COT History Taking Questions With Complete Solutions
Amioderone Correct Answers Cardia med. causes K deposits
(swirls on the cornea), cataracts and Optic neuropathy
An APD is noted the patient's previous chart notes. Before
instilling dilation drops, what should the technician check?
Correct Answers 1. Pupil size
2. Speed of pupil constriction
3. Pupillary response to near fixation
4. Direct and consensual pupillary reaction
Antibiotics Correct Answers Cause keratopathy, conj
inflammation, ptosis, optic neuritis, papilladema
Anticoagulants Correct Answers Cause subconj heme,
vitreoretinal heme, and need pre-surgical eval.
Antihistamines Correct Answers Cause dry eyes, blurred VA,
and pupil dilation
Ascending Veil Correct Answers Superior Retinal detachment.
If pt sees the veil come from the bottom, the problem is superior.
Aspirin (Salicylates) Correct Answers Cause diplopia and are a
blood thinner
Chemotherapy agents Correct Answers Cause conjunctivitis,
dry eyes, and ocular inflammation and edema
, Contraceptives Correct Answers Cause K changes, retins
vascular occlusions, optic neuritis, edema, and "blind spots"
( associated with migraines)
Corticosteroids Correct Answers Increase IOP, mostly in
steroid responders, and can cause Cataracts.
Define HIPAA. Correct Answers (Health Insurance Portability
and Accountability Act) 1996 act sets rules for patient privacy,
security of health information, health insurance shifts after
leaving an employer. Severe penalties for non-compliance
Describe the symptoms of a patient undergoing an acute angle
closure episode. Correct Answers Severe ocular pain, redness,
blurred vision, rainbow colored halos around lights, headache,
nausea, vomiting.
Flomax (Tamsulosin) Correct Answers Helps with
urinary/prostate problems in men. Causes Floppy Iris syndrome-
Iris looses its muscular tone, difficult to dilated and will fall in
on itself so is difficult during Sx.
How should the technician respond when a returning glaucoma
suspect with and IOP reading of 31 mmHg at today's visit, asks
you if he has glaucoma? Correct Answers The technician
should defer to the ophthalmologist for a diagnosis and medical
advice.
Name at least 3 categories o general medical and social history-
related question you may ask the patient. Correct Answers 1.
Current/past medical conditions
Amioderone Correct Answers Cardia med. causes K deposits
(swirls on the cornea), cataracts and Optic neuropathy
An APD is noted the patient's previous chart notes. Before
instilling dilation drops, what should the technician check?
Correct Answers 1. Pupil size
2. Speed of pupil constriction
3. Pupillary response to near fixation
4. Direct and consensual pupillary reaction
Antibiotics Correct Answers Cause keratopathy, conj
inflammation, ptosis, optic neuritis, papilladema
Anticoagulants Correct Answers Cause subconj heme,
vitreoretinal heme, and need pre-surgical eval.
Antihistamines Correct Answers Cause dry eyes, blurred VA,
and pupil dilation
Ascending Veil Correct Answers Superior Retinal detachment.
If pt sees the veil come from the bottom, the problem is superior.
Aspirin (Salicylates) Correct Answers Cause diplopia and are a
blood thinner
Chemotherapy agents Correct Answers Cause conjunctivitis,
dry eyes, and ocular inflammation and edema
, Contraceptives Correct Answers Cause K changes, retins
vascular occlusions, optic neuritis, edema, and "blind spots"
( associated with migraines)
Corticosteroids Correct Answers Increase IOP, mostly in
steroid responders, and can cause Cataracts.
Define HIPAA. Correct Answers (Health Insurance Portability
and Accountability Act) 1996 act sets rules for patient privacy,
security of health information, health insurance shifts after
leaving an employer. Severe penalties for non-compliance
Describe the symptoms of a patient undergoing an acute angle
closure episode. Correct Answers Severe ocular pain, redness,
blurred vision, rainbow colored halos around lights, headache,
nausea, vomiting.
Flomax (Tamsulosin) Correct Answers Helps with
urinary/prostate problems in men. Causes Floppy Iris syndrome-
Iris looses its muscular tone, difficult to dilated and will fall in
on itself so is difficult during Sx.
How should the technician respond when a returning glaucoma
suspect with and IOP reading of 31 mmHg at today's visit, asks
you if he has glaucoma? Correct Answers The technician
should defer to the ophthalmologist for a diagnosis and medical
advice.
Name at least 3 categories o general medical and social history-
related question you may ask the patient. Correct Answers 1.
Current/past medical conditions
