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CERTIFIED OPHTHALMIC ASSISTANT (COA) EXAM QUESTIONS WITH CORRECT ANSWERS

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Prepare for your Certified Ophthalmic Assistant (COA) exam with this comprehensive collection of practice questions and verified answers. This PDF covers essential topics tested on the COA exam, including ocular anatomy, pharmacology, diagnostic testing, contact lenses, surgical assisting, patient history, glaucoma, cataracts, retinal diseases, and office procedures. Each question includes detailed explanations and references to key concepts. Perfect for COA candidates, ophthalmic technicians, and allied health personnel seeking certification or exam review.

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CERTIFIED OPHTHALMIC ASSISTANT (COA)
EXAM QUESTIONS WITH CORRECT
ANSWERS


What procedure using an Argon Laser is thought to destroy areas of ischemic
retina? --ANSWER--Panretinal photocoagulation or panretinal laser



What type of intraocular injection is made at the Pars plana site with a needle
and syringe of medication? --ANSWER--Intravitreal injection



What are the parallel movements of the eyes from one gaze position to another -
-ANSWER--Versions



What is the movement of one eye called --ANSWER--Duction



Versions and ductions are tested by using ________ to test the six pairs of
_______ muscles. --ANSWER--Six Cardinal positions, yoke



The movement of the eye outward toward the temple is called _____ --
ANSWER--Abduction



What is the technique used to measure the radius of curvature of the anterior
corneal surface? --ANSWER--A-Scan Keratometry Length Measurements

Page 1 of 148

,Keratometry is performed with a device called a ______ --ANSWER--
Keratometer or ophthalmometer



Give three examples in which a Keratometry measurement would be useful. --
ANSWER--Contact lens fitting, refractive surgery, intraocular lens calculations,
keratoconus



How are systemic medications administered? --ANSWER--Orally, injection
(subcutaneously or intramuscularly) or intravenously



How should drops be properly instilled into a patient's eye? --ANSWER--Into
the lower cul de sac (lower fornix)



What does the term idiosyncrasy refer to with ophthalmic drugs? --ANSWER--
A bizarre, peculiar reaction to a drug that is not commonly seen, such as
tremors, excitability or even collapse



What is the name of the instrument used to neutralize lenses? --ANSWER--
Lensometer (Lensmeter)



When recording a prism in a spectacle prescription, what does the abbreviation
BO stand for? --ANSWER--Base out



Page 2 of 148

,What is determined by focusing the thin lines in a manual lensometer? --
ANSWER--The sphere of the spectacle prescription



What is the first step in performing lensometry? --ANSWER--Focus the
eyepiece



When PRK is being performed, time remaining in the procedure should be
announced in increments of ______ --ANSWER--10 seconds



Name the organism that is most destructive to the eye. --ANSWER--
Pseudomonas Aeruginosa



Keratometry is measured in _____ --ANSWER--Diopters



Measuring intraocular pressure is also called _____ --ANSWER--Tonometry



The higher the intraocular pressure of an eye, the ____ the eye --ANSWER--
Harder



Applanation tonometry displaces less than ____ of aqueous. --ANSWER--0.5
microliters




Page 3 of 148

, When recording intraocular pressure, the reading on the Goldmann applanation
tonometer scale should be multiplied by ____. --ANSWER--10



Because there are no rods or cones in the optic nerve head a____ blind spot is
created in the normal visual field. --ANSWER--Physiologic



A defect in the patient's superior temporal retina, will affect the patient's ____
field of vision. --ANSWER--Inferior nasal



The two basic methods employed to map the field of vision are ____ and ____
perimetry. --ANSWER--Kinetic, static



A localized area of reduced sensitivity in a visual field that is surrounded by an
area of greater sensitivity is termed a ____. --ANSWER--Scotoma



And unfocused eyepiece can lead to an error of ____. --ANSWER--1 diopter in
the K reading



How many meridians are measured in keratometry? --ANSWER--2 meridians
(usually 90° apart)



The average K reading is ____. --ANSWER--43-44 diopters




Page 4 of 148

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