CALIFORNIA OPTOMETRY LAW Exam
UPDATED ACTUAL Exam Question and
Answer (2026/2027) | Final Review
• Steroids for ocular allergies . CORRECT ANSWER: Consult if worse @ 3
weeks
• Steroids s/p sx . CORRECT ANSWER: Always co-manage s/p sx
• Steroids for iritis . CORRECT ANSWER: Consult: if worse @ 72 hrs
Consult: if not resolved @ 21 days
Refer: if still on meds @ 6 weeks
Refer: if recurred <1 yr
• Steroids for Episcleritis . CORRECT ANSWER: Consult: if worse @ 72 hours
Consult: if not resolved @ 3 hrs
Refer: if still on meds @ 6 weeks
Refer: if recurred <1yr
• Steroids for traumatic iritis . CORRECT ANSWER: Consult: if worse @ 72 hrs
Refer: if still on meds @ 1wk
• Steroids for inflammatory keratitis . CORRECT ANSWER: Consult: if worse @
72 hours
Refer: if recurs <1 yr
**NOT for Moorens or Terriens Marginal degen
• Antihistamines PO . CORRECT ANSWER: no restrictions
• NSAIDS PO . CORRECT ANSWER: no restrictions
• Antibiotics for central corneal ulcer . CORRECT ANSWER: REFER: if not
improved at 48hours
• Refer or consult for central corneal ulcer than has not improved in 48 hours after
initiating antibiotics . CORRECT ANSWER: REFER to OMD @ 48hrs of no
improvements
, • ANTIBIOTICS (PO) for preseptal cellulitis . CORRECT ANSWER: REFER at
48 hrs if not improved
• Refer or consult for preseptal cellulitis than has not improved in 48 hours after
initiating antibiotics . CORRECT ANSWER: REFER @ 48 hours if no
improvement noted
• What are the limitations with antibiotics? . CORRECT ANSWER: - You may
treat with any topical or oral medication.
- Infections of the anterior segment and adnexa including AIDS related infections
-EXCLUDING the lacrimal gland (no probing), lacrimal drainage system
-EXCLUDING the sclera in children <12yo
*** REFER @ 48 hours if NO IMPROVEMENT
• Treatment for dacryocystitis . CORRECT ANSWER: - can only treat in >12yrs
- REFER after 48hours if not improved
• Define central corneal ulcer . CORRECT ANSWER: within the central 5mm
• Antivirals for viral keratitis . CORRECT ANSWER: If NOT IMPROVED @ 7
days = REFER
If not RESOLVED @ 3 weeks = REFER
• Viral conjunctivitis management . CORRECT ANSWER: If worse @ 7 days =
CONSULT
If not resolved in 3 weeks = REFER
• Compounds with hydrocodone/codiene . CORRECT ANSWER: REFER after 3
days
limited completely to 72 hours
Refer if pain still persists @ 3 days
*OD must have a DEA number, and must register with California Department of
Justice
*Schedule II drugs must be on a temper-proof Rx form
• Using a revoked/suspended/fradulently altered license . CORRECT ANSWER:
misdemenor
• fictitious license . CORRECT ANSWER: misdemeanor
UPDATED ACTUAL Exam Question and
Answer (2026/2027) | Final Review
• Steroids for ocular allergies . CORRECT ANSWER: Consult if worse @ 3
weeks
• Steroids s/p sx . CORRECT ANSWER: Always co-manage s/p sx
• Steroids for iritis . CORRECT ANSWER: Consult: if worse @ 72 hrs
Consult: if not resolved @ 21 days
Refer: if still on meds @ 6 weeks
Refer: if recurred <1 yr
• Steroids for Episcleritis . CORRECT ANSWER: Consult: if worse @ 72 hours
Consult: if not resolved @ 3 hrs
Refer: if still on meds @ 6 weeks
Refer: if recurred <1yr
• Steroids for traumatic iritis . CORRECT ANSWER: Consult: if worse @ 72 hrs
Refer: if still on meds @ 1wk
• Steroids for inflammatory keratitis . CORRECT ANSWER: Consult: if worse @
72 hours
Refer: if recurs <1 yr
**NOT for Moorens or Terriens Marginal degen
• Antihistamines PO . CORRECT ANSWER: no restrictions
• NSAIDS PO . CORRECT ANSWER: no restrictions
• Antibiotics for central corneal ulcer . CORRECT ANSWER: REFER: if not
improved at 48hours
• Refer or consult for central corneal ulcer than has not improved in 48 hours after
initiating antibiotics . CORRECT ANSWER: REFER to OMD @ 48hrs of no
improvements
, • ANTIBIOTICS (PO) for preseptal cellulitis . CORRECT ANSWER: REFER at
48 hrs if not improved
• Refer or consult for preseptal cellulitis than has not improved in 48 hours after
initiating antibiotics . CORRECT ANSWER: REFER @ 48 hours if no
improvement noted
• What are the limitations with antibiotics? . CORRECT ANSWER: - You may
treat with any topical or oral medication.
- Infections of the anterior segment and adnexa including AIDS related infections
-EXCLUDING the lacrimal gland (no probing), lacrimal drainage system
-EXCLUDING the sclera in children <12yo
*** REFER @ 48 hours if NO IMPROVEMENT
• Treatment for dacryocystitis . CORRECT ANSWER: - can only treat in >12yrs
- REFER after 48hours if not improved
• Define central corneal ulcer . CORRECT ANSWER: within the central 5mm
• Antivirals for viral keratitis . CORRECT ANSWER: If NOT IMPROVED @ 7
days = REFER
If not RESOLVED @ 3 weeks = REFER
• Viral conjunctivitis management . CORRECT ANSWER: If worse @ 7 days =
CONSULT
If not resolved in 3 weeks = REFER
• Compounds with hydrocodone/codiene . CORRECT ANSWER: REFER after 3
days
limited completely to 72 hours
Refer if pain still persists @ 3 days
*OD must have a DEA number, and must register with California Department of
Justice
*Schedule II drugs must be on a temper-proof Rx form
• Using a revoked/suspended/fradulently altered license . CORRECT ANSWER:
misdemenor
• fictitious license . CORRECT ANSWER: misdemeanor