COA -CERTIFIED OPHTHALMIC ASSISTANT
PREP TEST BANK 1 EXAM WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS| CURRENTLY TESTING
VERSION | ALREADY GRADED
A+|NEWEST|EXPERT VERIFIED FOR
GUARANTEED PASS 2026/2027
Your patient has been referred to your practice for cataract surgery. You ask if there is
anyone at home who can help the patient instill eye drops. This is part of the patient's:
a. family history
b. ocular history
c. social history
d. medical history
C. social history
The most common ocular disorders that run in families are:
a. cataracts, macular degeneration, and color blindness
b. strabismus, myopia, and glaucoma
c. glaucoma, color blindness, and albinism
d. retinitis pigmentosa, strabismus, and albinism
B. strabismus, myopia, and glaucoma
A 25-year-old white woman comes in as a new patient because her mother has just
been diagnosed with glaucoma. This information:
a. is unimportant because the patient is under the age of 45
b. is unimportant because glaucoma is less prevalent among whites
c. is a good reason for a full eye exam
d. is insignificant because glaucoma is passed through the father, not the mother
C. is a good reason for a full eye exam
A mother brings in a 2-year-old child with esotropia. Which of the following is significant
for the history?
a. Does anyone in the family have crossed eyes?
b. Is anyone in the family blind?
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,c. Does anyone in the family have Down syndrome?
d. Has anyone in the family been born prematurely?
A. Does anyone in the family have crossed eyes?
Examples of hereditary systemic disease include:
a. shingles, diabetes, hypertension, and gout
b. diabetes, hypertension, arthritis, and cancer
c. cancer, diabetes, arthritis, and meningitis
d. hypertension, acquired immune deficiency syndrome (AIDS), and shingles
B. diabetes, hypertension, arthritis, and cancer
Which of the following is not potentially a hereditary disorder?
a. keratoconus
b. secondary glaucoma
c. migraine headaches
d. nysagmus
B. secondary glaucoma
Any pupil smaller than what size is considered miotic?
a. 1 mm
b. 2 mm
c. 3 mm
d. 4 mm
B. 2 mm
Any pupil larger than what size is considered mydriatic?
a. 3 mm
b. 4 mm
c. 5 mm
d. 6 mm
D. 6 mm
Which of the following groups tend to have smaller pupils?
a. children
b. myopes
c. people with light blue eyes
d. older people
D. older people
Unequal pupil size is termed?
a. anisocoria
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,b. anisometropia
c. anisochromia
d. aniseikonia
A. anisocoria
The pupil evaluation includes:
a. size, shape, and reaction to light
b. iris color, roundness, and reaction to light
c. angle depth, iris diameter, reaction to light
d. reaction to cycloplegia, light and accommodation
An iris coloboma usually causes a pupillary shape defect:
a. at 12 o'clock
b. at 3 o'clock
c. at 6 o'clock
d. at 9 o'clock
C. at 6 o'clock
Constriction of the pupil can be accomplished by any of the following except:
a. shining a bright light into the eye
b. having the patient focus on a near object
c. using miotics
d. dimming the room lights
D. dimming the room lights
Dilation of the pupil can be accomplished by any of the following except?
a. shining a bright light into the eye
b. pinching the patient's neck
c. having the patient focus on a distant object
d. dimming the room lights
A. shining a bright light into the eye
Direct pupillary response refers to:
a. the reaction of both pupils to light
b. the reaction of one pupil to light
c. the reaction of both pupils to near
d. the reaction of one pupil to near
B. the reaction of one pupil to light
Testing of the consensual light response in healthy eyes is possible because:
a. each pupil reacts to light independently
b. if one pupil reacts to light, the other reacts with it
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, c. the pupils react to light in reverse order
d. the pupils react to near stimuli independently
B. if one pupil reacts to light, the other reacts with it
When checking consensual pupil responses to light, all of the following should be done
except:
a. dim the room lights
b. have the patient look at a distant object
c. shine the light source from the side
d. cover the eye not being tested
D. cover the eye not being tested
To test pupillary response to accommodation:
a. observe the pupils as the patient looks from a distant object to a close-up object
b. observe the pupils as the patient looks from a close-up object to a light source
c. observe the pupils as the patient reads the near card
d. observe the pupils as the patient reads the distant chart
A. observe the pupils as the patient looks from a distant object to a close-up object
To evaluate a patient for tonic pupil (or adie's tonic pupil), one would use which
method?
a. pupillometer
b. slit-lamp evaluation
c. cycloplegia
d. accommodation response test
D. accommodation response test
Each pupil constricts to direct light. This indicates:
a. there is no relative afferent pupillary defect (RAPD) present
b. the pupils react equally
c. light is passing though each optic nerve
d. equal reaction to accommodation
C. light is passing though each optic nerve
Testing that reveals normal-appearing pupils that react appropriately is documented by
the acronym:
a. PERRLA
b. RAPD
c. CSM
d. PEAR
A. PERRLA
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PREP TEST BANK 1 EXAM WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS| CURRENTLY TESTING
VERSION | ALREADY GRADED
A+|NEWEST|EXPERT VERIFIED FOR
GUARANTEED PASS 2026/2027
Your patient has been referred to your practice for cataract surgery. You ask if there is
anyone at home who can help the patient instill eye drops. This is part of the patient's:
a. family history
b. ocular history
c. social history
d. medical history
C. social history
The most common ocular disorders that run in families are:
a. cataracts, macular degeneration, and color blindness
b. strabismus, myopia, and glaucoma
c. glaucoma, color blindness, and albinism
d. retinitis pigmentosa, strabismus, and albinism
B. strabismus, myopia, and glaucoma
A 25-year-old white woman comes in as a new patient because her mother has just
been diagnosed with glaucoma. This information:
a. is unimportant because the patient is under the age of 45
b. is unimportant because glaucoma is less prevalent among whites
c. is a good reason for a full eye exam
d. is insignificant because glaucoma is passed through the father, not the mother
C. is a good reason for a full eye exam
A mother brings in a 2-year-old child with esotropia. Which of the following is significant
for the history?
a. Does anyone in the family have crossed eyes?
b. Is anyone in the family blind?
1|Page
,c. Does anyone in the family have Down syndrome?
d. Has anyone in the family been born prematurely?
A. Does anyone in the family have crossed eyes?
Examples of hereditary systemic disease include:
a. shingles, diabetes, hypertension, and gout
b. diabetes, hypertension, arthritis, and cancer
c. cancer, diabetes, arthritis, and meningitis
d. hypertension, acquired immune deficiency syndrome (AIDS), and shingles
B. diabetes, hypertension, arthritis, and cancer
Which of the following is not potentially a hereditary disorder?
a. keratoconus
b. secondary glaucoma
c. migraine headaches
d. nysagmus
B. secondary glaucoma
Any pupil smaller than what size is considered miotic?
a. 1 mm
b. 2 mm
c. 3 mm
d. 4 mm
B. 2 mm
Any pupil larger than what size is considered mydriatic?
a. 3 mm
b. 4 mm
c. 5 mm
d. 6 mm
D. 6 mm
Which of the following groups tend to have smaller pupils?
a. children
b. myopes
c. people with light blue eyes
d. older people
D. older people
Unequal pupil size is termed?
a. anisocoria
2|Page
,b. anisometropia
c. anisochromia
d. aniseikonia
A. anisocoria
The pupil evaluation includes:
a. size, shape, and reaction to light
b. iris color, roundness, and reaction to light
c. angle depth, iris diameter, reaction to light
d. reaction to cycloplegia, light and accommodation
An iris coloboma usually causes a pupillary shape defect:
a. at 12 o'clock
b. at 3 o'clock
c. at 6 o'clock
d. at 9 o'clock
C. at 6 o'clock
Constriction of the pupil can be accomplished by any of the following except:
a. shining a bright light into the eye
b. having the patient focus on a near object
c. using miotics
d. dimming the room lights
D. dimming the room lights
Dilation of the pupil can be accomplished by any of the following except?
a. shining a bright light into the eye
b. pinching the patient's neck
c. having the patient focus on a distant object
d. dimming the room lights
A. shining a bright light into the eye
Direct pupillary response refers to:
a. the reaction of both pupils to light
b. the reaction of one pupil to light
c. the reaction of both pupils to near
d. the reaction of one pupil to near
B. the reaction of one pupil to light
Testing of the consensual light response in healthy eyes is possible because:
a. each pupil reacts to light independently
b. if one pupil reacts to light, the other reacts with it
3|Page
, c. the pupils react to light in reverse order
d. the pupils react to near stimuli independently
B. if one pupil reacts to light, the other reacts with it
When checking consensual pupil responses to light, all of the following should be done
except:
a. dim the room lights
b. have the patient look at a distant object
c. shine the light source from the side
d. cover the eye not being tested
D. cover the eye not being tested
To test pupillary response to accommodation:
a. observe the pupils as the patient looks from a distant object to a close-up object
b. observe the pupils as the patient looks from a close-up object to a light source
c. observe the pupils as the patient reads the near card
d. observe the pupils as the patient reads the distant chart
A. observe the pupils as the patient looks from a distant object to a close-up object
To evaluate a patient for tonic pupil (or adie's tonic pupil), one would use which
method?
a. pupillometer
b. slit-lamp evaluation
c. cycloplegia
d. accommodation response test
D. accommodation response test
Each pupil constricts to direct light. This indicates:
a. there is no relative afferent pupillary defect (RAPD) present
b. the pupils react equally
c. light is passing though each optic nerve
d. equal reaction to accommodation
C. light is passing though each optic nerve
Testing that reveals normal-appearing pupils that react appropriately is documented by
the acronym:
a. PERRLA
b. RAPD
c. CSM
d. PEAR
A. PERRLA
4|Page
