Certified Ophthalmic Assistant (COA) 100 Quizzes
With Complete Solutions
Graded A+
QUESTIONS AND ANSWERS
The specific reason a patient is being seen for an eye exam is referred to as the
A. patient history
B. chief complaint
C. status of the patient's visual acuity
D. onset of any current vision problems. ANSWER -B. chief complaint
The chief complaint should be recorded in the
patients record as a quote from the patient as
the reason for the visit to the doctor
A past ocular history includes all of the follow with the exception of
A. strabismus surgery at the age of 5
B. first reading glasses 6 yrs ago
C. a cousin diagnosed with glaucoma 10 yrs ago
D. red eye a month ago. ANSWER -C. a cousin diagnosed with glaucoma 10 yrs ago
A family history includes all of the following with the exception of the patient's
A. mother
B. daughter
C. spouse
D. brother. ANSWER -C. spouse; a spouse is not related by blood.
,A patient who reports waviness when looking at straight lines or letters (metamorphopsia)
MOST likely has
A. astigmatism
B. cataract
C. macular disease
D. optic neuritis. ANSWER -C. macular disease
macular disease is the degeneration of the
sensory cells of the macula resulting in a loss of
central vision
A patient calls the office giving the history that they had cataract surgery 2 yrs ago. For the
past 2 days he has noticed flashes of light in the operated eye.
A. Patient should call back to see an ophthalmologist if the
symptoms persist
B. Patient should be assured that "flashes of light" is a
normal occurrence in aphakic surgery
C. Patient should see an ophthalmologist within 24 hours
D. Patient should see an ophthalmologist within one month. ANSWER -C. Patient should
see an ophthalmologist w/i 24hr
Flashes of light coming across a field of vision
often is a forerunner of a retinal detachment;
therefore the patient with this symptom should
be seen promptly
Which of the following is included in a past medical history?
A. details of ocular treatment
B. diabetes in parent
C. drug allergies
D. Family history. ANSWER -C. drug allergies
,Which of the following symptoms suggests an urgent problem?
A. difficulty seeing at night
B. Increased difficulty in reading fine print
C. Sudden onset of blurry vision and halos around lights
D. Visual flashes followed by headache. ANSWER -C. Sudden onset of blurry vision and
halos around lights
Seeing colored haloes around lights is an impending sign of acute angle-closure glaucoma
In taking a history, which of the following is the most important?
A. Allergies and drug reactions
B. Medications taken at present
C. Past ocular history
D. The chief complaint. ANSWER -D. The chief complaint
The chief complaint is the main reason why the patient is in the ophthalmologist's office and
should be noted by the ophthalmic assistant
Anisocoria is described as
A. unequal corneal diameters
B. differing iris colors
C. different refractive errors
D. difference in pupil size. ANSWER -D. difference in pupil size
The condition where pupils are of unequal size is referred to as anisocoria. This condition is
usually the result of iris muscle dysfunction.
The acronym RAPD stands for
A. removable anterior pupillary deposits
B. relative afferent pupillary defect
, C. retro-aqueous pupil development
D. reasonably adapted pupil diameters.. ANSWER -B. relative afferent pupillary defect
The acronym RAPD stands for relative afferent pupillary defect, a condition where the pupil
does not respond to direct stimulation of light
All of the following may cause irregularly shaped pupils with the exception of
A. congenital abnormalities
B. iris inflammation
C. presbyopia
D. surgical intervention. ANSWER -C. presbyopia
Irregularities in the shape of the pupil may result from congenital abnormalities, irtis
inflammation, surgical intervention and trauma to the eye. Presbyopia is a refractive error
that refers to the diminished ability of the crystalline lens to accommodate due to the
natural process of aging.
The most serious complication of the improper removal of rigid contact lenses is
A. corneal abrasion
B. damage to the lens
C. giant papillary conjunctivitis
D. loss of the lens. ANSWER -A. corneal abrasion
Corneal abrasion can result from overwear or improper hygiene leading to possible infection
Which of the following statements is TRUE about soft contact lenses compared o hard
contact lenses?
A. soft lenses are more difficult to keep clean and free from deposits
B. soft lenses have minimal overwear reaction
C. soft lenses have better optics and usually given better vision
With Complete Solutions
Graded A+
QUESTIONS AND ANSWERS
The specific reason a patient is being seen for an eye exam is referred to as the
A. patient history
B. chief complaint
C. status of the patient's visual acuity
D. onset of any current vision problems. ANSWER -B. chief complaint
The chief complaint should be recorded in the
patients record as a quote from the patient as
the reason for the visit to the doctor
A past ocular history includes all of the follow with the exception of
A. strabismus surgery at the age of 5
B. first reading glasses 6 yrs ago
C. a cousin diagnosed with glaucoma 10 yrs ago
D. red eye a month ago. ANSWER -C. a cousin diagnosed with glaucoma 10 yrs ago
A family history includes all of the following with the exception of the patient's
A. mother
B. daughter
C. spouse
D. brother. ANSWER -C. spouse; a spouse is not related by blood.
,A patient who reports waviness when looking at straight lines or letters (metamorphopsia)
MOST likely has
A. astigmatism
B. cataract
C. macular disease
D. optic neuritis. ANSWER -C. macular disease
macular disease is the degeneration of the
sensory cells of the macula resulting in a loss of
central vision
A patient calls the office giving the history that they had cataract surgery 2 yrs ago. For the
past 2 days he has noticed flashes of light in the operated eye.
A. Patient should call back to see an ophthalmologist if the
symptoms persist
B. Patient should be assured that "flashes of light" is a
normal occurrence in aphakic surgery
C. Patient should see an ophthalmologist within 24 hours
D. Patient should see an ophthalmologist within one month. ANSWER -C. Patient should
see an ophthalmologist w/i 24hr
Flashes of light coming across a field of vision
often is a forerunner of a retinal detachment;
therefore the patient with this symptom should
be seen promptly
Which of the following is included in a past medical history?
A. details of ocular treatment
B. diabetes in parent
C. drug allergies
D. Family history. ANSWER -C. drug allergies
,Which of the following symptoms suggests an urgent problem?
A. difficulty seeing at night
B. Increased difficulty in reading fine print
C. Sudden onset of blurry vision and halos around lights
D. Visual flashes followed by headache. ANSWER -C. Sudden onset of blurry vision and
halos around lights
Seeing colored haloes around lights is an impending sign of acute angle-closure glaucoma
In taking a history, which of the following is the most important?
A. Allergies and drug reactions
B. Medications taken at present
C. Past ocular history
D. The chief complaint. ANSWER -D. The chief complaint
The chief complaint is the main reason why the patient is in the ophthalmologist's office and
should be noted by the ophthalmic assistant
Anisocoria is described as
A. unequal corneal diameters
B. differing iris colors
C. different refractive errors
D. difference in pupil size. ANSWER -D. difference in pupil size
The condition where pupils are of unequal size is referred to as anisocoria. This condition is
usually the result of iris muscle dysfunction.
The acronym RAPD stands for
A. removable anterior pupillary deposits
B. relative afferent pupillary defect
, C. retro-aqueous pupil development
D. reasonably adapted pupil diameters.. ANSWER -B. relative afferent pupillary defect
The acronym RAPD stands for relative afferent pupillary defect, a condition where the pupil
does not respond to direct stimulation of light
All of the following may cause irregularly shaped pupils with the exception of
A. congenital abnormalities
B. iris inflammation
C. presbyopia
D. surgical intervention. ANSWER -C. presbyopia
Irregularities in the shape of the pupil may result from congenital abnormalities, irtis
inflammation, surgical intervention and trauma to the eye. Presbyopia is a refractive error
that refers to the diminished ability of the crystalline lens to accommodate due to the
natural process of aging.
The most serious complication of the improper removal of rigid contact lenses is
A. corneal abrasion
B. damage to the lens
C. giant papillary conjunctivitis
D. loss of the lens. ANSWER -A. corneal abrasion
Corneal abrasion can result from overwear or improper hygiene leading to possible infection
Which of the following statements is TRUE about soft contact lenses compared o hard
contact lenses?
A. soft lenses are more difficult to keep clean and free from deposits
B. soft lenses have minimal overwear reaction
C. soft lenses have better optics and usually given better vision
