CERTIFIED OPHTHALMIC ASSISTANT QUESTIONS AND ANSWERS WITH 100% VERIFIED SOLUTIONS

CERTIFIED OPHTHALMIC ASSISTANT QUESTIONS AND ANSWERS WITH 100% VERIFIED SOLUTIONS A history is obtained by: a. asking a series of organized & specific questions b. observing the patient's actions in the exam room c. allowing the patient to discuss anything he or she wishes d. asking the same question of each patient during every exam - ANSWER-A. asking a series of organized & specific questions The history should be recorded: a. by writing down the patient's entire story, word-for-word b. by condensing the patient's story, including pertinent facts c. by interpreting the patient's story & suggesting a diagnosis d. by copying patient information from a questionnaire - ANSWER-B. by condensing the patient's story, including pertinent facts When taking a history on a school-aged child, it is important to: a. listen only to the parent's account of the illness b. listen only to the child's account of the illness c. talk to the parent outside of the child's hearing d. get an account of the illness from both the parent & child - ANSWER-D. get an account of the illness from both the parent & child Which of the following statements if false? a. A thorough history can direct a physician toward a final diagnosis. b. All information given by the patient can be shred with insurance companies without patient permission. c. Statements made by the patient should lead the assistant into additional questions that can be asked. d. All patient information is private unless a consent release from is signed. - ANSWER-B. All information given by the patient can be shred with insurance companies without patient permission. Which of the following is not a part of a history? a. presenting complaint b. medications currently used c. family eye disease d. visual acuity - ANSWER-D. visual acuity The "presenting complaint" is: a. the main reason that the patient has come to the office b. always the most serious of the patient's many complaints c. the only item with which the history is really concerned d. the main reason the patient should be dilated - ANSWER-A. the main reason that the patient has come to the office An example of a question relating to onset would be: a. "Can you still function at work?" b. "When did you first notice the problem?" c. "What treatment have you tried?" d. "Has the problem worsened?" - ANSWER-B. "When did you first notice the problem?" The question "Does your head hurt so badly that you have to leave school early?" relates to: a. onset b. duration c. progression d. severity - ANSWER-D. severity To obtain the most important information about the presenting complaint, you should ask questions relating to: a. location, timing, aggravating & alleviating factors, & family history b. location, quality, severity, timing, & aggravating & alleviating factors c. location, severity, timing, drug allergies, & past surgical procedures d. present illness, past ocular history, family history, & description of pain - ANSWER-B. location, quality, severity, timing, & aggravating & alleviating factors A symptom is: a. something you notice when you look at the patient b. something that can always be tested & proven c. a change noticed by the patient d. any change that results from injury - ANSWER-C. a change noticed by the patient An example of a sign is: a. the patient tells you what part of the eye hurts b. an elevated intraocular pressure reading c. the patient complains of blurred vision d. the patient complains of a pressure sensation behind the eyes - ANSWER-B. an elevated intraocular pressure reading A 56-year-old patient complains of a sudden onset of double vision. It is most important to ask: a. "Does the doubling go away if you cover one eye?" b. "Are the eyes also red?" c. "Do the eyes ache?" d. "Does anyone in your family have a lazy eye?" - ANSWER-A. "Does the doubling go away if you cover one eye?" An old photograph of the patient will be most useful to the physician if the patient complains of or exhibits: a. eye protrusion, double vision, or floaters b. lid droop, pupil abnormality, or head tilt c. redness, pain, halos around lights at night, and decreased vision d. headache, rash, or lid droop - ANSWER-B. lid droop, pupil abnormality, or head tilt Your patient has a cut eyelid. It is important to know what caused the injury because: a. this will determine how the doctor will repair the lid b. if the object was organic (plant or animal matter), there is a greater risk of infection c. it the object was metal, there is a greater risk of infection d. the injury needs to be reported to the National Ocular Injury Registry (NOIR) - ANSWER-B. if the object was organic (plant or animal matter), there is a greater risk of infection A patient presents with a corneal foreign body, and your supervisor asks how the foreign body got into the eye. This is an important question because: a. if the patient was not wearing safety glasses, Workers' compensation will not pay b. if the particle was under high speed, there might be internal ocular damage c. this determines whether or not you should check the patient's vision d. this determines whether or not you should irrigate the eye - ANSWER-B. if the particle was under high speed, there might be internal ocular damage The patient is not wearing contacts, but would like to be fit for them. The most relevant question is: a. "Have you tried contact lenses before?" b. "Are you interested in disposable lenses?" c. "Do you have trouble seeing to read?" d. "Are you allergic to thimerosal?" - ANSWER-A. "Have you tried contact lenses before?" A 52-year-old patient hands you his single-vision glasses, the only glasses he has. Which of the following is the most important question in determining the patient's refractive status? a. "How long have you had these?" b. "Do these help you see better?" c. "Do you wear these for driving or for reading?" d. "Do the frames hurt your ears?" - ANSWER-C. "Do you wear these for driving or for reading?"