scope of practice Flashcards
What three things would be considered violation of use for evidence of practice of optometry( 3040)
Trial frames, trial lenses, test cards
Unilateral nongranulomatous idiopathic iritis recurring within __ year of the initial occurrence shall be referred to an ophthalmologist
one
Within __ year of intial occurrence an optometrist will consult with an ophthalmologist if a pt. has a recurrent case of peripheral corneal inflammatory keratitis
one
An optometrist shall consult with an ophthalmologist
or appropriate physician and surgeon if a patient has a recurrent case of episcleritis within __ year of the initial occurrence
one
What four diseases can a optometrist use topical or anti-inflammatories for
- Nonrecurrent nongranulomatous idiopathic iritis
- episcleritis
- Peripheral conreal inflammatory keratitis (excluding Moorens and Terriens disease)
- Traumatic iritis
Within __ hrs of diagnosing Nonrecurrent nongranulomatous idiopathic iritis or episcleritis an optometrist must consult with an ophthalmologist or appropriate physician and surgeon if the condition worsens .
72
Within __ hrs of diagnosing Peripheral conreal inflammatory keratitis (exluding Moorens and Terriens disease) an optometrist must consult with an ophthalmologist or appropriate physician and surgeon if the condition worsens .
72
Within __ hrs of diagnosing Traumatic iritis an optometrist must consult with an ophthalmologist or appropriate physician and surgeon if the condition worsens .
72
For _____ an optometrist shall refer the patient to an
ophthalmologist or appropriate physician and surgeon if the patient’s
condition has not resolved __ week
after diagnosis.
Traumatic iritis
within one week
Regarding Glaucoma , an opt shall refer the pt. if requested by pt. T/F
True
If a pt. also has ____ , the
optometrist shall consult with the physician treating the patient’s ___ in
developing the glaucoma
treatment plan and shall inform the physician in writing of any changes in the patient’s glaucoma medication.
diabetes
T/F oral antibiotics may not be prescribed for medical tx of ocular disease
False, oral antibiotics may be prescribed for medical tx of ocular disease
If the patient has been diagnosed with a central
corneal ulcer and the central corneal ulcer
has not improved __ hours after diagnosis, the optometrist shall refer the patient to an ophthalmologist.
48
If the patient has been diagnosed with \_\_\_\_\_\_ or dacryocystitis and the condition has not improved \_\_ hours after diagnosis, the optometrist shall refer the patient to an ophthalmologist
preceptal cellutiits
48 hrs
If the patient has been diagnosed with herpes simplex keratitis or varicella zoster viral keratitis and the patient’s condition has not improved ___ days after diagnosis, the optometrist shall refer the patient
to an ophthalmologist.
seven
If the patient has been diagnosed with herpes
simplex keratitis or varicella zoster viral keratitis and has not resolved
__ weeks after diagnosis, the optometrist shall refer the patient to an ophthalmologist.
three
The use of codeine w/ compounds and hydrocone w/ compounds is limited to ___ days , with referral to an ophthalmologist if the pain persists.
three
T/F Optometrist can perform corneal scraping with cultures
True
T/F a optometrist can not perform mechanical epilation
False, they can
T/F Debridement of corneal epithelia is not be performed by optometrist
False
T/F a optometrist can perform a venipunture for testing patient suspected of having diabetes
True
T/F Optometrist are not allowed to remove sutures with prior consultation with treating physician and surgeon
False
T/F treatment or removal of sebaceous cyst by expression is allowed to be performed by optometrist
True
T/F a optometrist can perform administration of oral fuorescein to pt. suspect of having diabetic ret
True
Corneal foreign bodies shall be non perforating , be no deeper than ___, and require no surgical repair upon removal. Can be removed with appropriate instrument other than __ or ___.
midstroma, scalpel or needle.
- starting Jan 2018 optometrist can use needles
The COA stated that AB 443 allows TPA-certified optometrists to:
–prescribe tramadol for up to 3 days;
–treat hypotrichosis with Latisse (bimatoprost, Allergan);
–give intravenous injection for performing ocular angiography, under a supervision protocol;
–perform skin prick tests for diabetes;
–skin test for allergies;
–use a needle to remove foreign bodies;
–treat steroid-induced glaucoma (if glaucoma-certified); and
– administer flu, shingles and pneumonia vaccines with proper training.
1
T/F An optometrist can treat glaucoma form a accredited school of optometry after May 2008 or proof of certification program
True
T/F Tx of 50 glaucoma pt. uner tx and management of an ophthalmologist for a period of two years .
True
T/F the practe of optometry does not include performing surgery . Surgery means any procedure in which human tissue is cut altered or otherise infiltrated by mechanical or laser means.
True
In a emergency , an optometrist shall stabilize if possible and immediately refer any pt . who has an acute attack of angle closure to an ophthalmologist
True
With respect to the practices set forth in subdivisions
(b), (d), and (e) of Section 3041, optometrists
diagnosing or treating eye disease shall be held to the
same standard of care to which physicians and
surgeons and osteopathic physicians and
surgeons
are held
True
“Peripheral Infectious Corneal Ulcers” means those infectious corneal ulcers limited to the area of the eye that lies outside the central __mm diameter of the cornea
5
Preceptorshipt services means __ hrs of training in the diagnosis and tx of ocular, systemic disease completed in no less than two month nor more than one year in one or more opthalmologist offices or optometric clinics
65
a ___ means the primary responsibility for the tx of the pt is transferred from the TPA optometrist to a consulting ophthalmologist
referral
what does TPA stand for
Therapeutic phrmaceutical Agents
____ means the use of therapeutic pharmaceutical agents, as describe in Business and professions code
Treat
___ means to certify a TPA certified optometrist to perform lacrimal irrigation and dilation of pt. over the agent of 12 y/o
Approval
