OPTOMETRY CALIFORNIA LAW EXAM ACTUAL EXAM
T/F - Corticosteroids for post-surgical inflammation and pain requires 72h consult if
worse - ANSWER: False - must co-manage w/ surgeon
If a pt is on corticosteroids for ocular allergies, how long before consult? - ANSWER:
21d if condition worsens
A worsening iritis while pt is on steroids requires how long before consult? -
ANSWER: 72h
If an idiopathic iritis does not resolve in ___ weeks, you must (consult/refer)? -
ANSWER: 3w, consult
What drugs have no restrictions for treatment (per Dr. C's chart)? - ANSWER: P.O.
Antihistamins & NSAIDS
All antibiotics for any ocular condition requires (consult/referral) after how long if
the condition has not improved? - ANSWER: 48hr - referal
'If any ocular viral condition has not resolved after ____ period of time, you must
(refer/consult)?' - ANSWER: 3wk, refer
Proper guideline for referral of ocular pain? - ANSWER: 3d = refer if not resolved
Recurrence of these diseases within 1 year requires a consult/referral. - ANSWER:
Steroid tx of idiopathic iritis (referral), episcleritis (consult), inflammatory keratitis
(consult)
Inflammatory keratitis requires a (consult/referral) if worse after a ___ period of
time while Tx with steroids. - ANSWER: 72hr, consult
All steroids listed in Dr. C's chart have a ___ period of time consult if worse. -
ANSWER: 72hr
'If a viral keratitis has not improved over a ___ period of time, you must
(consult/refer)?' - ANSWER: 7d, refer
'If a viral conjunctivitis has worsened over a ___ period of time, you must
(consult/refer)?' - ANSWER: 7d, refer
What is the limitation of the type of idiopathic iritis that CA ODs can Tx? - ANSWER:
Uni, non-rec, non-gran idiopath iritis, > 18yrs.
What is the limitation of the type of inflammatory keratitis that CA ODs can Tx? -
ANSWER: Peripheral types, excluding Moorens and Terriens
, T/F - CA ODs may use oral meds to stabilize angle closure. - ANSWER: T
What types of glaucoma may be Tx'd? - ANSWER: POAG, PDG, PXE. Stabilize ACG
Age limit of glaucoma Tx? - ANSWER: 18 or older
Conditions that require you to refer your glaucoma pt to an OMD? - ANSWER: If
requested by the pt or if angle closure develops
Glaucoma pts with diabetes require what special stipulation in the Tx plan? -
ANSWER: The tx'ing OD must consult in writing w/ the tx'ing physician in
developing a glaucoma tx plan and when making changes w/ the pt's glaucoma
meds.
T/F - TPA Certified ODs can Tx or remove sebaceous cysts by expression - ANSWER: T
T/F - You may order a CBC without prior consultation with an MD? - ANSWER: T
Corneal FB Tx limitations? - ANSWER: Non-perf, no deeper than MID-stroma, not
require surgical repair; no scalpel or needle on cornea'
T/F - Probing of nasal lacrimal tract is permitted on pts 12 years or older. - ANSWER:
F - only lacrimal irrigation/dilation is allowed on pts 12 yrs & older
T/F - You are permitted to remove sutures without consultation of the treating
physician. - ANSWER: F - can remove sutures WITH consultation
Is it legal for receiving a bonus for limiting the amount of threshold VFs to 5 in one
day? - ANSWER: No (sec 511)
What situations require polycarbonate lenses? - ANSWER: one-eyed person,
fireman, law enforcement, under 18 yrs old.
What needs to be written on a spectacle prescription? - ANSWER: Pt's name, lens
power, expiration, issue date; name, address, license # & signature of OD.
Expiration date for spectacles must be no less than __ years from date of issuance
unless there is a reasonable probablilty of change earlier than __ years. - ANSWER:
2-4, 2 (sec 2541.1)
T/F - Prescriber must orally inform patient of SRx expiration date - ANSWER: T (sec
2541.1)
T/F - Prescriber is not allowed to extend SRx expiration date - ANSWER: F - can
extend (sec 2541.1)
T/F - Corticosteroids for post-surgical inflammation and pain requires 72h consult if
worse - ANSWER: False - must co-manage w/ surgeon
If a pt is on corticosteroids for ocular allergies, how long before consult? - ANSWER:
21d if condition worsens
A worsening iritis while pt is on steroids requires how long before consult? -
ANSWER: 72h
If an idiopathic iritis does not resolve in ___ weeks, you must (consult/refer)? -
ANSWER: 3w, consult
What drugs have no restrictions for treatment (per Dr. C's chart)? - ANSWER: P.O.
Antihistamins & NSAIDS
All antibiotics for any ocular condition requires (consult/referral) after how long if
the condition has not improved? - ANSWER: 48hr - referal
'If any ocular viral condition has not resolved after ____ period of time, you must
(refer/consult)?' - ANSWER: 3wk, refer
Proper guideline for referral of ocular pain? - ANSWER: 3d = refer if not resolved
Recurrence of these diseases within 1 year requires a consult/referral. - ANSWER:
Steroid tx of idiopathic iritis (referral), episcleritis (consult), inflammatory keratitis
(consult)
Inflammatory keratitis requires a (consult/referral) if worse after a ___ period of
time while Tx with steroids. - ANSWER: 72hr, consult
All steroids listed in Dr. C's chart have a ___ period of time consult if worse. -
ANSWER: 72hr
'If a viral keratitis has not improved over a ___ period of time, you must
(consult/refer)?' - ANSWER: 7d, refer
'If a viral conjunctivitis has worsened over a ___ period of time, you must
(consult/refer)?' - ANSWER: 7d, refer
What is the limitation of the type of idiopathic iritis that CA ODs can Tx? - ANSWER:
Uni, non-rec, non-gran idiopath iritis, > 18yrs.
What is the limitation of the type of inflammatory keratitis that CA ODs can Tx? -
ANSWER: Peripheral types, excluding Moorens and Terriens
, T/F - CA ODs may use oral meds to stabilize angle closure. - ANSWER: T
What types of glaucoma may be Tx'd? - ANSWER: POAG, PDG, PXE. Stabilize ACG
Age limit of glaucoma Tx? - ANSWER: 18 or older
Conditions that require you to refer your glaucoma pt to an OMD? - ANSWER: If
requested by the pt or if angle closure develops
Glaucoma pts with diabetes require what special stipulation in the Tx plan? -
ANSWER: The tx'ing OD must consult in writing w/ the tx'ing physician in
developing a glaucoma tx plan and when making changes w/ the pt's glaucoma
meds.
T/F - TPA Certified ODs can Tx or remove sebaceous cysts by expression - ANSWER: T
T/F - You may order a CBC without prior consultation with an MD? - ANSWER: T
Corneal FB Tx limitations? - ANSWER: Non-perf, no deeper than MID-stroma, not
require surgical repair; no scalpel or needle on cornea'
T/F - Probing of nasal lacrimal tract is permitted on pts 12 years or older. - ANSWER:
F - only lacrimal irrigation/dilation is allowed on pts 12 yrs & older
T/F - You are permitted to remove sutures without consultation of the treating
physician. - ANSWER: F - can remove sutures WITH consultation
Is it legal for receiving a bonus for limiting the amount of threshold VFs to 5 in one
day? - ANSWER: No (sec 511)
What situations require polycarbonate lenses? - ANSWER: one-eyed person,
fireman, law enforcement, under 18 yrs old.
What needs to be written on a spectacle prescription? - ANSWER: Pt's name, lens
power, expiration, issue date; name, address, license # & signature of OD.
Expiration date for spectacles must be no less than __ years from date of issuance
unless there is a reasonable probablilty of change earlier than __ years. - ANSWER:
2-4, 2 (sec 2541.1)
T/F - Prescriber must orally inform patient of SRx expiration date - ANSWER: T (sec
2541.1)
T/F - Prescriber is not allowed to extend SRx expiration date - ANSWER: F - can
extend (sec 2541.1)
