Ophthalmic Scribe Certification Questions With Complete Solutions

Ophthalmic Scribe Certification Questions With Complete Solutions
Ophthalmic Scribe Certification
1. The primary role of an ophthalmic scribe is to:
A. Diagnose eye diseases
B. Assist with surgical procedures
C. Document the physician–patient encounter
D. Perform refractions
Answer: C
Explanation: Scribes document findings, history, and plans but do not diagnose or treat.



2. Which section of the chart documents the patient’s reason for the visit?
A. Assessment
B. Chief Complaint
C. Review of Systems
D. Plan
Answer: B
Explanation: The chief complaint (CC) is the patient’s stated reason for the visit.



3. “Blurred vision for 2 weeks, worse in the right eye” belongs in which section?
A. HPI
B. Assessment
C. Past Medical History
D. Plan
Answer: A
Explanation: This describes symptom details and belongs in the History of Present Illness.



4. Which element is required in a complete HPI?
A. Family history
B. Duration of symptoms
C. Social history
D. Medication list
Answer: B
Explanation: Duration is a core HPI element (OLDCARTS).

, 5. OLDCARTS stands for all EXCEPT:
A. Onset
B. Location
C. Diagnosis
D. Severity
Answer: C
Explanation: Diagnosis is not part of OLDCARTS.



6. Visual acuity should be documented as:
A. Good or bad
B. 20/20, 20/40, etc.
C. Normal or abnormal
D. Pass or fail
Answer: B
Explanation: Visual acuity is documented numerically using Snellen notation.



7. OD refers to which eye?
A. Left eye
B. Both eyes
C. Right eye
D. Neither eye
Answer: C
Explanation: OD = Oculus Dexter = right eye.



8. OU means:
A. Left eye
B. Right eye
C. Both eyes
D. Poor vision
Answer: C
Explanation: OU = Oculus Uterque = both eyes.



9. Which term means inflammation of the eyelid margin?
A. Conjunctivitis
B. Blepharitis
C. Keratitis