Scope of Practice

Question 1

You have a patient with Unilateral idiopathic iritis, what are the treatment guildlines for him/her?

Answer 1

Using corticosteroid treatment, follow up in 3days, if worse, Consult. And If not resolved in 3 weeks, refer out. If recurrent with one year, refer out also.

Question 2

You are treating a patient suffering with ocular allergy , if treated with topical steroids, following the third week, patient got worse, you should then ….

Answer 2

Consult

Question 3

If your patient came in with recurrent episcleritis , you should then…..

Answer 3

Consult

Question 4

Which conditions you shall consult with an ophthalmologist if it got worse within 72 hours treating with corticosteroids ???

Answer 4

1-Unilateral nonrecurrent nongranulomatous idiopathic iritis
2-Episcleritis,
3-Peripheral corneal inflammatory keratitis, excluding Moorens and Terriens diseases,
4-Traumatic iritis,

Question 5

If after 3 weeks, your 19 yr old patient with idiopathic iritis, is not healed, your next step is…,

Answer 5

Consult

Question 6

The Patient with idiopathic Iritis has been on medication for 6 weeks already , it’s time to ….

Answer 6

Refer out

Question 7

Your patient’s viral keratitis has not been resolving following up after 3 weeks, what you should do next?

Answer 7

Shall refer to ophthalmologist

Question 8

You are treating patient with viral keratitis with anti-virals and condition is not improved in 7 days, what the next treatment plan

Answer 8

Shall refer to ophthalmologist

Question 9

Your patient was diagnosed with traumatic iritis last week and he is still on meds, what’s the next treatment plan for him ?

Answer 9

Shall be referred

Question 10

Your returning patient has the same diagnoses as last year , inflammatory keratitis on his right eye, is there anything you should do regarding his treatment plan?

Answer 10

Consult with an ophthalmologist

Question 11

The three conditions that you should refer if not improved within 48 hours are……

Answer 11

1-central corneal ulcer
2-preseptal cellulitis
3-dacryocystitis

Question 12

Your patient with viral conjunctivitis is back after 3 weeks of treatment, if you concluded that is not yet resolved, you should then ….

Answer 12

Shall refer to ophthalmologist

Question 13

Patient diagnosed with varicella zoster viral dermatitis and was treated with anti-viral, after three weeks, condition is not resolved yet, what is the next treatment plan

Answer 13

Refer to ophthalmologist

Question 14

A week after you diagnosed your patient with viral dermatitis, you seeing that it got worse , anything you should do after?

Answer 14

Need to consult with an ophthalmologist

Question 15

After seven days of treating patient with viral conjunctivitis, condition got worse, what is the next step

Answer 15

Should consult with an ophthalmologist

Question 16

Your diagnosed your 15yr old patient with unilateral nongranulomatous idiopathic iritis, how do you treat.

Answer 16

We don’t . We should refer this patient cause not 18 and over.

Question 17

you patient with pain is back after 3 days and wants you to write another prescription for Vicodin, should you write another?

Answer 17

No, Shall refer to ophthalmologist

Question 18

Your pediatric patients, 11yrs and under ( under 12yrs old) shall be referred out if they are diagnosed with which three type of conditions?

Answer 18

infection of the lacrimal gland, the lacrimal drainage system, and the sclera

Question 19

If a patient has an inflammation a month following her cataract surgery, you should then

Answer 19

Refer out or consult if co-managing with physician

Question 20

Your pediatric patient was diagnosed with open angle glaucoma , what are the guildlines?

Answer 20

We refer out , we only treat if over age of 18

Question 21

We are held to the same standard of care as we treat and diagnose eye diseases as …..

Answer 21

Other physicians and surgeons and osteopathic physicians and surgeons are held

Question 22

You are only limited to treat which type of Glaucoma conditions?

Answer 22

• All open angle glaucoma
• Pigmentory
• Exfoliation
• steroid induced glaucoma ( new law)

Question 23

Your patient is having a acute attack of angle closure, what you shall do before you refer out the patient?

Answer 23

Stabilize if possible

Question 24

You diagnosed your patient with episcleritis , what are the treatment guidelines?

Answer 24

If conditions gets worse after 72hrs ( 3days), or didn’t resolve in 3 weeks , Consult .
And if pt still taking meds for 6 weeks, refer

Question 25

If patient has been diagnosed with peripheral corneal ulcers, You can only consult your treatment plan if the location of the ulcer …..

Answer 25

Lies outside the central 5mm diameter of the cornea

Question 26

In order to avoid negligence an OD shall do what if diagnoses a patient with metal foreign body in his eye?

Answer 26

Must order CT or B-scan of the orbit or ultrasonographic biomicroscopy in order to avoid missing the diagnoses of an intraocular foreign body.

Question 27

In order to remove a foreign body, you need to be certain that the foreign body is …

Answer 27

Nonperforating and no deeper than mid-stroma.
And cannot use scalpel to remove the foreign body.
You can use needle ( new law)

Question 28

Your patients needs punctual occlusion for her treatment of dry eye, what can a licensed OD use to occlude her puncta?

Answer 28

ODs permitted to use only plugs, dissolvable or permanent as far as odyssey parasol plugs or form fit hydrogel and other types..

Question 29

Before removing sutures, an OD needs to what prior ?

Answer 29

consult with the treating physician .

Question 30

In order for a licensed OD to practice telemedicine, should obtains what from patient prior.?

Answer 30

Proper verbal and informed consent and with strict confidentiality

Question 31

The only time you need to refer patient with episcleritis is

Answer 31

When patient is still in meds for 6 weeks

Question 32

can OD do lacrimal irrigation and dilation on 12yr old patient?

Answer 32

No

Over 12 yrs of age shall refer out

Question 33

A 10 yrs old patient has been diagnosed with dacryocystitis , what are the guidelines for treatment.?

Answer 33

Shall refer out

Pt is under 12yrs old

Question 34

The only time you refer a glaucoma pt is

Answer 34

• when pt is over 18yrs if age
• secondary glaucoma
• if requested by patient
• angle closure develops

Question 35

Developing treatment plan for diabetic patient with glaucoma, an OD has to ….

Answer 35

Shall consult with his/her physician and inform in writing any changes in glaucoma meds