CA Optometry Law Exam Questions with Correct
Answers
TPA certified OD may dx/tx what conditions? Correct Answer--
infections of ant seg and adnexa
-ocular allergies
-non surgical ocular inflammation >18 YO (iritis, keratitis, episcleritis)
-post op surgical inflammation co-manage with surgeon
what can TPA certified OD not dx/tx? Correct Answer--infections of
lacrimal gland/lacrimal drainage system and sclera <12 YO (scope of
practice 2018)
-2022 scope of practice says <18 YO
what are the non-surgical ocular inflammation conditions you can tx in
pt's >18 YO? Correct Answer--unilateral, non-recurrent, non-
granulomatous, idiopathic iritis
-traumatic iritis
-peripheral corneal inflammation
-keratitis
-episcleritis
which type of GL can OD tx? Correct Answer-POAG, PDS, PXF, and
steroid-induced
-OD must be GL certified
,can TPA certified OD use Rx off label? Correct Answer-yes
If using steroids, consult OMD if worse in ______ days Correct Answer-
21 days (2018 scope of practice)
Rules for Rx codeine, hydrocodone with compounds (Tylenol 3,
Vicodin), [schedule II], tramadol [schedule IV] Correct Answer--limited
to 3 days
-refer to OMD if pain persists
what can optometrists NOT Rx? Correct Answer-ANTI-FUNGALS
(2018 scope of practice); can now Rx anti-fungals (according to 2022
scope of practice)
corneal scraping with cultures allowed? Correct Answer-yes
debriding corneal epithelium allowed? Correct Answer-yes but not band
k
collecting blood via skin puncture or venipuncture for testing DM
allowed? Correct Answer-yes
suture removal allowed? Correct Answer-yes, but with consultation with
treating physician
, treatment or removal of sebaceous cysts by expression allowed? Correct
Answer-yes
giving oral fluorescein to pt's with sus DR allowed? Correct Answer-yes
using auto-injector for anaphylaxis allowed? Correct Answer-yes
allowed to order smears, cultures, sensitivities, CBC, urinalysis, x-rays?
Correct Answer-yes
allowed to perform CLIA-waived tests? Correct Answer-yes
-CLIA tests allowed for testing for systemic conditions (2022 scope of
practice)
allowed to do laser, diathermy, cryotherapy? Correct Answer-no
allowed to Rx CL or devices that have meds in them? Correct Answer-
yes
allowed to remove FB? Correct Answer-yes but has to be non-
perforating and to mid-stroma; can use needle but NOT scalpel (2018
scope of practice)
-can use both scalpel and needle (2022 scope of practice)
Answers
TPA certified OD may dx/tx what conditions? Correct Answer--
infections of ant seg and adnexa
-ocular allergies
-non surgical ocular inflammation >18 YO (iritis, keratitis, episcleritis)
-post op surgical inflammation co-manage with surgeon
what can TPA certified OD not dx/tx? Correct Answer--infections of
lacrimal gland/lacrimal drainage system and sclera <12 YO (scope of
practice 2018)
-2022 scope of practice says <18 YO
what are the non-surgical ocular inflammation conditions you can tx in
pt's >18 YO? Correct Answer--unilateral, non-recurrent, non-
granulomatous, idiopathic iritis
-traumatic iritis
-peripheral corneal inflammation
-keratitis
-episcleritis
which type of GL can OD tx? Correct Answer-POAG, PDS, PXF, and
steroid-induced
-OD must be GL certified
,can TPA certified OD use Rx off label? Correct Answer-yes
If using steroids, consult OMD if worse in ______ days Correct Answer-
21 days (2018 scope of practice)
Rules for Rx codeine, hydrocodone with compounds (Tylenol 3,
Vicodin), [schedule II], tramadol [schedule IV] Correct Answer--limited
to 3 days
-refer to OMD if pain persists
what can optometrists NOT Rx? Correct Answer-ANTI-FUNGALS
(2018 scope of practice); can now Rx anti-fungals (according to 2022
scope of practice)
corneal scraping with cultures allowed? Correct Answer-yes
debriding corneal epithelium allowed? Correct Answer-yes but not band
k
collecting blood via skin puncture or venipuncture for testing DM
allowed? Correct Answer-yes
suture removal allowed? Correct Answer-yes, but with consultation with
treating physician
, treatment or removal of sebaceous cysts by expression allowed? Correct
Answer-yes
giving oral fluorescein to pt's with sus DR allowed? Correct Answer-yes
using auto-injector for anaphylaxis allowed? Correct Answer-yes
allowed to order smears, cultures, sensitivities, CBC, urinalysis, x-rays?
Correct Answer-yes
allowed to perform CLIA-waived tests? Correct Answer-yes
-CLIA tests allowed for testing for systemic conditions (2022 scope of
practice)
allowed to do laser, diathermy, cryotherapy? Correct Answer-no
allowed to Rx CL or devices that have meds in them? Correct Answer-
yes
allowed to remove FB? Correct Answer-yes but has to be non-
perforating and to mid-stroma; can use needle but NOT scalpel (2018
scope of practice)
-can use both scalpel and needle (2022 scope of practice)
