OPTOMETRY CA LAW PRACTICE EXAMINATION 2026 QUESTIONS WITH ANSWERS GRADED A+

OPTOMETRY CA LAW PRACTICE EXAMINATION 2026
QUESTIONS WITH ANSWERS GRADED A+


● TPA certified OD may dx/tx what conditions?. 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?. 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?.
Answer: -unilateral, non-recurrent, non-granulomatous, idiopathic iritis -traumatic iritis
-peripheral corneal inflammation -keratitis -episcleritis

● which type of GL can OD tx?. Answer: POAG, PDS, PXF, and steroid-induced -OD must be
GL certified

● can TPA certified OD use Rx off label?. Answer: yes

● If using steroids, consult OMD if worse in ______ days. Answer: 21 days (2018 scope of
practice)

● Rules for Rx codeine, hydrocodone with compounds (Tylenol 3, Vicodin), [schedule II],
tramadol [schedule IV]. Answer: -limited to 3 days -refer to OMD if pain persists

● what can optometrists NOT Rx?. Answer: ANTI-FUNGALS (2018 scope of practice); can
now Rx anti-fungals (according to 2022 scope of practice)

● corneal scraping with cultures allowed?. Answer: yes

● debriding corneal epithelium allowed?. Answer: yes but not band k

● collecting blood via skin puncture or venipuncture for testing DM allowed?. Answer: yes

● suture removal allowed?. Answer: yes, but with consultation with treating physician

● treatment or removal of sebaceous cysts by expression allowed?. Answer: yes

● giving oral fluorescein to pt's with sus DR allowed?. Answer: yes

, ● using auto-injector for anaphylaxis allowed?. Answer: yes

● allowed to order smears, cultures, sensitivities, CBC, urinalysis, x-rays?. Answer: yes

● allowed to perform CLIA-waived tests?. Answer: yes -CLIA tests allowed for testing for
systemic conditions (2022 scope of practice)

● allowed to do laser, diathermy, cryotherapy?. Answer: no

● allowed to Rx CL or devices that have meds in them?. Answer: yes

● allowed to remove FB?. 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)

● allowed to perform D&I?. Answer: only on >12 YO. No probing of nasal lacrimal duct and
must be certified

● allowed to perform fluorescein angiography?. Answer: yes but under supervision of OMD

● allowed to do skin testing to dx ocular allergies?. Answer: yes

● TPA certified OD's can do what?. Answer: -dx/prevent conditions and disease of
eye/adnexa -tx non-cancerous conditions and diseases of ant seg/adnexa (NO posterior seg)

● are TPA certified OD allowed to Rx oral analgesics tramadol and codeine/hydrocodone with
compounds?. Answer: yes but limited to 3 days; if pain persists, refer to OMD

● can OD tx GL in pt <18 YO?. Answer: no

● can OD tx narrow angle GL?. Answer: no

● allowed to emergency tx acute angle closure?. Answer: yes but after stabilization refer to
OMD STAT

● can OD administer vaccines?. Answer: yes but only on pt >18 YO and must be BLS
certified and completed cert prog by CDC (hands-on injection technique, clinical eval of
indications and contraindications of vaccines, recognition and tx of emergency rxn's to
vaccines)

● Can ODs utilize laser and ultrasound for diagnostic purposes?. Answer: yes

● Can ODs use radiation based instruments (X-rays, fluoroscopy, CAT scans)?. Answer: no