IJCAHPO Certified Ophthalmic
Technician (COT) Certification Exam-
All Answers Correct 2026
What is NOT important when documenting the history of an ocular injury? -
Ans--presence of others when the injury occurred
Which one of the following ocular conditions will LEAST likely present in a
patient's family history? - Ans--conjunctivitis
When evaluating a patient for cataract surgery, which of the following
systemic illness is LEAST important? - Ans--urinary incontinence
Which symptoms might suggest angle-closure glaucoma? - Ans--rainbow
colored halos around lights
what is the correct interpretation of 1gtt tid OU - Ans--one drop to both eyes
three times a day
A history of corticosteroid use of LEAST importance when ascertaining
which condition? - Ans--macular degeneration
A visual acuity of 20/200 obtained at a distance of 4 feet should be recorded
as - Ans--4/200
If a patient's visual acuity measures 20/70 with correction and pinholes to
20/25, which of the following is MOST likely? - Ans--the patient needs
distance correction
the lines of optotypes are what size in comparison to entire optotype - Ans--
1/5
Reduced visual acuity without any detectable organic cause is referred to
as - Ans--amblyopia
,A 55-year-old patient has worn glasses since childhood. Without glasses,
the uncorrected vision improves when looking through an occluder with
perforation. This phenomenon is know as the - Ans--pinhole effect
What is the metric equivalent of 20/40 visual acuity? - Ans--6/12
Dynamic visual acuity refers to - Ans--kinetic or moving vision
Measuring visual acuity with a potential acuity meter is useful for patients
with - Ans--catarcts
Near vision charts should be held how many inches from the eye? - Ans--
14-16
If poor vision is simply due to refractive error, the acuity should improve with
use of a(n) - Ans--pinhole disc
What is the recommended distance for assessing visual acuity? - Ans--20'
If a person can clearly see an object at 20 feet that can be seen at 60 feet by
a person with no refractive error, their visual acuity is said to be - Ans--20/60
If a patient is unable to distinguish the largest letter on a Snellen chart, the
assistance should - Ans--determine if the patient can count fingers at a
given distance
In visual assessment, an infant would be expected to reach for toys by the
age of - Ans--4-6 months
The visual defect in which there is a complete type of nerve fiber bundle
defect emanating from the blind spot, arching over central fixation, and
ending on the horizontal line is a - Ans--Bjerrum scotoma
Homonymous congruous visual field defects with macular sparing are
located in what part of the visual pathway? - Ans--occipital cortex
, The normal visual field is determined by the size of the test object employed
and the distance at which the test was made. With a 3 mm white target on
the perimeter of a 330-degree radius, the average peripheral limit is about -
Ans--95 degrees outward, 75 degrees downward, 60 degrees inward and
60 degrees upward
What type of patient generally requires a threshold 24-degree central field
test? - Ans--glaucoma
the MOST widely used method of visual field screening, requiring no special
equipment, is - Ans--confrontation testing
Scotomas located immediately nasal or temporal to fixation are known as -
Ans--paracentral
The purpose of the swinging flashlight test is to compare - Ans--direct
response in the stimulated eye and the consensual response in the other
eye
In ordinary room light, the diameter of the normal adult pupil is - Ans--3-5
mm
A difference in pupil size is referred to as - Ans--anisocoria
The presence of an afferent pupillary defect may be caused by - Ans--optic
nerve disease
Consensual light reflex in the right eye results in - Ans--right pupil
constriction
What is the term of the state of pupillary constriction? - Ans--miosis
Which test compares the direct and consensual responses to the pupil? -
Ans--swinging flashlight
What condition is present if the amount of light information transmitted to the
brain from one eye differs from that of the other eye? - Ans--afferent
pupillary defect
Technician (COT) Certification Exam-
All Answers Correct 2026
What is NOT important when documenting the history of an ocular injury? -
Ans--presence of others when the injury occurred
Which one of the following ocular conditions will LEAST likely present in a
patient's family history? - Ans--conjunctivitis
When evaluating a patient for cataract surgery, which of the following
systemic illness is LEAST important? - Ans--urinary incontinence
Which symptoms might suggest angle-closure glaucoma? - Ans--rainbow
colored halos around lights
what is the correct interpretation of 1gtt tid OU - Ans--one drop to both eyes
three times a day
A history of corticosteroid use of LEAST importance when ascertaining
which condition? - Ans--macular degeneration
A visual acuity of 20/200 obtained at a distance of 4 feet should be recorded
as - Ans--4/200
If a patient's visual acuity measures 20/70 with correction and pinholes to
20/25, which of the following is MOST likely? - Ans--the patient needs
distance correction
the lines of optotypes are what size in comparison to entire optotype - Ans--
1/5
Reduced visual acuity without any detectable organic cause is referred to
as - Ans--amblyopia
,A 55-year-old patient has worn glasses since childhood. Without glasses,
the uncorrected vision improves when looking through an occluder with
perforation. This phenomenon is know as the - Ans--pinhole effect
What is the metric equivalent of 20/40 visual acuity? - Ans--6/12
Dynamic visual acuity refers to - Ans--kinetic or moving vision
Measuring visual acuity with a potential acuity meter is useful for patients
with - Ans--catarcts
Near vision charts should be held how many inches from the eye? - Ans--
14-16
If poor vision is simply due to refractive error, the acuity should improve with
use of a(n) - Ans--pinhole disc
What is the recommended distance for assessing visual acuity? - Ans--20'
If a person can clearly see an object at 20 feet that can be seen at 60 feet by
a person with no refractive error, their visual acuity is said to be - Ans--20/60
If a patient is unable to distinguish the largest letter on a Snellen chart, the
assistance should - Ans--determine if the patient can count fingers at a
given distance
In visual assessment, an infant would be expected to reach for toys by the
age of - Ans--4-6 months
The visual defect in which there is a complete type of nerve fiber bundle
defect emanating from the blind spot, arching over central fixation, and
ending on the horizontal line is a - Ans--Bjerrum scotoma
Homonymous congruous visual field defects with macular sparing are
located in what part of the visual pathway? - Ans--occipital cortex
, The normal visual field is determined by the size of the test object employed
and the distance at which the test was made. With a 3 mm white target on
the perimeter of a 330-degree radius, the average peripheral limit is about -
Ans--95 degrees outward, 75 degrees downward, 60 degrees inward and
60 degrees upward
What type of patient generally requires a threshold 24-degree central field
test? - Ans--glaucoma
the MOST widely used method of visual field screening, requiring no special
equipment, is - Ans--confrontation testing
Scotomas located immediately nasal or temporal to fixation are known as -
Ans--paracentral
The purpose of the swinging flashlight test is to compare - Ans--direct
response in the stimulated eye and the consensual response in the other
eye
In ordinary room light, the diameter of the normal adult pupil is - Ans--3-5
mm
A difference in pupil size is referred to as - Ans--anisocoria
The presence of an afferent pupillary defect may be caused by - Ans--optic
nerve disease
Consensual light reflex in the right eye results in - Ans--right pupil
constriction
What is the term of the state of pupillary constriction? - Ans--miosis
Which test compares the direct and consensual responses to the pupil? -
Ans--swinging flashlight
What condition is present if the amount of light information transmitted to the
brain from one eye differs from that of the other eye? - Ans--afferent
pupillary defect
