Certified Ophthalmic Assistant (COA) Exam – Pupillary Assessment Practice Questions and
Answers Study Guide
Any pupil smaller than what size is considered miotic? - correct answer ✔✔2 mm
Any pupil larger than what size is considered mydriatic? - correct answer ✔✔6 mm
Which of the following groups tend to have smaller pupils? - correct answer ✔✔Older people.
Children, myopes, and those with light blue eyes tend to have larger pupils.
Unequal pupil size is termed - correct answer ✔✔Anisocoria
The pupil evaluation includes - correct answer ✔✔Size, shape, and reaction to light
An iris coloboma usually causes a pupillary shape defect - correct answer ✔✔at 6 o'clock. Iris
coloboma is a congenital defect where the iris fails to fuse, usually inferiorly.
Constriction of the pupil can be accomplished by any of the following except: - correct answer
✔✔Dimming the room lights (this would make them enlarge)
Dilation of the pupil can be accomplished by any of the following except - correct answer
✔✔Shining a bright light into the eye (this would make them constrict)
Direct pupillary response refers to: - correct answer ✔✔the reaction of one pupil to light
Testing of the consensual light response in healthy eyes is possible because: - correct answer
✔✔if one pupil reacts to light, the other reacts with it. This is possible because healthy pupils
are innervated to do the same thing at the same time, regardless of which eye has the light
shining into it.
Answers Study Guide
Any pupil smaller than what size is considered miotic? - correct answer ✔✔2 mm
Any pupil larger than what size is considered mydriatic? - correct answer ✔✔6 mm
Which of the following groups tend to have smaller pupils? - correct answer ✔✔Older people.
Children, myopes, and those with light blue eyes tend to have larger pupils.
Unequal pupil size is termed - correct answer ✔✔Anisocoria
The pupil evaluation includes - correct answer ✔✔Size, shape, and reaction to light
An iris coloboma usually causes a pupillary shape defect - correct answer ✔✔at 6 o'clock. Iris
coloboma is a congenital defect where the iris fails to fuse, usually inferiorly.
Constriction of the pupil can be accomplished by any of the following except: - correct answer
✔✔Dimming the room lights (this would make them enlarge)
Dilation of the pupil can be accomplished by any of the following except - correct answer
✔✔Shining a bright light into the eye (this would make them constrict)
Direct pupillary response refers to: - correct answer ✔✔the reaction of one pupil to light
Testing of the consensual light response in healthy eyes is possible because: - correct answer
✔✔if one pupil reacts to light, the other reacts with it. This is possible because healthy pupils
are innervated to do the same thing at the same time, regardless of which eye has the light
shining into it.
