COA - Certified Ophthalmic Assistant Newest
Prep Test Bank 1 with 400 Latest Questions and
Correct Answers/ COA Latest Exam 2026-2027/
Certified Ophthalmic Assistant
A patient reports that he sleeps in his contact lenses. An important question would
be:
a. "What type of lenses are they?"
b. "Do you have astigmatism?"
c. "Why haven't you had LASIK?"
d. "Are you legally blind without the contacts?" - ANSWER-A. "What type of
lenses are they?"
The patient gives a history of having a cataract removed with a laser. You should:
a. record the cataract surgery without mentioning the laser, because the patient
does not know what he or she is talking about
b. use this as a "teachable moment" and inform the patient that cataracts cannot be
removed with a laser
c. ask the patient if the surgery was done in a hospital while lying down or sitting
up in a chair (to an instrument like a slit lamp)
d. not record this, because the patient is obviously confused - ANSWER-C. ask
the patient if the surgery was done in a hospital while lying down or sitting up in a
chair (to an instrument like a slit lamp)
The patient gives a history of having a laser treatment, but is not sure what it was
for. You might discover more by asking:
1
,a. "Have you had cataract surgery?"
b. "Do you have diabetes?"
c. "Do you have glaucoma?"
d. all of the above - ANSWER-D. all of the above
A 52-year-old patient hands you his single-vision glasses, the only glasses he has.
Which of the following is the most important question in determining the patient's
refractive status?
a. "How long have you had these?"
b. "Do these help you see better?"
c. "Do you wear these for driving or for reading?"
d. "Do the frames hurt your ears?" - ANSWER-C. "Do you wear these for driving
or for reading?"
The patient states she used to wear contact lenses, but went back to her glasses. A
pertinent question would be:
a. "Do you have astigmatism?"
b. "Do you think the lenses were improperly fit?"
c. "Why did you stop wearing them?"
d. "Do you have dry eyes?" - ANSWER-C. "Why did you stop wearing them?"
A 76-year old new patient tells you that he caught astigmatism from his brother
when they were both children. you should:
a. tell him he is wrong because astigmatism is not a disease
b. agree with him because astigmatism can rum in families
c. ask him what he means by "astigmatism"
2
,d. explain that astigmatism is a refractive error - ANSWER-C. ask him what he
means by "astigmatism"
Knowledge of a past ocular injury is needed because:
a. it might help explain current complaints and findings
b. it might indicate a reason why the patient's vision should not be checked
c. it might indicate the reason for an allergy to eye drops
d. a careless, accident-prone patient is likely to be noncompliant - ANSWER-A. it
might help explain current complaints and findings
The patient states she has prism in her glasses. Which of the following is the most
important question to ask?
a. "Have you ever had surgery to straighten your eye?"
b. "Does anyone in your family have a lazy eye>"
c. "Have you recently tried glasses without prism?"
d. "were you dilated during your last eye exam?" - ANSWER-A. "Have you ever
had surgery to straighten your eye?"
A mother brings in her 4-year old son. The mother says he has a lazy eye. What do
you need to find out?
a. Was the birth premature?
b. Who else in the family has a lazy eye?
c. Does the child rub one eye frequently?
d. What does she mean by "lazy eye?" - ANSWER-D. What does she mean by
"lazy eye?"
An example of a systemic illness is:
3
, a. Down syndrome
b. senility
c. past surgical procedures
d. cardiac problems - ANSWER-D. cardiac problems
Questions asked of a hypertensive patient should include:
a. method of blood pressure control, sensation of pressure in the eye, last blood
pressure reading
b. weight loss, last blood gases reading, visual stability
c. method of blood pressure control, decrease in vision, last blood pressure reading
d. method of blood pressure control, onset of double vision, last blood sugar
reading - ANSWER-C. method of blood pressure control, decrease in vision, last
blood pressure reading
Questions asked of a diabetic patient should include:
a. loss of depth perception, visual stability, type of insulin used
b. method of sugar control, visual stability, last blood sugar reading.
c. weight loss, last blood gases reading, type of insulin used
d. injection sites used, increased floaters, frequent urination - ANSWER-B.
method of sugar control, visual stability, last blood sugar reading.
A patient with heart problems:
a. may need to eat something during an eye exam
b. cannot be dilated
c. may have hardening of the arteries in the eye
d. always has high cholesterol - ANSWER-C. may have hardening of the arteries
in the eye
4
Prep Test Bank 1 with 400 Latest Questions and
Correct Answers/ COA Latest Exam 2026-2027/
Certified Ophthalmic Assistant
A patient reports that he sleeps in his contact lenses. An important question would
be:
a. "What type of lenses are they?"
b. "Do you have astigmatism?"
c. "Why haven't you had LASIK?"
d. "Are you legally blind without the contacts?" - ANSWER-A. "What type of
lenses are they?"
The patient gives a history of having a cataract removed with a laser. You should:
a. record the cataract surgery without mentioning the laser, because the patient
does not know what he or she is talking about
b. use this as a "teachable moment" and inform the patient that cataracts cannot be
removed with a laser
c. ask the patient if the surgery was done in a hospital while lying down or sitting
up in a chair (to an instrument like a slit lamp)
d. not record this, because the patient is obviously confused - ANSWER-C. ask
the patient if the surgery was done in a hospital while lying down or sitting up in a
chair (to an instrument like a slit lamp)
The patient gives a history of having a laser treatment, but is not sure what it was
for. You might discover more by asking:
1
,a. "Have you had cataract surgery?"
b. "Do you have diabetes?"
c. "Do you have glaucoma?"
d. all of the above - ANSWER-D. all of the above
A 52-year-old patient hands you his single-vision glasses, the only glasses he has.
Which of the following is the most important question in determining the patient's
refractive status?
a. "How long have you had these?"
b. "Do these help you see better?"
c. "Do you wear these for driving or for reading?"
d. "Do the frames hurt your ears?" - ANSWER-C. "Do you wear these for driving
or for reading?"
The patient states she used to wear contact lenses, but went back to her glasses. A
pertinent question would be:
a. "Do you have astigmatism?"
b. "Do you think the lenses were improperly fit?"
c. "Why did you stop wearing them?"
d. "Do you have dry eyes?" - ANSWER-C. "Why did you stop wearing them?"
A 76-year old new patient tells you that he caught astigmatism from his brother
when they were both children. you should:
a. tell him he is wrong because astigmatism is not a disease
b. agree with him because astigmatism can rum in families
c. ask him what he means by "astigmatism"
2
,d. explain that astigmatism is a refractive error - ANSWER-C. ask him what he
means by "astigmatism"
Knowledge of a past ocular injury is needed because:
a. it might help explain current complaints and findings
b. it might indicate a reason why the patient's vision should not be checked
c. it might indicate the reason for an allergy to eye drops
d. a careless, accident-prone patient is likely to be noncompliant - ANSWER-A. it
might help explain current complaints and findings
The patient states she has prism in her glasses. Which of the following is the most
important question to ask?
a. "Have you ever had surgery to straighten your eye?"
b. "Does anyone in your family have a lazy eye>"
c. "Have you recently tried glasses without prism?"
d. "were you dilated during your last eye exam?" - ANSWER-A. "Have you ever
had surgery to straighten your eye?"
A mother brings in her 4-year old son. The mother says he has a lazy eye. What do
you need to find out?
a. Was the birth premature?
b. Who else in the family has a lazy eye?
c. Does the child rub one eye frequently?
d. What does she mean by "lazy eye?" - ANSWER-D. What does she mean by
"lazy eye?"
An example of a systemic illness is:
3
, a. Down syndrome
b. senility
c. past surgical procedures
d. cardiac problems - ANSWER-D. cardiac problems
Questions asked of a hypertensive patient should include:
a. method of blood pressure control, sensation of pressure in the eye, last blood
pressure reading
b. weight loss, last blood gases reading, visual stability
c. method of blood pressure control, decrease in vision, last blood pressure reading
d. method of blood pressure control, onset of double vision, last blood sugar
reading - ANSWER-C. method of blood pressure control, decrease in vision, last
blood pressure reading
Questions asked of a diabetic patient should include:
a. loss of depth perception, visual stability, type of insulin used
b. method of sugar control, visual stability, last blood sugar reading.
c. weight loss, last blood gases reading, type of insulin used
d. injection sites used, increased floaters, frequent urination - ANSWER-B.
method of sugar control, visual stability, last blood sugar reading.
A patient with heart problems:
a. may need to eat something during an eye exam
b. cannot be dilated
c. may have hardening of the arteries in the eye
d. always has high cholesterol - ANSWER-C. may have hardening of the arteries
in the eye
4
