Certified Ophthalmic Assistant Exam
Review (Chapter. 1) Q’s and A’s
A history is obtained by: - answer-Asking a series of organized and specific
questions.
The history should be recorded - answer-By condensing the patient's story, including
pertinent facts.
When taking a history of a school-aged child, it is important to: - answer-Get an
account of the illness from both the parent and child.
Which of the following statements are false? - answer-All information given by the
patient can be shared with insurance companies without patient permission.
Which of the following is NOT a part of a history? - answer-Visual acuity
The "presenting complaint" is: - answer-The main reason that the patient has come
to the office.
An example of a question relating to onset would be? - answer-"When did you first
notice the problem?"
The question "Does your head hurt so badly that you have to leave school early?"
relate to: - answer-Severity
To obtain the most important information about the presenting complaint, you should
ask questions relating to: - answer-Location, quality, severity, timing, and
aggravating and alleviating factors.
A symptom is: - answer-A changed noticed by the patient.
An example of a sign is: - answer-An elevated intraocular pressure reading.
A 56 year old patient complains of a sudden onset of double vision. It is important to
ask: - answer-"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: - answer-lid droop, pupil abnomality, or head tilt
Your patient has a cut eyelid. It is important to know what caused the injury because:
- answer-If the object was organic (plant of animal matter), there is 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: - answer-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: - answer-"Have you tried contact lenses before?"
A 52 year old patient hand you his single vision glasses, the only glasses he has.
Which of the following is the most important question determining the patient's
refractive status? - answer-"Do you wear these for driving or for reading?"
A patient reports that he sleeps in his contact lenses. An important question would
be: - answer-"What type of lenses are they?"
The patient gives a history of having a cataract removed with a laser. You should: -
answer-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 have to discover more by asking: - answer-All:
"Have you had cataract surgery?"
"Do you have Diabetes?"
"Do you have Glaucoma?"
The patient states she used to wear contact lenses, but went back to her glasses. A
pertinent question would be: - answer-"Why did you stop wearing them?"
A 76 year old new patient tells you that he caught astigmatism from his brother when
they were both children. You should: - answer-Ask him what he means by
"astigmatism"
Knowledge of a past ocular injury is needed because: - answer-It might help explain
current complaints and findings.
The patient states she has prism in her glasses. Which of the following is the MOST
important question to ask? - answer-"Have you ever had surgery to straighten your
eyes?"
A mother brings in her 4 year old son. The mother says he has a lazy eye. What do
you need to find out? - answer-What does she mean by "lazy eye"
An example of a systemic illness is: - answer-Cardiac problems
Questions asked of a hypertensive patient should include: - answer-Method of blood
pressure control, decrease in vision, last blood pressure reading
Questions asked of a diabetic patients should include: - answer-Method of sugar
control, visual stability, last blood sugar reading
A patient with heart problems: - answer-May have a hardening of the arteries in the
eye
Review (Chapter. 1) Q’s and A’s
A history is obtained by: - answer-Asking a series of organized and specific
questions.
The history should be recorded - answer-By condensing the patient's story, including
pertinent facts.
When taking a history of a school-aged child, it is important to: - answer-Get an
account of the illness from both the parent and child.
Which of the following statements are false? - answer-All information given by the
patient can be shared with insurance companies without patient permission.
Which of the following is NOT a part of a history? - answer-Visual acuity
The "presenting complaint" is: - answer-The main reason that the patient has come
to the office.
An example of a question relating to onset would be? - answer-"When did you first
notice the problem?"
The question "Does your head hurt so badly that you have to leave school early?"
relate to: - answer-Severity
To obtain the most important information about the presenting complaint, you should
ask questions relating to: - answer-Location, quality, severity, timing, and
aggravating and alleviating factors.
A symptom is: - answer-A changed noticed by the patient.
An example of a sign is: - answer-An elevated intraocular pressure reading.
A 56 year old patient complains of a sudden onset of double vision. It is important to
ask: - answer-"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: - answer-lid droop, pupil abnomality, or head tilt
Your patient has a cut eyelid. It is important to know what caused the injury because:
- answer-If the object was organic (plant of animal matter), there is 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: - answer-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: - answer-"Have you tried contact lenses before?"
A 52 year old patient hand you his single vision glasses, the only glasses he has.
Which of the following is the most important question determining the patient's
refractive status? - answer-"Do you wear these for driving or for reading?"
A patient reports that he sleeps in his contact lenses. An important question would
be: - answer-"What type of lenses are they?"
The patient gives a history of having a cataract removed with a laser. You should: -
answer-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 have to discover more by asking: - answer-All:
"Have you had cataract surgery?"
"Do you have Diabetes?"
"Do you have Glaucoma?"
The patient states she used to wear contact lenses, but went back to her glasses. A
pertinent question would be: - answer-"Why did you stop wearing them?"
A 76 year old new patient tells you that he caught astigmatism from his brother when
they were both children. You should: - answer-Ask him what he means by
"astigmatism"
Knowledge of a past ocular injury is needed because: - answer-It might help explain
current complaints and findings.
The patient states she has prism in her glasses. Which of the following is the MOST
important question to ask? - answer-"Have you ever had surgery to straighten your
eyes?"
A mother brings in her 4 year old son. The mother says he has a lazy eye. What do
you need to find out? - answer-What does she mean by "lazy eye"
An example of a systemic illness is: - answer-Cardiac problems
Questions asked of a hypertensive patient should include: - answer-Method of blood
pressure control, decrease in vision, last blood pressure reading
Questions asked of a diabetic patients should include: - answer-Method of sugar
control, visual stability, last blood sugar reading
A patient with heart problems: - answer-May have a hardening of the arteries in the
eye
