CA OPTOMETRY LAW EXAM
QUESTIONS WITH ALL CORRECT
ANSWERS
What limitations are imposed when an OD prescribes codeine and hydrocodone with
compounds? - Answer-Limited to 3 days use, must refer to an OMD if pain persists.
If managing post surgical ocular inflammation and pain...? - Answer-Co-manage with
surgeon
When treating ocular allergies with steroids, when must OD consult? - Answer-IF
WORSE in 21 days
Idiopathic iritis, not resolved. Timeframe and action? - Answer-At 3 weeks, consult
When must an idiopathic iritis be referred? - Answer-If still on meds in 6 weeks, or if
recurrance within 1 year. Must refer any case in pt younger than 18 yrs old.
When must you consult for idiopathic iritis? - Answer-If worse in 72 hours, if not
resolved in 3 weeks
What is an assistant, under the direct responsibility of an OD/OMD, allowed to do?
(10 items) - Answer--fit prescription lenses
-Prepare patients for exam
-perform testing of VA, pupils and ocular motility
-perform automated visual field testing -perform ophth. photography and digital imaging
-perform tonometry -perform lensometry -perform non-subjective autorefraction in
connection with subjective refraction performed by OD/OMD
-administer cycloplegics, mydriatics, and topical anesthetics
-perform pachymetry, keratometry, A/B scans, and electrodiagnostic testing
What action must an OD do at 1 week when using antivirals to treat viral keratitis? Viral
dermatitis? - Answer-If keratitis is not improved, refer. If dermatitis is worse, consult.
Viral keratitis worse at 7 days? - Answer-Refer!
Viral dermatitis worse at 7 days? - Answer-Consult!
Viral dermatitis not improved at 7 days? - Answer-Continue treatment, do not need to
consult unless worse at 7 days
, When must an OD refer a patient with viral conjunctivitis or dermatitis to an OMD? -
Answer-Must refer if condition is not resolved within 3 weeks
When must an episcleritis be referred? - Answer-If still on meds in 6 weeks
When must OD consult for episcleritis? - Answer-If worse in 72 hours, if not resolved in
3 weeks, if recurrence within 1 year.
When to refer an inflammatory keratitis? When to consult? - Answer-No guideline for
referral. Consult if worse in 72 hours.
When to refer traumatic iritis? - Answer-If still on meds in one week
When to consult for traumatic iritis? - Answer-If worse in 72 hours
Central corneal ulcer guidelines (treating with abx)? - Answer-Refer if NOT IMPROVED
in 48 hours
Preseptal cellulitis guidelines? - Answer-Refer if NOT IMPROVED in 48 hours
Dacryocystitis guidelines? - Answer-Refer if NOT IMPROVED in 48 hours. Must refer if
12 yrs old or younger.
Viral keratitis guidelines? - Answer-Must refer if NOT IMPROVED in 7 days or NOT
RESOLVED in 3 weeks.
How long can OD treat viral keratitis that is not resolving? - Answer-If improving but not
resolving, must refer in 3 weeks. If not improving, must refer in 1 week.
How long can OD treat a worsening viral keratitis? - Answer-Must refer if not improved
in 1 week
What to do with patient with viral keratitis which improved for 10 days but then does not
seem to be resolving? - Answer-Must refer if not resolved in 3 weeks
What to do with patient with periorbital HSV sores which slowly improve for 12 days? -
Answer-Can manage for now but must refer if not resolved in 3 weeks
What items must be included on a CL rx? (14 items) - Answer--patient name
-exam date
-issue date
-expiration date
-name, address, telephone and fax number of prescriber
-power, base curve, other parameters, material of CL,
-manufacturer
-trade name or equivalent brand name if private label
QUESTIONS WITH ALL CORRECT
ANSWERS
What limitations are imposed when an OD prescribes codeine and hydrocodone with
compounds? - Answer-Limited to 3 days use, must refer to an OMD if pain persists.
If managing post surgical ocular inflammation and pain...? - Answer-Co-manage with
surgeon
When treating ocular allergies with steroids, when must OD consult? - Answer-IF
WORSE in 21 days
Idiopathic iritis, not resolved. Timeframe and action? - Answer-At 3 weeks, consult
When must an idiopathic iritis be referred? - Answer-If still on meds in 6 weeks, or if
recurrance within 1 year. Must refer any case in pt younger than 18 yrs old.
When must you consult for idiopathic iritis? - Answer-If worse in 72 hours, if not
resolved in 3 weeks
What is an assistant, under the direct responsibility of an OD/OMD, allowed to do?
(10 items) - Answer--fit prescription lenses
-Prepare patients for exam
-perform testing of VA, pupils and ocular motility
-perform automated visual field testing -perform ophth. photography and digital imaging
-perform tonometry -perform lensometry -perform non-subjective autorefraction in
connection with subjective refraction performed by OD/OMD
-administer cycloplegics, mydriatics, and topical anesthetics
-perform pachymetry, keratometry, A/B scans, and electrodiagnostic testing
What action must an OD do at 1 week when using antivirals to treat viral keratitis? Viral
dermatitis? - Answer-If keratitis is not improved, refer. If dermatitis is worse, consult.
Viral keratitis worse at 7 days? - Answer-Refer!
Viral dermatitis worse at 7 days? - Answer-Consult!
Viral dermatitis not improved at 7 days? - Answer-Continue treatment, do not need to
consult unless worse at 7 days
, When must an OD refer a patient with viral conjunctivitis or dermatitis to an OMD? -
Answer-Must refer if condition is not resolved within 3 weeks
When must an episcleritis be referred? - Answer-If still on meds in 6 weeks
When must OD consult for episcleritis? - Answer-If worse in 72 hours, if not resolved in
3 weeks, if recurrence within 1 year.
When to refer an inflammatory keratitis? When to consult? - Answer-No guideline for
referral. Consult if worse in 72 hours.
When to refer traumatic iritis? - Answer-If still on meds in one week
When to consult for traumatic iritis? - Answer-If worse in 72 hours
Central corneal ulcer guidelines (treating with abx)? - Answer-Refer if NOT IMPROVED
in 48 hours
Preseptal cellulitis guidelines? - Answer-Refer if NOT IMPROVED in 48 hours
Dacryocystitis guidelines? - Answer-Refer if NOT IMPROVED in 48 hours. Must refer if
12 yrs old or younger.
Viral keratitis guidelines? - Answer-Must refer if NOT IMPROVED in 7 days or NOT
RESOLVED in 3 weeks.
How long can OD treat viral keratitis that is not resolving? - Answer-If improving but not
resolving, must refer in 3 weeks. If not improving, must refer in 1 week.
How long can OD treat a worsening viral keratitis? - Answer-Must refer if not improved
in 1 week
What to do with patient with viral keratitis which improved for 10 days but then does not
seem to be resolving? - Answer-Must refer if not resolved in 3 weeks
What to do with patient with periorbital HSV sores which slowly improve for 12 days? -
Answer-Can manage for now but must refer if not resolved in 3 weeks
What items must be included on a CL rx? (14 items) - Answer--patient name
-exam date
-issue date
-expiration date
-name, address, telephone and fax number of prescriber
-power, base curve, other parameters, material of CL,
-manufacturer
-trade name or equivalent brand name if private label
