COT Preview Flashcards

1
Q

What is not important when documenting the history of an ocular injury?
A. How the injury occurred
B. Presence of others when the injury occurred
C. The time the injury occurred
D. Treatment received since the injury occurred

History and Documentation 3%

A

B. Presence of others when the injury occurred

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2
Q

Dynamic visual acuity refers to
A. acuity measured in a controlled medical office setting
B. kinetic or moving vision
C. contrast sensitivity acuity
D. pinhole acuity

Visual Assessment 7%

A

B. kinetic or moving vision

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3
Q

Homonymous congrous visual field defects with macular sparing are located in what part of the visual pathway?
A. Occipital cortex
B. Optic chiasm
C. Optic nerve
D. Optic radiation

Visual Field Testing 3%

A

A. Occipital cortex

The fact that it is macular sparing doesn’t matter.

The fact that it is homonymous (same sided) means that it must be BEHIND the optic chiasm. The optic nerve is in front of the optic chiasm. If the problem was in the optic radiations, the defect would not be congrous, meaning equal in size and shape.

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4
Q

The presence of an iris sphinctor muscle defect may be caused by
A. damage to the iris sphinctor muscle
B. symmetric damage to the afferent visual system
C. asymmetric cataracts
D. optic nerve disease

Pupil Assessment 4%

A

D. optic nerve disease

An RAPD tells us that the nerves aren’t receiving light equally.

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5
Q

Intraocular pressure is highest during the
A. morning
B. afternoon
C. early evening
D. late evening

Tonometry 4%

A

A. morning

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6
Q

If the K value of a patient being fir for RGP contact lenses is recorded as 43.50/44.50, the BC of CL fit “on K” would be which of the following?
A. 43.50
B. 44.00
C. 44.50
D. 45.00

Keratometry 3%

A

A. 43.50

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7
Q

During alternate cover testing, the right eye moves downward as the cover is switched to the left eye. The deviation is measued using
A. base down prism over the left eye
B. base down prism over the right eye
C. base up prism over the left eye
D. base up prism over the right eye

Ocular Motility Testing 6%

A

B. base down prism over the right eye

Point the apex in the direction of the deviation. Hyper= BD & apex up

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8
Q

A lens formula of +2.00-3.00x90 What is the power at 90 degrees and 180 degrees?
A. +2.00 and -1.00
B. +2.00 and -3.00
C. +5.00 and +3.00
D. -1.00 and +2.00

Lensometry 3%

A

A. +2.00 and -1.00

optical cross

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9
Q

The astigmatic clock has black lines intersecting at a common point with the end separated by
A. 20 degree of 5 degree intervals
B. 30 degree or 10 degree intervals
C. 40 degree or 15 degree intervals
D. 50 degree or 20 degree intervals

Refraction, Retinoscopy, and Refinement 5%

A

B. 30 degree or 10 degree intervals

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10
Q

Ultrasound machines have a large number of switches and dials, however what is the only change made during an average examination using the B-scan?
A. Sound intensity
B. LCD display
C. Pulse controls
D. Transducer

Biometry 5%

A

A. Sound intensity

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11
Q

The electroretinogram (ERG) tests the function of
A. cones
B. rods
C. rods and cones
D. RPE cells

Supplemental Testing 2%

A

C. rods and cones

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12
Q

A sample of discharge or tissue cells obtained by scraping is a
A. smudge
B. fragment
C. smear
D. specimen

Microbiology 3%

A

C. smear

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13
Q

The type of drug that stimulates the effect of acetylcholine is a
A. parasympatholytic
B. parasympathomimetic
C. sympatholytic
D. sympathomimetic

Pharmacology 3%

A

B. parasympathomimetic

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14
Q

A retrobulbar injection places medication into the
A. bulbar conjunctiva
B. conjunctiva
C. eyeball
D. muscle cone

Surgical Assisting 6%

A

D. muscle cone

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15
Q

Which type of lens eliminates distortion found at the edge of the field in hand and stand readers?
A. Aspheric lens
B. Convex lens
C. Keeler lens
D. Hruby lens

Ophthalmic Patient Services and Education 12%

A

A. Aspheric lens

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16
Q

A patient with which of the following color vision disorders has a severe difficulty seeing red light?
A. Protanopia
B. Protanomaly
C. Deuteranopia
D. Deuteranomaly

General Medical Knowledge 5%

A

A. Protanopia

17
Q

A +12 D lens is designated as a magnifier of which power?
A. 2x
B. 3x
C. 4x
D. 5x

Optics and Spectacles 5%

A

B. 3x

18
Q

Contact lens warpage should be checked with a
A. lensmeter
B. shadowgraph
C. slit lamp
D. rasiuscope

Contact Lenses 5%

A

D. rasiuscope

19
Q

When a sound wave travels from one medium to another an echo is produced by
A. frequency
B. acoustic impedance
C. optical density
D. gain setting

Ophthalmic Imaging 7%

A

B. acoustic impedance

20
Q

Specular microscopy images are used to
A. identify bacteria
B. identify retinal abnormalities
C. measure corneal endothelial cell density
D. measure corneal thickness

Photography and VIdeography 6%

A

C. measure corneal endothelial cell density

21
Q

The forehead and cheek rests on the phoropter are cleanded
A. after each patient with liquid detergent
B. periodically with a 1:10 dilution of liquid bleach
C. with soap and water, soaked in alcohol, or boiled in water
D. after each patient by a sterilization process only

Equipment Maintenance and Repair 1%

A

C. with soap and water, soaked in alcohol, or boiled in water

22
Q

What fundamental issue enhances patient trust and partnership while aiding patients to understand their disease?
A. Informed consent
B. Cultural beliefs
C. Honest patient communication
D. Proper communication

Medical Ethics, Legal, and Regulatory Issues 2%

A

C. Honest patient communication