COA PRACTICE EXAM 2025/2026 PRACTICE TEST QUESTIONS WITH ACCURATE
SOLUTIONS
Why is it important to patch or cover the fellow eye when performing VF testing?
a. Because the eyes' VA may not be equal
b. Because the patient may become distracted by the vision in the eye which is not being
tested
c. Because the visual fields in each eye overlap one another
d. To detect amblyopia
c. Because the visual fields in each eye overlap one another
Modifying Factors, Context, and Quality are all components of
a. CC
b. HPI
c. ROS
d. Past medical Hx
b. HPI
A PT tells you he smokes cigarettes. Where would you enter this information?
a. Medical Hx
b. Social Hx
c. Med Hx
d. Ocular Hx
b. Social Hx
,You are eliciting a chief complaint from a patient who complains of a headache. Which of
the following question should you ask him?
a. Location?
b. Distance or near?
c. Any new floaters?
d. Any discharge?
a. Location?
While assessing the patient's pupil size in ambient lighting, you notice the pupils
alternately become larger and smaller than larger again understudy illumination. This is
a. An APD
b. Normal
c. Evidence of the accommodative triad
d. An Adie's pupil
b. Normal
Normal pupils
a. Are >1 mm different in size
b. May have a latent response in one eye and brisk response in the other
c. Are different sizes in the dark and light
d. Dilate when a light is shined in them
c. Are different sizes in the dark and light
,The amount of contraction and radiation of a pupil depends on
a. The amount of ambient room light
b. Whether Hippus is present
c. The brightness of test light
d. A & C
e. B & C
d. A & C
Accommodation, Convergence, and Pupillary Constriction are evidence of
a. Light Near Dissociation
b. The Near Flex Triad
c. Absent Light Reflex
d. APD
b. The Near Flex Triad
An Afferent Pupillary Defect
a. Only occurs in eyes that have been subject to trauma
b. Is sometimes a sign of an underlying disorder
c. Is a sign of a Cranial Nerve Palsy
d. Can be detected with only one reactive pupil
c. Is a sign of a Cranial Nerve Palsy
APD can occur in
, a. Normal eyes
b. Strabismus
c. Bilateral optic nerve disease
d. Optic Neuritis
d. Optic Neuritis
Anisocoria without ptosis suggests
a. Siderosis Bulbi
b. Adie's pupil
c. Horner's Syndrome
d. Third Cranial Nerve Palsy
b. Adie's pupil
IOL Master Keratometry
a. Displays steeper K in warm colours and flatter K in cool colours
b. Uses the front surface of the K as a mirror
c. Is more accurate than a traditional keratometer
d. Is a subjective measurement
c. Is more accurate than a traditional keratometer
K readings of 42.75/45.25 x 180 indicate
a. 2.5D of astigmatism
b. Myopia
SOLUTIONS
Why is it important to patch or cover the fellow eye when performing VF testing?
a. Because the eyes' VA may not be equal
b. Because the patient may become distracted by the vision in the eye which is not being
tested
c. Because the visual fields in each eye overlap one another
d. To detect amblyopia
c. Because the visual fields in each eye overlap one another
Modifying Factors, Context, and Quality are all components of
a. CC
b. HPI
c. ROS
d. Past medical Hx
b. HPI
A PT tells you he smokes cigarettes. Where would you enter this information?
a. Medical Hx
b. Social Hx
c. Med Hx
d. Ocular Hx
b. Social Hx
,You are eliciting a chief complaint from a patient who complains of a headache. Which of
the following question should you ask him?
a. Location?
b. Distance or near?
c. Any new floaters?
d. Any discharge?
a. Location?
While assessing the patient's pupil size in ambient lighting, you notice the pupils
alternately become larger and smaller than larger again understudy illumination. This is
a. An APD
b. Normal
c. Evidence of the accommodative triad
d. An Adie's pupil
b. Normal
Normal pupils
a. Are >1 mm different in size
b. May have a latent response in one eye and brisk response in the other
c. Are different sizes in the dark and light
d. Dilate when a light is shined in them
c. Are different sizes in the dark and light
,The amount of contraction and radiation of a pupil depends on
a. The amount of ambient room light
b. Whether Hippus is present
c. The brightness of test light
d. A & C
e. B & C
d. A & C
Accommodation, Convergence, and Pupillary Constriction are evidence of
a. Light Near Dissociation
b. The Near Flex Triad
c. Absent Light Reflex
d. APD
b. The Near Flex Triad
An Afferent Pupillary Defect
a. Only occurs in eyes that have been subject to trauma
b. Is sometimes a sign of an underlying disorder
c. Is a sign of a Cranial Nerve Palsy
d. Can be detected with only one reactive pupil
c. Is a sign of a Cranial Nerve Palsy
APD can occur in
, a. Normal eyes
b. Strabismus
c. Bilateral optic nerve disease
d. Optic Neuritis
d. Optic Neuritis
Anisocoria without ptosis suggests
a. Siderosis Bulbi
b. Adie's pupil
c. Horner's Syndrome
d. Third Cranial Nerve Palsy
b. Adie's pupil
IOL Master Keratometry
a. Displays steeper K in warm colours and flatter K in cool colours
b. Uses the front surface of the K as a mirror
c. Is more accurate than a traditional keratometer
d. Is a subjective measurement
c. Is more accurate than a traditional keratometer
K readings of 42.75/45.25 x 180 indicate
a. 2.5D of astigmatism
b. Myopia
