CERTIFIED OPHTHALMIC ASSISTANT COA
EXAM REVIEW WITH COMPELETE QUESTIONS
AND CORRECT ANSWERS GRADED A+
A 56-year-old patient complains of a sudden onset of double
vision. It is most important to ask:
a. "Does the doubling go away if you cover one eye?"
b. "Are the eyes also red?"
c. "Do the eyes ache?"
d. "Does anyone in your family have a lazy eye?" Correct Answer
A. "Does the doubling go away if you cover one eye?"
An old photograph of the patient will be most useful to the
physician if the patient complains of or exhibits:
a. eye protrusion, double vision, or floaters
b. lid droop, pupil abnormality, or head tilt
c. redness, pain, halos around lights at night, and decreased
vision
d. headache, rash, or lid droop Correct Answer B. lid droop,
pupil abnormality, or head tilt
Your patient has a cut eyelid. It is important to know what caused
the injury because:
,a. this will determine how the doctor will repair the lid
b. if the object was organic (plant or animal matter), there is a
greater risk of infection
c. it the object was metal, there is a greater risk of infection
d. the injury needs to be reported to the National Ocular Injury
Registry (NOIR) Correct Answer B. if the object was organic
(plant or animal matter), there is a greater risk of infection
A patient presents with a corneal foreign body, and your
supervisor asks how the foreign body got into the eye. This is an
important question because:
a. if the patient was not wearing safety glasses, Workers'
compensation will not pay
b. if the particle was under high speed, there might be internal
ocular damage
c. this determines whether or not you should check the patient's
vision
d. this determines whether or not you should irrigate the eye
Correct Answer B. if the particle was under high speed, there
might be internal ocular damage
The patient is not wearing contacts, but would like to be fit for
them. The most relevant question is:
a. "Have you tried contact lenses before?"
b. "Are you interested in disposable lenses?"
,c. "Do you have trouble seeing to read?"
d. "Are you allergic to thimerosal?" Correct Answer A. "Have you
tried contact lenses before?"
A 52-year-old patient hands you his single-vision glasses, the only
glasses he has. Which of the following is the most important
question in determining the patient's refractive status?
a. "How long have you had these?"
b. "Do these help you see better?"
c. "Do you wear these for driving or for reading?"
d. "Do the frames hurt your ears?" Correct Answer C. "Do you
wear these for driving or for reading?"
A patient reports that he sleeps in his contact lenses. An important
question would be:
a. "What type of lenses are they?"
b. "Do you have astigmatism?"
c. "Why haven't you had LASIK?"
d. "Are you legally blind without the contacts?" Correct Answer A.
"What type of lenses are they?"
The patient gives a history of having a cataract removed with a
laser. You should:
, a. record the cataract surgery without mentioning the laser,
because the patient does not know what he or she is talking about
b. use this as a "teachable moment" and inform the patient that
cataracts cannot be removed with a laser
c. ask the patient if the surgery was done in a hospital while lying
down or sitting up in a chair (to an instrument like a slit lamp)
d. not record this, because the patient is obviously confused
Correct Answer C. ask the patient if the surgery was done in a
hospital while lying down or sitting up in a chair (to an
instrument like a slit lamp)
The patient gives a history of having a laser treatment, but is not
sure what it was for. You might discover more by asking:
a. "Have you had cataract surgery?"
b. "Do you have diabetes?"
c. "Do you have glaucoma?"
d. all of the above Correct Answer D. all of the above
The patient states she used to wear contact lenses, but went back
to her glasses. A pertinent question would be:
a. "Do you have astigmatism?"
b. "Do you think the lenses were improperly fit?"
c. "Why did you stop wearing them?"
EXAM REVIEW WITH COMPELETE QUESTIONS
AND CORRECT ANSWERS GRADED A+
A 56-year-old patient complains of a sudden onset of double
vision. It is most important to ask:
a. "Does the doubling go away if you cover one eye?"
b. "Are the eyes also red?"
c. "Do the eyes ache?"
d. "Does anyone in your family have a lazy eye?" Correct Answer
A. "Does the doubling go away if you cover one eye?"
An old photograph of the patient will be most useful to the
physician if the patient complains of or exhibits:
a. eye protrusion, double vision, or floaters
b. lid droop, pupil abnormality, or head tilt
c. redness, pain, halos around lights at night, and decreased
vision
d. headache, rash, or lid droop Correct Answer B. lid droop,
pupil abnormality, or head tilt
Your patient has a cut eyelid. It is important to know what caused
the injury because:
,a. this will determine how the doctor will repair the lid
b. if the object was organic (plant or animal matter), there is a
greater risk of infection
c. it the object was metal, there is a greater risk of infection
d. the injury needs to be reported to the National Ocular Injury
Registry (NOIR) Correct Answer B. if the object was organic
(plant or animal matter), there is a greater risk of infection
A patient presents with a corneal foreign body, and your
supervisor asks how the foreign body got into the eye. This is an
important question because:
a. if the patient was not wearing safety glasses, Workers'
compensation will not pay
b. if the particle was under high speed, there might be internal
ocular damage
c. this determines whether or not you should check the patient's
vision
d. this determines whether or not you should irrigate the eye
Correct Answer B. if the particle was under high speed, there
might be internal ocular damage
The patient is not wearing contacts, but would like to be fit for
them. The most relevant question is:
a. "Have you tried contact lenses before?"
b. "Are you interested in disposable lenses?"
,c. "Do you have trouble seeing to read?"
d. "Are you allergic to thimerosal?" Correct Answer A. "Have you
tried contact lenses before?"
A 52-year-old patient hands you his single-vision glasses, the only
glasses he has. Which of the following is the most important
question in determining the patient's refractive status?
a. "How long have you had these?"
b. "Do these help you see better?"
c. "Do you wear these for driving or for reading?"
d. "Do the frames hurt your ears?" Correct Answer C. "Do you
wear these for driving or for reading?"
A patient reports that he sleeps in his contact lenses. An important
question would be:
a. "What type of lenses are they?"
b. "Do you have astigmatism?"
c. "Why haven't you had LASIK?"
d. "Are you legally blind without the contacts?" Correct Answer A.
"What type of lenses are they?"
The patient gives a history of having a cataract removed with a
laser. You should:
, a. record the cataract surgery without mentioning the laser,
because the patient does not know what he or she is talking about
b. use this as a "teachable moment" and inform the patient that
cataracts cannot be removed with a laser
c. ask the patient if the surgery was done in a hospital while lying
down or sitting up in a chair (to an instrument like a slit lamp)
d. not record this, because the patient is obviously confused
Correct Answer C. ask the patient if the surgery was done in a
hospital while lying down or sitting up in a chair (to an
instrument like a slit lamp)
The patient gives a history of having a laser treatment, but is not
sure what it was for. You might discover more by asking:
a. "Have you had cataract surgery?"
b. "Do you have diabetes?"
c. "Do you have glaucoma?"
d. all of the above Correct Answer D. all of the above
The patient states she used to wear contact lenses, but went back
to her glasses. A pertinent question would be:
a. "Do you have astigmatism?"
b. "Do you think the lenses were improperly fit?"
c. "Why did you stop wearing them?"
