ______ are performed for quantitative evaluations of a tissue’s structure, reflectivity and sound absorption.
A-scan
______ photography is used to photograph the anterior segment of the eye.
Slit-Lamp
Specular photomicrography is a method of evaluating the ______ surface of the cornea.
Endothelial
The absence of a lens in an eye is called ______.
Aphakia
The presence of an intraocular lens (IOL) is called ______.
Pseudophakia
______ is a chronic inflammation of the eye lid margin.
Blepharitis
Name the retinal receptors that function best in dim lighting, number about 125 million and are found in the periphery of the retina.
Rods
Name the retinal receptors that are responsible for color vision, number about 6 million and are found in the macula.
Cones
Conjunctivitis may be ______, ______, or ______.
Allergic, viral, bacterial
Sudden painless vision loss, which may continue to deteriorate over a few days, and may not recover is known as ______ ______ _______.
Ischemic Optic Neuropathy
Forward displacement of the eye in its bony socket causing the eye to bulge forward is termed ______.
Proptosis/exophthalmus
The cornea provides approximately ______ of the refractive power of the eye.
2/3
Which layer of the cornea is the thickest?
The Stroma
What type of patch should not be used on a patient with a lacerated globe?
A pressure patch
When long waiting time occur in the office what is the ophthalmic medical assistant’s responsibility?
To communicate with the patient and keep them informed in a sensitive manner
What can be used to immobilize an infant for an ophthalmic examination?
A papoose board
______ is an irritation or inflammation of the conjunctiva.
Conjunctivitis
What type of glaucoma constitutes an ocular emergency?
Acute Angle-Closure Glaucoma
Protocols for pressure patching or shields require that the adhesive tape must be applied from the a. ______ to the b. ______.
a. bridge of nose, b. ear lobe
What is the minimum thickness of safety lenses?
3.0 mm
What is the name of the important screening process used in emergencies to determine a patient’s ocular needs?
Triage
What is a hemorrhage confined to the anterior chamber termed?
Hyphema
Blockage of the central retinal artery by an embolus, which stops blood flow and causes acute loss of vision and a cherry red spot in the retina, is termed?
CRAO (Central Retina Artery Occlusion)
What is the visual symptom, and its cause, often experienced by diabetic patients during episodes of increased blood sugar?
Blurred vision caused by temporary myopia or hyperopia due to changes in the refractive index (R.I.) of the crystalline lens (myopic shift = when the R.I. increases; and hyperopic shift = when the R.I. decreases)
What instructions would be given over the phone to a patient who had splashed a chemical into the eyes?
Immediately flush the eyes with eater for 15-20 minutes and then report to the ER or ophthalmologist’s office
The most common type of glaucoma is ______.
Primary Open Angle Glaucoma (POAG)
Aqueous drains out of the ye through this net-like structure.
Trabecular Meshwork