Intro To Patient Care

Question 1

What are the 3 goals of patient care?

Answer 1

Reduce the patient’s symptoms (Chief complaint)
Prevent, cure, delay different disease processes
Preserve life and vision

Question 2

What are the 4 types of exams? Which are problem oriented?

Answer 2

Comprehensive exams

Problem oriented:
Consultation/Referral
Follow up exams
Emergency exams

Question 3

What do we assess during a comprehensive eye exam?

Answer 3

Refractive error (Myopia, hyperopia, astigmatism, presbyopia)
Binocular function and accommodation (Convergency insufficiency, accommodative insufficiency,
strabismus, ocular motor disfunction)
Ocular health (Dry eye, cataracts, macular degeneration, glaucoma, diabetic retinopathy)

Question 4

What do we assess during a problem oriented exam?

Answer 4

Select tests to properly assess the chief complaint

Question 5

What are the 5 steps to addressing a patient’s chief complaint/performing an eye exam?

Answer 5

1. Observe patient behaviors
2. Construct hypothesis
3. Gather data by performing and ordering appropriate examination procedures
4. Analyze data and make decisions
5. Communicate results

Question 6

What are 4 observations that we can make about a patient before and during an eye exam?

Answer 6

Gait and balance
Symmetry of face and body
Patient assessment of symptoms
Patient understanding of conditions

Question 7

What is a differential diagnosis? What step of the eye exam can this aid in?

Answer 7

List of possible diagnosis related to signs and symptoms
Clinical hypothesis

Question 8

What 5 areas can we gather data on regarding our patient?

Answer 8

Vision
Binocularity
Ocular Health
Systemic health
Health literacy

Question 9

What are the four steps used to analyze the data we collect during an eye exam?

Answer 9

1. Use clinical norms to assess clinical data
   a. Must know norms or what is expected for all tests
   performed
2. Interpret diagnostic testing
3. Correlate back to the patient’s chief complaint
4. Determine final diagnosis from list of differential diagnosis

Question 10

What is the key aspect of an eye exam?

Answer 10

Commmunication

Question 11

What are 5 pieces of information that must be communicated during an eye exam?

Answer 11

Purpose of tests you are performing
Directions during test
Results of each test
Diagnosis and management plan
Communicate with other providers as indicated