COA test Flashcards
What is the most common cause of blurred vision
A refractive error, which is a non-pathologic deficiency in the eyes optical system
what is the term used for the reason for the patients visit
Chief complaint
Define “presbyopia”
a gradual decrease in accommodation due to a physiologic change that becomes noticeable about the age of 40 years. (Difficulty reading)
Recent onset of light flashes and floaters is an example of an ocular ***
urgency
mild ocular irritation, itching and burning are patient complaints that would be handled as *** situation
Routine
what systemic disease is important to note in the family medical history in African Americans
Sickle cell
what ocular disease is important to note in the family ophthalmic history of African Americans
Glaucoma
What elements are important in social history taking
Smoking, Alcohol and drug use
the important screening process used in emergencies to determine a patients ocular needs is called
triage
what information is obtained from a patient with a headache as the chief complaint
Family history, onset and duration, location(which area of head), severity. associated symptoms, what brings relief of headache
what medications are used as topical anesthetics
proparacaine or tetracaine
what is the color of bottle caps of mydriatic agents
Red
what is the color of bottle caps of prostaglandin(Glaucoma) agents
Teal
What are the names of three large groups of anti infective agents
antibiotic, antiviral, antifungal
a true allergic reaction to a drug involves what symptoms
itching, rash, difficulty breathing, weak or rapid pulse
what is a sign of sib-conjunctival hemorrhage
blood pooling under the conjunctive
within how many hours should a patient with a retinal detachment be evaluated
24 hrs
what is the most common symptom in age related macular degeneration
loss of central vision
the mannerisms of blind children, such as walking in circles or rubbing their hands are termed
Blindisms
what is the most common cause of blindness in the world
Cataracts
what diagnostic term is used when a patients chief complaints are “tired eyes and fatigue” when describing symptoms
asthenopia
what type of glaucoma presents with the following ocular signs and symptoms: fixed mid-dilated pupil, corneal edema, red eyes, blurry vision, pain
Acute angle closure glaucoma
what are the five principle areas included in the history interview
Chief complaint, ocular history, medical history, family ocular and medical history, allergies
onset and duration of symptoms is included in the patients ***
HPI - history of present illness
what is the common problem that presents with symptoms of floaters and flashing lights
PVD - posterior vitreous detachment
Sudden, painless loss of vision is an example of an ocular ***
emergency
prior use of topical ocular pharmaceutical agents is part of a patients
past ocular history
a history of strabismus surgery at age five should be included in what record
past ocular history
what is the term used to describe the absence of a natural lens
aphakia
pertinent family history of a patient should include which relatives
parents, grandparents and genetic siblings
What should you do if a patient is unable to provide you with the name(s) of the medication(s) he/she is taking
if unknown, have the patient call you office at a later time with the medication information or ask if you may call their physician or pharmacist for clarification
a patient describing an experience of getting hives after taking sulfa drugs is providing information about ***
an allergic reaction
a partially sighted patient can have a best - corrected visual acuity of *** in the better eye
20/60
Legal blindness is defined as
BCVA of 20/200 or worse in the better eye, OR visual field of 20 degrees or less in the better eye
define the abbreviation sc
without correction
while checking a patient’s visual acuity, if the patient is unable to count fingers the examiner should proceed to ***
hand motion detection
What is the term for the spasmodic, rhythmic dilating, and contracting papillary movements during pupil function testing
hippus
Name the black felt perimeter, used for testing the central 30 degrees of peripheral vision
tangent screen
In the 20/20 notation, what does the numerator stand for
distance from patients eye to the chart
what is a distometer used for
caliper for measuring the distance between the back surface of an eyeglass lens and the front of the cornea (vertex distance)
what is anisometropia
unequal refractive errors in the two eyes, usually at least one or two diopters different
If you cannot center the intersection of the thick and thin lines in the lensmeter, the lens has ***
ground in prism
each black ring seen in the eyepiece reticle of the lensmeter measures how much prism
1 D each ring
what is the bausch & lomb trade name for the ophthalmometer
keratometer
What do you do to transpose a spherocylinder lens from plus to minus cylinder form. or from minus to plus cylinder
Algebraically add the sphere and cylinder powers, retain the cylinder power but change the cylinder sign, and change the cylinder axis by 90 degree - less than 90 = add, greater than 90 = subtract
Transpose: +2.00 -2.50 x 90
-0.50 +2.50 x 180
which color vision test consists of pseudo isochromatic plates that determine red-green color anomalies and deficiencies
ishihara
what is the name of the instrument used to measure proptosis or exophthalmos in millimeters
Exophthalmometer
name two ocular disorders in which the exophthalmometer may be used for obtaining measurements
Graves’ (or thyroid eye) disease, and ocular tumor
which refractive error is produced in an unaccommodating eye, when parallel rays focus behind retina
Hyperopia
which refractive error is produced when parallel rays focus in front of retina
Myopia
In which type of mirror does the tip of an object touching the glass, appear to touch its image?
front surface mirror
which test is performed in a patient describing metamorphopsia, straight lines appearing wavy, at near?
Amsler grid
how many degrees of central vision are measured by an amsler grid?
20 degrees - 10 degrees from fixation in every direction
which test measures the amount of tear production?
basic secretion, and Schirmer I and II
how long are the schirmer strips left in place during a tear test?
Five minutes
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
how is anterior chamber depth estimated using a slit lamp
A high thin beam is placed at the limbus at an angle approximately 60 degrees and the distance between the posterior limit of the corneal beam and the anterior limit of the iris beam, is compared with the thickness of the optical section of the cornea
which two ocular structures can touch if the anterior chamber is flat
Iris and cornea
which instrument measures the radius of curvature, or base curve, of a spectacle lens surface in diopters?
Geneva lens clock or measures
Which color defects may be distinguished by the Ishihara test
Rod and green
what is the spherical equivalent of -2.00 +3.00 x 90
-0.50 sphere
Transpose the following into minus cylinder: +3.00 +1.00 x 180
+4.00 -1.00 x 90
what is the first step in performing lensometry or keratometry
focusing the eyepiece
A-scan biometry measures the distance between
internal ocular surface
the chief use of A-Scan biometry is to calculate the desired power an an ***
intraocular lens implant
WHat is the name of the instrument used to measure extensions of the anterior surface of the cornea beyond the lateral orbital rim
exophthalmometer
when the amsler grid is held at the proper distance, and viewed with the distance and near corrections in place, each square subtends an angle of *** degree(s)
one
What is the pupil dilation termed
mydriasis
what is the term used when there is a difference in pupil size
anisocoria
when determining anterior chamber depth using a flashlight test, a shadow on the nasal iris indicates ***
Abnormally shallow anterior chamber (narrow angle)
Ophthalmologist often estimate anterior chamber depth by measuring the angle between a) ** and b) **
a) anterior surface of the iris b) posterior surface of the cornea
the purpose of testing decreased visual acuity with the use of a pinhole serves to differentiate loss of vision between which two possible causes?
refraction error or eye disease
why is it important to observe the patient during visual acuity testing
to ensure proper occulsion
Name at least ONE example of a glare testing device
TVA,BAT(brightness acuity test) or Eye Con
At what distance are adult near visual acuity charts designed to be read at?
12-16 inches from eye
What is indicated if both the thin and wide lines are in focus at the same time while performing lensometry?
the lens is spherical
normal visual acuity in a two month old infant may be estimated by?
Fixate (follow at 3 months)
what is the name of the visual acuity test, for infants and non-verbal children, that uses gratings of vertical black and white stripes
Teller visual acuity
which ocular condition is commonly associated with sjogren syndrome?
Dry eyes (dry mouth is another finding in Sjogren syndrome)
which systemic disease can cause temporary fluctuations in refraction errors?
Diabetes Mellitus (DM)
what bacterium commonly causes contamination of fluorescein solution
pseudomonas acruginosa
name the virus that causes a dendritic pattern of keratitis
Herpes simplex
what is the ideal position for a patient who feels faint?
head lower than the heart
what is the ratio of chest compressions to artificial ventilations in one person adult CPR
30:2
where do you check pulse on an adult CPR patient
neck (carotid pulse)
the heart consists of how many chambers
Four
increased thirst, excessive urine production, and increased hunger and weight loss are characteristics of which endocrine disease?
Diabetic insipidus
which drug, that is included in a crash cart is used to increase the heart rate?
epinephrine
which parts of the eye can be affected by hypertension
vessels supplying retina, choroid and optic nerve
hemorrhage confined to the anterior chamber is termed
Hyphema
which corneal condition can result from proptosis?
Dry eye
name three infectious agents
bacteria, fungus, virus
what term is used when light rays focus on retina without requiring correction?
Emmetropia
How many pigments for vision are present in a normal human retina
Four (red, green, and blue in the cones and rhodopsin the the rods)
which hormone is insufficient in a patient with DM?
insulin
what is the term used to designate a range of procedures used to prevent spread of infectious microbes to and from patients and office personnel?
Aseptic technique