COA Exam
Which of the following conditions is NOT hereditary?
A) Migraine
B) Diabetes
C) Nystagmus
D) Conjunctivitis - ✔✔ correct answer D) Conjunctivitis
Which part of patient examination is performed by asking specific questions in an orderly sequence?
A) History
B) Diagnosis
C) Measurement
D) Assessment - ✔✔ correct answer A) History
What is an important question to ask a patient that complains of a "red eye"?
A) Do you have blurred vision?
B) Do you see flashing lights?
C) Do you wear glasses?
D) Do you see floaters? - ✔✔ correct answer A) Do you have blurred vision?
The term used to refer to symptoms due to uncorrected refractive error is
A) ametropia.
B) asthenopia.
C) esotropia.
D) anisometropia. - ✔✔ correct answer A) ametropia
Symptoms associated with red, irritated bloodshot eye are most likely due to an
A) retinal detachment
B) cataract
C) conjunctivitis
D) open-angle glaucoma - ✔✔ correct answer C) conjunctivitis
Which of the following most qualifies as a chief complaint?
,COA Exam
A) Current medications
B)Munsons sign
C) Eye fatigue
D) Exophoria - ✔✔ correct answer C) Eye fatigue
Which common familial ocular disorder should you recored during a patients history?
A) Scoliosis
B) Keratoconus
C) Hemophilia
D) Cholesteremia - ✔✔ correct answer B) Keratoconus
Which of the following symptoms requires prompt attention?
A) Diplopia
B) Pain in the eye
C) Halos around lights
D) Sudden loss of vision - ✔✔ correct answer C) Halos around lights
After introduction to the patient, one of the first items that should be obtained as a part of history
taking is
A) medications & dosage that the patient is currently taking
B) the chief complaint or reason for the patients visit
C) the patients allergy history
D) the patients family medical history - ✔✔ correct answer B) the chiefs complaint or reason for the
patients visit
When a patient complains of diplopia, why is it important to ask if the second image goes away after
closing one eye?
A) to determine the type of diplopia the patient is experiencing.
B) to see if the patient is making up the complaint
C) to determine which eye is experiencing diplopia
D) the question is irrelevant and has no bearing on the patients history of diplopia - ✔✔ correct
answer A) To determine the type of diplopia the patients experiencing.
,COA Exam
In general, which types of allergies should be discussed with the patient?
A) medications and contact allergies
B) Drugs, inhalants (dust, pollen), contactants (cosmetics, woolens), ingestants (foods), injections
(tetanus)
C) foods, meds, contactants
D) Ingestants, inhalants, and injections - ✔✔ correct answer B) Drugs, inhalants, contactants,
ingestants and injections
Of the following conditions, which one is least likely to cause transient loss of vision?
A) Papilledema
B) Carotid artery disease
C) Thyroid disorder
D) Migraine - ✔✔ correct answer C) Thyroid disorder
Which history taking category would not typically be pertinant when interviewing a pt with a chief
complaint of headaches?
A) Duration
B) Cause
C) Date
D) Ethnicity - ✔✔ correct answer D) Ethnicity
Binocular double vision is always caused by
A) a cataract
B) a weak or paralyzed extra ocular muscle
C) aniseikonia
D) Nystagmus - ✔✔ correct answer B) a weak or paralyzed extra ocular muscle
An improperly measured interpupillary distance (PD) may result in
A) a positive angle kappa
B) an artificial exophthalmos
C) induced prism in the spectacle lens
, COA Exam
D) secondary anisometropi - ✔✔ correct answer C) induced prism in the spectacle lens
Consensual light reflex in the right eye results in
A) right pupil constriction
B) right pupil dilation
C) left pupil constriction
D) left pupil dilation - ✔✔ correct answer C) left pupil constriction
The state of pupillary constriction is known as
A) mydriasis
B) miosis
C) cycloplegia
D) anisocoria - ✔✔ correct answer B) miosis
If the amount of light information transmitted to the brain from one eye differs from that of the
other eye, the patient has a(n)
A) afferent pupillary defect
B) Adies pupil
C) tonic pupil
D) third nerve palsy - ✔✔ correct answer A) afferent pupillary defect
When the pupils are of the unequal size it is called
A) amblyopia
B) ammetropia
C) anisocoria
D) anisometropia - ✔✔ correct answer C) anisocoria
Which test compares the direct and consensual response to the pupil?
A) swinging flashlight
B) worth four dot
C) pinhole disk
Which of the following conditions is NOT hereditary?
A) Migraine
B) Diabetes
C) Nystagmus
D) Conjunctivitis - ✔✔ correct answer D) Conjunctivitis
Which part of patient examination is performed by asking specific questions in an orderly sequence?
A) History
B) Diagnosis
C) Measurement
D) Assessment - ✔✔ correct answer A) History
What is an important question to ask a patient that complains of a "red eye"?
A) Do you have blurred vision?
B) Do you see flashing lights?
C) Do you wear glasses?
D) Do you see floaters? - ✔✔ correct answer A) Do you have blurred vision?
The term used to refer to symptoms due to uncorrected refractive error is
A) ametropia.
B) asthenopia.
C) esotropia.
D) anisometropia. - ✔✔ correct answer A) ametropia
Symptoms associated with red, irritated bloodshot eye are most likely due to an
A) retinal detachment
B) cataract
C) conjunctivitis
D) open-angle glaucoma - ✔✔ correct answer C) conjunctivitis
Which of the following most qualifies as a chief complaint?
,COA Exam
A) Current medications
B)Munsons sign
C) Eye fatigue
D) Exophoria - ✔✔ correct answer C) Eye fatigue
Which common familial ocular disorder should you recored during a patients history?
A) Scoliosis
B) Keratoconus
C) Hemophilia
D) Cholesteremia - ✔✔ correct answer B) Keratoconus
Which of the following symptoms requires prompt attention?
A) Diplopia
B) Pain in the eye
C) Halos around lights
D) Sudden loss of vision - ✔✔ correct answer C) Halos around lights
After introduction to the patient, one of the first items that should be obtained as a part of history
taking is
A) medications & dosage that the patient is currently taking
B) the chief complaint or reason for the patients visit
C) the patients allergy history
D) the patients family medical history - ✔✔ correct answer B) the chiefs complaint or reason for the
patients visit
When a patient complains of diplopia, why is it important to ask if the second image goes away after
closing one eye?
A) to determine the type of diplopia the patient is experiencing.
B) to see if the patient is making up the complaint
C) to determine which eye is experiencing diplopia
D) the question is irrelevant and has no bearing on the patients history of diplopia - ✔✔ correct
answer A) To determine the type of diplopia the patients experiencing.
,COA Exam
In general, which types of allergies should be discussed with the patient?
A) medications and contact allergies
B) Drugs, inhalants (dust, pollen), contactants (cosmetics, woolens), ingestants (foods), injections
(tetanus)
C) foods, meds, contactants
D) Ingestants, inhalants, and injections - ✔✔ correct answer B) Drugs, inhalants, contactants,
ingestants and injections
Of the following conditions, which one is least likely to cause transient loss of vision?
A) Papilledema
B) Carotid artery disease
C) Thyroid disorder
D) Migraine - ✔✔ correct answer C) Thyroid disorder
Which history taking category would not typically be pertinant when interviewing a pt with a chief
complaint of headaches?
A) Duration
B) Cause
C) Date
D) Ethnicity - ✔✔ correct answer D) Ethnicity
Binocular double vision is always caused by
A) a cataract
B) a weak or paralyzed extra ocular muscle
C) aniseikonia
D) Nystagmus - ✔✔ correct answer B) a weak or paralyzed extra ocular muscle
An improperly measured interpupillary distance (PD) may result in
A) a positive angle kappa
B) an artificial exophthalmos
C) induced prism in the spectacle lens
, COA Exam
D) secondary anisometropi - ✔✔ correct answer C) induced prism in the spectacle lens
Consensual light reflex in the right eye results in
A) right pupil constriction
B) right pupil dilation
C) left pupil constriction
D) left pupil dilation - ✔✔ correct answer C) left pupil constriction
The state of pupillary constriction is known as
A) mydriasis
B) miosis
C) cycloplegia
D) anisocoria - ✔✔ correct answer B) miosis
If the amount of light information transmitted to the brain from one eye differs from that of the
other eye, the patient has a(n)
A) afferent pupillary defect
B) Adies pupil
C) tonic pupil
D) third nerve palsy - ✔✔ correct answer A) afferent pupillary defect
When the pupils are of the unequal size it is called
A) amblyopia
B) ammetropia
C) anisocoria
D) anisometropia - ✔✔ correct answer C) anisocoria
Which test compares the direct and consensual response to the pupil?
A) swinging flashlight
B) worth four dot
C) pinhole disk
