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CA Optometry Law Exam Questions
with Detailed Verified Answers
TPA certified OD may dx/tx what conditions? Ans: -infections of
ant seg and adnexa
-ocular allergies
-non surgical ocular inflammation >18 YO (iritis, keratitis, episcleritis)
-post op surgical inflammation co-manage with surgeon
what can TPA certified OD not dx/tx? Ans: -infections of lacrimal
gland/lacrimal drainage system and sclera <12 YO (scope of
practice 2018)
-2022 scope of practice says <18 YO
what are the non-surgical ocular inflammation conditions you can
tx in pt's >18 YO? Ans: -unilateral, non-recurrent, non-
granulomatous, idiopathic iritis
-traumatic iritis
-peripheral corneal inflammation
-keratitis
-episcleritis
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which type of GL can OD tx? Ans: POAG, PDS, PXF, and steroid-
induced
-OD must be GL certified
can TPA certified OD use Rx off label? Ans: yes
If using steroids, consult OMD if worse in ______ days Ans: 21 days
(2018 scope of practice)
Rules for Rx codeine, hydrocodone with compounds (Tylenol 3,
Vicodin), [schedule II], tramadol [schedule IV] Ans: -limited to 3
days
-refer to OMD if pain persists
what can optometrists NOT Rx? Ans: ANTI-FUNGALS (2018 scope of
practice); can now Rx anti-fungals (according to 2022 scope of
practice)
corneal scraping with cultures allowed? Ans: yes
debriding corneal epithelium allowed? Ans: yes but not band k
collecting blood via skin puncture or venipuncture for testing DM
allowed? Ans: yes
suture removal allowed? Ans: yes, but with consultation with
treating physician
treatment or removal of sebaceous cysts by expression allowed?
Ans: yes
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giving oral fluorescein to pt's with sus DR allowed? Ans: yes
using auto-injector for anaphylaxis allowed? Ans: yes
allowed to order smears, cultures, sensitivities, CBC, urinalysis, x-
rays? Ans: yes
allowed to perform CLIA-waived tests? Ans: yes
-CLIA tests allowed for testing for systemic conditions (2022 scope
of practice)
allowed to do laser, diathermy, cryotherapy? Ans: no
allowed to Rx CL or devices that have meds in them? Ans: yes
allowed to remove FB? Ans: yes but has to be non-perforating and
to mid-stroma; can use needle but NOT scalpel (2018 scope of
practice)
-can use both scalpel and needle (2022 scope of practice)
allowed to perform D&I? Ans: only on >12 YO. No probing of nasal
lacrimal duct and must be certified
allowed to perform fluorescein angiography? Ans: yes but under
supervision of OMD
allowed to do skin testing to dx ocular allergies? Ans: yes
TPA certified OD's can do what? Ans: -dx/prevent conditions and
disease of eye/adnexa
CA Optometry Law Exam Questions
with Detailed Verified Answers
TPA certified OD may dx/tx what conditions? Ans: -infections of
ant seg and adnexa
-ocular allergies
-non surgical ocular inflammation >18 YO (iritis, keratitis, episcleritis)
-post op surgical inflammation co-manage with surgeon
what can TPA certified OD not dx/tx? Ans: -infections of lacrimal
gland/lacrimal drainage system and sclera <12 YO (scope of
practice 2018)
-2022 scope of practice says <18 YO
what are the non-surgical ocular inflammation conditions you can
tx in pt's >18 YO? Ans: -unilateral, non-recurrent, non-
granulomatous, idiopathic iritis
-traumatic iritis
-peripheral corneal inflammation
-keratitis
-episcleritis
, Page | 2
which type of GL can OD tx? Ans: POAG, PDS, PXF, and steroid-
induced
-OD must be GL certified
can TPA certified OD use Rx off label? Ans: yes
If using steroids, consult OMD if worse in ______ days Ans: 21 days
(2018 scope of practice)
Rules for Rx codeine, hydrocodone with compounds (Tylenol 3,
Vicodin), [schedule II], tramadol [schedule IV] Ans: -limited to 3
days
-refer to OMD if pain persists
what can optometrists NOT Rx? Ans: ANTI-FUNGALS (2018 scope of
practice); can now Rx anti-fungals (according to 2022 scope of
practice)
corneal scraping with cultures allowed? Ans: yes
debriding corneal epithelium allowed? Ans: yes but not band k
collecting blood via skin puncture or venipuncture for testing DM
allowed? Ans: yes
suture removal allowed? Ans: yes, but with consultation with
treating physician
treatment or removal of sebaceous cysts by expression allowed?
Ans: yes
, Page | 3
giving oral fluorescein to pt's with sus DR allowed? Ans: yes
using auto-injector for anaphylaxis allowed? Ans: yes
allowed to order smears, cultures, sensitivities, CBC, urinalysis, x-
rays? Ans: yes
allowed to perform CLIA-waived tests? Ans: yes
-CLIA tests allowed for testing for systemic conditions (2022 scope
of practice)
allowed to do laser, diathermy, cryotherapy? Ans: no
allowed to Rx CL or devices that have meds in them? Ans: yes
allowed to remove FB? Ans: yes but has to be non-perforating and
to mid-stroma; can use needle but NOT scalpel (2018 scope of
practice)
-can use both scalpel and needle (2022 scope of practice)
allowed to perform D&I? Ans: only on >12 YO. No probing of nasal
lacrimal duct and must be certified
allowed to perform fluorescein angiography? Ans: yes but under
supervision of OMD
allowed to do skin testing to dx ocular allergies? Ans: yes
TPA certified OD's can do what? Ans: -dx/prevent conditions and
disease of eye/adnexa
