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Exam (elaborations)

COT Practice Test Questions with Detailed Verified Answers – Certified Ophthalmic Technician Exam, 2026 Complete Study Material

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This document contains a comprehensive set of Certified Ophthalmic Technician (COT) practice test questions with detailed, verified answers, aligned with exam standards. It covers optics, anatomy, pharmacology, diagnostic testing, surgical assisting, patient care, emergencies, and ophthalmic procedures, making it a reliable resource for exam preparation. The material has already been graded and reflects exam-ready accuracy for 2026 candidates.

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COT TEST QUESTIONS WITH
DETAILED VERIFIED ANSWERS;
ALREADY GRADED A; 2026


2 prisms placed apex to apex form the basis of what type of
lens? - correct answer- concave (minus)


2 prisms placed base to base form the basis of what type of
lens? - correct answer- convex (plus)


3 common medical conditions that affect a patient's vision. -
correct answer- DM, HTN, Cancer, Cardiovascular,
Hyperthyroidism


A centrally located spectral reflectance and haze along the
periphery of the image area is a result of what? - correct
answer- excessive camera to cornea distance


A controlled photograph for pseudofluorescence and
autofluorescence is taken with the flash setting for fluorescein
and with what filters? - correct answer- both exciter filter
and the barrier filter

,A patient calls complaining of halos around lights. When should
they be scheduled? - correct answer- this is a priority case to
be seen within days


A patient who has a TOTAL deficiency of the red visual pigment
is classified as: - correct answer- Protanopia


A plus or minus 0.50 cross cylinder with the white plus dot
placed at an axis 90 degrees would have a reading on a
lensometer of: - correct answer- -0.50 +1.00 x 90


A pt calls with a chemical contact to the face and eyes. What
would be your instructions to this pt? - correct answer-
Irrigate.


An A-scan is performed prior to intraocular surgery to assist in
determining what? - correct answer- axial length, which is
needed to calculate intraocular lens power


an APD is noted in the pt's previous chart notes, before instilling
dilation drops, what should the technician check? - correct
answer- pupil size, speed of pupil constriction to light,
pupillary response to near fixation, direct & consensual pupillary
reaction

, An individual with a refractive error of +2.50 -2.50 x 180 could
be classified as having: - correct answer- simple hyperopic
astigmatism


At what age does a child quickly respond to occlusion therapy
for amblyopia? - correct answer- 1-3


Define HIPAA - correct answer- Health insurance portability
and accountability act. 1996 act sets rules for pt privacy, security
of health insurance shifts after leaving an employer. Severe
penalties for non compliance.


Does a prism bend light rays toward the base of the prism or
toward to apex of the prism? - correct answer- toward the
base


Find the total amount of prism induced in the following
situation- Glasses RX: OD: +12.00sph, OS: +10.00sph, both
optical centers are displaced 5 mm temporally (decentered out)
- correct answer- OD has 6 prism diopters of BaseOut. OS has
5 prism diopters of BaseOut. The total is 11 prism diopters of
BaseOut.

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