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Exam (elaborations)

Exam (elaborations) COA (Certified Ophthalmic Assistant)

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COA JCAHPO EXAM QUESTIONS WITH CORRECT AND DETAILLED ANSWERS|LATEST
2025|A+ GUARANTEED




Disorders associated with headaches? -CORRECT ANSWER-Hypertension or Brain Tumor



Headaches caused by refractive error will not appear during? -CORRECT ANSWER-1. Not
appear at night

2. Will not appear during sleep

3. Will not appear when you wake up



Where is the aqueous humor located? -CORRECT ANSWER-Between the lens and the cornea.



How many rods are there? -CORRECT ANSWER-125 million



Where are the rods located? -CORRECT ANSWER-In the retina



How many cones are there? -CORRECT ANSWER-6 million



Where are the cones located? -CORRECT ANSWER-In the retina.



Rods are best in what lighting condition? -CORRECT ANSWER-dim light



Without rods what condition will occur? -CORRECT ANSWER-night-blindness

,Rods are good in what color light? -CORRECT ANSWER-Red



What type of drops are used to dilate the eyes? -CORRECT ANSWER-Mydriatic drops



What type of drops are used to dilate the eyes and paralyze the fine focusing muscle for
near vision? -CORRECT ANSWER-Cycloplegic drops



Measuring PD starts from where and ends where? -CORRECT ANSWER-Nasal side of right
pupil to the temporal side of the pupil on the patients left eye.



What is Rhodopsin? -CORRECT ANSWER-Rod pigment. (allows for visual purple)



Rhodopsin forms in ______ and is destroyed by _____? -CORRECT ANSWER-forms in dark,
and is destroyed by light



Rhodopsin is composed of what Vitamin? -CORRECT ANSWER-Vitamin A (deficiency causes
night blindness)



What is Adie's Syndrome? -CORRECT ANSWER-Tonic Pupil. (pupil responds to light
stimulation very slowly)



How do you measure a patient's PD when they can only see from one eye? -CORRECT
ANSWER-measure from center of the pupil of the good eye to the center of the bridge of the
nose



How do you measure a patient's PD when they have unequal pupils? -CORRECT ANSWER-
measure from nasal side of the limbus of patients right eye to the temporal side of the
limbus of the left eye.



How do you measure a patient's PD when they have a squint? -CORRECT ANSWER-Measure
from the inner canthus of one eye to the outer canthus of the opposite eye.

,What are the most important disorders to ask patients about? -CORRECT ANSWER-Diabetes

High Blood Pressure (HTN)

Heart Health/ Cardiovascular Issues

Arthritis



What are the main symptoms of diplopia? -CORRECT ANSWER-Loss of alignment of eyes



(covering one eye will always eliminate the second image)



What is the cause of light flashes? -CORRECT ANSWER-Retinal detachment



What is the cause of Ptosis? -CORRECT ANSWER-3rd Nerve palsy or Diabetes



What is the cause of Diplopia? -CORRECT ANSWER-Thyroid Disorder

Diabetes

3rd Nerve Palsy

Myathenia Gravis



What is the cause of sudden loss of vision? -CORRECT ANSWER-Macular degeneration

Retinal Detachment

Retinal Vein or Artery Occlusion

Retrobulbar Neuritis



What is the cause of Foreign Body Sensation (FBS)? -CORRECT ANSWER-Corneal Abrasion

Herpes Simplex



What is the cause of blurred distance vision in adults? -CORRECT ANSWER-Diabetes

, Cataracts

Macular Edema



What is the cause of Halos around lights? -CORRECT ANSWER-Angle Closure Glaucoma

Cataracts



What is the cause of spots before the eye? -CORRECT ANSWER-Retinal Tear

Vitreous Detachment



What are the most important items to ask patients during work up? -CORRECT ANSWER-1.
Present and Past Health History

2. Medication (current and exact name/ purpose)

3. Allergies (drug, inhalants, contactants, food, injections, ingestants)



What symptoms are associated with Acute conjunctivitis? -CORRECT ANSWER-Discharge

Pain

Blurred Vision



What organism is the cause of Acute Conjunctivitis? -CORRECT ANSWER-Staph Aureus



What are some important familial history of common ocular defects? -CORRECT ANSWER-
Myopia

Strabismus

Glaucoma



What are the 6 steps to taking history? -CORRECT ANSWER-1. Chief Complaint

2. Secondary Problems of the eye

3. Systemic or general illness (current)

4. Past ocular disorders

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