CALIFORNIA OPTOMETRY LAW EXAM
CONCLUDING REVIEW SHEET PRACTICE
SOLUTION BUNDLED FULLY VERIFIED ONE
HUNDRED PERCENT PASS GUARANTEED EXAM
with Questions and Answers/Plus a Rationale Updated
2026 A+/Instant Download PDF
EXAM COVERAGE
1. California Business and Professions Code Governing Optometry (Chapter 7)
2. California Code of Regulations (CCR) Title 16 Provisions for Optometrists
3. Scope of Practice, Therapeutic Pharmaceutical Agents (TPA/TPG/DPA), and Certification
Limits
4. Patient Confidentiality, Health Records, and Informed Consent Requirements in California
5. Professional Misconduct, Malpractice, Disciplinary Actions, and Board Enforcement
1. A licensed optometrist in California wishes to prescribe topical therapeutic pharmaceutical
agents (TPAs) for a patient presenting with acute allergic conjunctivitis. Under the California
Business and Professions Code, what specific certification must the optometrist hold to legally
issue this prescription?
A. Glaucoma Certification (TPA)
B. Therapeutic Pharmaceutical Agent (TPA) Certification
C. Advanced Surgical Certification
D. Oral Pharmaceutical Dispensing Permit
CORRECT ANSWER : B
Rationale: California optometrists must possess valid TPA certification issued by the State
Board of Optometry to prescribe topical therapeutic pharmaceutical agents. Option A represents
, an advanced certification beyond basic topical therapeutics. Options C and D misstate
California optometric licensing tiers and statutory authorizations.
2. An optometrist practicing in Los Angeles encounters an adult patient exhibiting classic signs of
acute angle-closure glaucoma, an emergency condition. According to California optometric law
and scope of practice, how must the optometrist manage this clinical presentation?
A. Perform immediate surgical iridectomy in the clinic office.
B. Initiate emergency pharmaceutical treatment within statutory scope limits and promptly
refer the patient to an ophthalmologist for urgent co-management or intervention.
C. Prescribe oral steroids only and schedule a follow-up in two weeks.
D. Tell the patient to use over-the-counter lubricating drops and rest at home.
CORRECT ANSWER : B
Rationale: While California optometrists can use certain emergency medications, acute angle-
closure glaucoma requires urgent ophthalmologic referral and co-management. Option A
exceeds optometric surgical scope. Options C and D fail to provide appropriate emergency care
for a sight-threatening condition.
3. A patient requests a copy of their complete optometric medical records from a private practice in
San Diego. Under California Health and Safety Code and optometric regulations, within what
timeframe must the optometrist provide these records?
A. Exactly 90 business days from the formal written request.
B. Within 15 days of receiving the written request, or allow inspection during business
hours.
C. Within 48 hours under all circumstances, including digital verification delays.
D. Records are the absolute property of the optometrist and can be withheld indefinitely.
CORRECT ANSWER : B
Rationale: California law mandates that healthcare providers supply copies of medical records
within 15 days of receiving a written request. Option A provides an excessive delay. Options C
and D violate statutory patient access rights.
4. An optometrist employs an unlicensed optician intern in their practice and allows them to
independently perform refraction and fit contact lenses without direct supervision. Under
California law, this practice constitutes:
, A. Efficient delegation of routine clinical tasks.
B. Aiding and abetting the unlicensed practice of optometry, which is a misdemeanor and
grounds for disciplinary action.
C. Legal apprenticeship under standard board rules.
D. Standard multi-disciplinary collaborative care.
CORRECT ANSWER : B
Rationale: Allowing unlicensed personnel to perform acts restricted to licensed optometrists
constitutes aiding and abetting unlicensed practice. Options A, C, and D ignore statutory scope
limitations and supervision requirements.
5. A California optometrist decides to advertise comprehensive eye examinations starting at
"$19.99" on social media, but fails to disclose mandatory additional fees for dilation and
necessary diagnostic tests. According to California Business and Professions Code, how is this
advertisement evaluated?
A. Perfectly acceptable as a marketing loss-leader strategy.
B. Deceptive, misleading, and unlawful because it fails to disclose all mandatory costs
associated with the advertised service.
C. Exempt from board oversight because it is published digitally.
D. Encouraged by the California State Board of Optometry to promote affordable care.
CORRECT ANSWER : B
Rationale: Optometric advertising laws prohibit misleading pricing structures that omit
mandatory fees required to receive the advertised service. Options A, C, and D condone
regulatory violations.
6. An optometrist in Sacramento is certified to use therapeutic pharmaceutical agents and wishes to
prescribe oral antibiotics for a severe hordeolum. Under current California law, what is the
limitation on prescribing oral medications for optometrists?
A. Optometrists are completely prohibited from prescribing any oral medications.
B. Optometrists may prescribe specific categories of oral medications (such as anti-
infectives, oral NSAIDs, and analgesics) provided they hold appropriate TPA/glaucoma
certification and meet statutory formulary limits.
C. Optometrists can prescribe any oral medication approved for human use without restriction.
, D. Oral medications can only be prescribed if co-signed by a dentist.
CORRECT ANSWER : B
Rationale: California law permits certified optometrists to prescribe specific authorized classes
of oral medications within a strict statutory formulary. Option A is outdated, and Option C
grants excessive prescribing scope.
7. A patient presents to an optometric clinic with signs of retinal detachment. The optometrist
attempts to treat the detachment using in-office laser photocoagulation without holding advanced
surgical privileges. What legal principle is violated?
A. Patient financial transparency laws.
B. Practicing beyond the authorized scope of optometry and performing surgical
procedures restricted to ophthalmology or authorized specialties.
C. Municipal zoning ordinances.
D. Copyright regulations on visual charts frames.
CORRECT ANSWER : B
Rationale: Retinal surgery and laser procedures for conditions like detachment fall outside
standard optometric scope in California. Options A, C, and D are irrelevant.
8. An optometric corporation in California is owned by two licensed optometrists. They decide to
sell 49% of the corporate shares to a non-licensed business investor who promises to manage
marketing and billing. Under California law, this arrangement violates:
A. Federal aviation security rules.
B. The prohibition against corporate practice of medicine/optometry and lay ownership of
professional practices.
C. Municipal property tax codes.
D. Environmental waste disposal laws.
CORRECT ANSWER : B
Rationale: California law strictly forbids non-licensed individuals from holding ownership
shares in professional optometric corporations. Options A, C, and D do not apply.
CONCLUDING REVIEW SHEET PRACTICE
SOLUTION BUNDLED FULLY VERIFIED ONE
HUNDRED PERCENT PASS GUARANTEED EXAM
with Questions and Answers/Plus a Rationale Updated
2026 A+/Instant Download PDF
EXAM COVERAGE
1. California Business and Professions Code Governing Optometry (Chapter 7)
2. California Code of Regulations (CCR) Title 16 Provisions for Optometrists
3. Scope of Practice, Therapeutic Pharmaceutical Agents (TPA/TPG/DPA), and Certification
Limits
4. Patient Confidentiality, Health Records, and Informed Consent Requirements in California
5. Professional Misconduct, Malpractice, Disciplinary Actions, and Board Enforcement
1. A licensed optometrist in California wishes to prescribe topical therapeutic pharmaceutical
agents (TPAs) for a patient presenting with acute allergic conjunctivitis. Under the California
Business and Professions Code, what specific certification must the optometrist hold to legally
issue this prescription?
A. Glaucoma Certification (TPA)
B. Therapeutic Pharmaceutical Agent (TPA) Certification
C. Advanced Surgical Certification
D. Oral Pharmaceutical Dispensing Permit
CORRECT ANSWER : B
Rationale: California optometrists must possess valid TPA certification issued by the State
Board of Optometry to prescribe topical therapeutic pharmaceutical agents. Option A represents
, an advanced certification beyond basic topical therapeutics. Options C and D misstate
California optometric licensing tiers and statutory authorizations.
2. An optometrist practicing in Los Angeles encounters an adult patient exhibiting classic signs of
acute angle-closure glaucoma, an emergency condition. According to California optometric law
and scope of practice, how must the optometrist manage this clinical presentation?
A. Perform immediate surgical iridectomy in the clinic office.
B. Initiate emergency pharmaceutical treatment within statutory scope limits and promptly
refer the patient to an ophthalmologist for urgent co-management or intervention.
C. Prescribe oral steroids only and schedule a follow-up in two weeks.
D. Tell the patient to use over-the-counter lubricating drops and rest at home.
CORRECT ANSWER : B
Rationale: While California optometrists can use certain emergency medications, acute angle-
closure glaucoma requires urgent ophthalmologic referral and co-management. Option A
exceeds optometric surgical scope. Options C and D fail to provide appropriate emergency care
for a sight-threatening condition.
3. A patient requests a copy of their complete optometric medical records from a private practice in
San Diego. Under California Health and Safety Code and optometric regulations, within what
timeframe must the optometrist provide these records?
A. Exactly 90 business days from the formal written request.
B. Within 15 days of receiving the written request, or allow inspection during business
hours.
C. Within 48 hours under all circumstances, including digital verification delays.
D. Records are the absolute property of the optometrist and can be withheld indefinitely.
CORRECT ANSWER : B
Rationale: California law mandates that healthcare providers supply copies of medical records
within 15 days of receiving a written request. Option A provides an excessive delay. Options C
and D violate statutory patient access rights.
4. An optometrist employs an unlicensed optician intern in their practice and allows them to
independently perform refraction and fit contact lenses without direct supervision. Under
California law, this practice constitutes:
, A. Efficient delegation of routine clinical tasks.
B. Aiding and abetting the unlicensed practice of optometry, which is a misdemeanor and
grounds for disciplinary action.
C. Legal apprenticeship under standard board rules.
D. Standard multi-disciplinary collaborative care.
CORRECT ANSWER : B
Rationale: Allowing unlicensed personnel to perform acts restricted to licensed optometrists
constitutes aiding and abetting unlicensed practice. Options A, C, and D ignore statutory scope
limitations and supervision requirements.
5. A California optometrist decides to advertise comprehensive eye examinations starting at
"$19.99" on social media, but fails to disclose mandatory additional fees for dilation and
necessary diagnostic tests. According to California Business and Professions Code, how is this
advertisement evaluated?
A. Perfectly acceptable as a marketing loss-leader strategy.
B. Deceptive, misleading, and unlawful because it fails to disclose all mandatory costs
associated with the advertised service.
C. Exempt from board oversight because it is published digitally.
D. Encouraged by the California State Board of Optometry to promote affordable care.
CORRECT ANSWER : B
Rationale: Optometric advertising laws prohibit misleading pricing structures that omit
mandatory fees required to receive the advertised service. Options A, C, and D condone
regulatory violations.
6. An optometrist in Sacramento is certified to use therapeutic pharmaceutical agents and wishes to
prescribe oral antibiotics for a severe hordeolum. Under current California law, what is the
limitation on prescribing oral medications for optometrists?
A. Optometrists are completely prohibited from prescribing any oral medications.
B. Optometrists may prescribe specific categories of oral medications (such as anti-
infectives, oral NSAIDs, and analgesics) provided they hold appropriate TPA/glaucoma
certification and meet statutory formulary limits.
C. Optometrists can prescribe any oral medication approved for human use without restriction.
, D. Oral medications can only be prescribed if co-signed by a dentist.
CORRECT ANSWER : B
Rationale: California law permits certified optometrists to prescribe specific authorized classes
of oral medications within a strict statutory formulary. Option A is outdated, and Option C
grants excessive prescribing scope.
7. A patient presents to an optometric clinic with signs of retinal detachment. The optometrist
attempts to treat the detachment using in-office laser photocoagulation without holding advanced
surgical privileges. What legal principle is violated?
A. Patient financial transparency laws.
B. Practicing beyond the authorized scope of optometry and performing surgical
procedures restricted to ophthalmology or authorized specialties.
C. Municipal zoning ordinances.
D. Copyright regulations on visual charts frames.
CORRECT ANSWER : B
Rationale: Retinal surgery and laser procedures for conditions like detachment fall outside
standard optometric scope in California. Options A, C, and D are irrelevant.
8. An optometric corporation in California is owned by two licensed optometrists. They decide to
sell 49% of the corporate shares to a non-licensed business investor who promises to manage
marketing and billing. Under California law, this arrangement violates:
A. Federal aviation security rules.
B. The prohibition against corporate practice of medicine/optometry and lay ownership of
professional practices.
C. Municipal property tax codes.
D. Environmental waste disposal laws.
CORRECT ANSWER : B
Rationale: California law strictly forbids non-licensed individuals from holding ownership
shares in professional optometric corporations. Options A, C, and D do not apply.
