Ophthalmic Medical Assistant Practice Test

Question 1 of 148

1

The only eye care professional who is a medical doctor is the

Select one of the following:

Optometrist
Ocularist
Ophthalmologist
Orthoptist

Explanation

Question 2 of 148

1

A patient in need of a prosthetic eye would be referred to an

Select one of the following:

Ocularist
Optician
Orthoptist
Optometrist

Explanation

Question 3 of 148

1

Of the following, the eye care professional who routinely fills prescriptions for eyeglasses is the

Select one of the following:

Ocularist
Optician
Ophthalmic Medical Technician
Orthoptist

Explanation

Question 4 of 148

1

An ophthalmologist who concentrates on one area of the eye or focuses on a specific ocular disease is called

Select one of the following:

An optician
An ocularist
An optometrist
A subspecialist

Explanation

Question 5 of 148

1

The level directly above certified ophthalmic medical assistant on JCAHPO'S certification ladder is

Select one of the following:

Certified ophthalmic medical technologist
Certified ophthalmic registered nurse
Certified ophthalmic technician
Certified ophthalmic photographer

Explanation

Question 6 of 148

1

Of the following, the responsibility that routinely falls to the ophthalmic medical assistant is

Select one of the following:

Diagnosing certain conditions
Making prognostic estimates
Performing certain diagnostic tests
Prescribing treatment for certain problems

Explanation

Question 7 of 148

1

An ophthalmic medical assistant accidentally administers too many eyedrops to a patient's eye. The first action the assistant should take is to

Select one of the following:

Apologize to the patient and thoroughly wash with water
Explain to the patient that the effects will be intensified
Tell the ophthalmologist, who will then decide how to handle the situation
Suggest that the patient remain in the office for awhile after the examination

Explanation

Question 8 of 148

1

While waiting for the ophthalmologist, an anxious patient asks the Ophthalmic Medical Assistant for the results of a recent test. The assistant should

Select one of the following:

Explain that the ophthalmologist will discuss the results with the patient shortly
Discuss the results with the patient to reduce the level of anxiety
Reassure the patient that all is well and that the condition tested for is not serious
Politely tell the patient that another patient requires attention and leave the room

Explanation

Question 9 of 148

1

An ophthalmologist's office may disclose information regarding a patient's condition only when the individual seeking the information

Select one of the following:

Is the patients spouse
Has received permission from the patient
Is the patient's employer
Is a member of the patient's immediate family

Explanation

Question 10 of 148

1

Of the following, the structure that is part of the ocular adnexa is the

Select one of the following:

Cornea
Eyelid
Lens
Optic nerve

Explanation

Question 11 of 148

1

The medial rectus muscle rotates the eyes

Select one of the following:

Inward towards the nose
Outward towards the temple
Downward and outward toward the temple
Downward and inward toward the nose

Explanation

Question 12 of 148

1

The membrane that lines the inner eyelid is the

Select one of the following:

Bulbar conjuntiva
Epithelium
Palpebral conjunctiva
Tarsus

Explanation

Question 13 of 148

1

The tough, transparent membrane that provides about two thirds of the eye's focusing power is the

Select one of the following:

Retina
Conjunctiva
Sclera
Cornea

Explanation

Question 14 of 148

1

The white tissue surroundind the cornea and forming the main structural component of the globe is the

Select one of the following:

Cilisry body
Limbus
Sclera
Vitreous

Explanation

Question 15 of 148

1

The structures of the uveal tract, or uvea, are

Select one of the following:

Iris, ciliary body, choroid
Iris, posterior chamber, ciliary body
Choroid, sclera, retina
Iris, lens, choroid

Explanation

Question 16 of 148

1

The clear, transparent fluid that fills the anterior chamber is called the

Select one of the following:

Vitreous
Aqueous humor
Choroid
Tear film

Explanation

Question 17 of 148

1

The condition occurring most often in individuals over age 45 in which the lens can no longer change shape to focus at the near is

Select one of the following:

Accomodation
Presbyopia
Glaucoma
Cataract

Explanation

Question 18 of 148

1

The primary function of the sphincter and dilator muscles is to

Select one of the following:

Control the amount of light entering the inner part of the eye
Raise and lower the eyelid
Determine the direction and movement of the eyeball
Change the curvature of the lens

Explanation

Question 19 of 148

1

In this figure of the lacrimal system, the structures are correctly identified as

Select one of the following:

(1) lacrimal sac (2) punctum (3) lacrimal gland
(1) lacrimal sac (2) nasolacrimal duct (3) lacrimal gland
(1) lacrimal gland (2) punctum (3) lacrimal sac
(1) lacrimal gland (2) lacrimal sac (3) punctum

Explanation

Question 20 of 148

1

Under normal conditions, aqueous fluid leaves the eye in the sequence

Select one of the following:

Trabecular meshwork, through the canal of Schlemm, to the anterior chamber angle
Canal of Schlemm, through the trabecular meshwork, to the surface blood vessels
Anterior chamber angle, through trabecular meshwork, to canal Schlemm
Anterior chamber angle, through surface blood vessels, to trabecular meshwork

Explanation

Question 21 of 148

1

Injury or degeneration of the macula will most likely result in loss of

Select one of the following:

Night or dim-light visioj
Peripheral vision
Distance vision
Detailed central vision

Explanation

Question 22 of 148

1

In this figure of the visual pathway, the structures are correctly identified as

Select one of the following:

(1) visual cortex (2) optic tract (3) optic nerve
(1) optic nerve (2) optic chiasm (3) genticulate body
(1) optic chiasm (2) optic tract (3) genticulate body
(1) optic nerve (2) optic chiasm (3) visual cortex

Explanation

Question 23 of 148

1

The suffix -itis added to the name of a tissue or organ produces the medical term for

Select one of the following:

Infection
Inflammation
Ischemia
Degeneration

Explanation

Question 24 of 148

1

A body part deprived of its normal blood supply due to blockage or breakage of a vessel is said to be

Select one of the following:

Inflamed
Infected
Ischemic
Neoplastic

Explanation

Question 25 of 148

1

Diabetes Mellitus is an example of the type of disease process called

Select one of the following:

Metabolic
infectious
Neoplastic
Degenerative

Explanation

Question 26 of 148

1

An abnormal change observed by a physician while examining a patient is referred to as

Select one of the following:

An etiology
A symptom
A sign
A syndrome

Explanation

Question 27 of 148

1

When the orbital contents swell, pushing the eyeball forward, the resulting condition is termed

Select one of the following:

Blepharitis
Exophthalmos
Ectropion
Exotropia

Explanation

Question 28 of 148

1

The term diplopia is used to describe

Select one of the following:

Swelling from large amounts of fluid
Paralysis
Double vision
Deviation of one or both eyes

Explanation

Question 29 of 148

1

Treatment of congenital strabismus may include surgery of the

Select one of the following:

Cornea
Eyelid
Retina
Eye muscles

Explanation

Question 30 of 148

1

Inward deviation of an eye that occurs only when the eye is covered is called

Select one of the following:

Esophoria
Esotropia
Exophoria
Exotropia

Explanation

Question 31 of 148

1

Amblyopia referd to

Select one of the following:

The continual movement of the eyes from side to side and up and down
The suppression of visual images from a deviating eye
The abnormal drooping of an upper eyelid
Three-dimensional visual perception

Explanation

Question 32 of 148

1

The term chalazion describes

Select one of the following:

An inward turning of the eyelashes
A drooping upper eyelid
An inflammation of the lacrimal sac
A lump that develops after inflammation and infection of the meibomian glands

Explanation

Question 33 of 148

1

A condition of dry eyes is called

Select one of the following:

Dacrocystitis
Keratoconus
Blepharitis
Keratoconjuntivitis sicca

Explanation

Question 34 of 148

1

Primary open-angle glaucoma

Select one of the following:

Is not a threat to vision
Can cause permanent damage to the optic nerve
Develops rapidly and suddenly
Accounts for a small percentage of all glaucomas

Explanation

Question 35 of 148

1

A cataract is

Select one of the following:

A clouding of the vitreous gel
A benign growth on the conjunctiva
A branch-shaped corneal ulcet
An opacification of the crystalline lens

Explanation

Question 36 of 148

1

The apperance of flashes of light in the corner of the eye followed by a sensation of a curtain moving across the vision are symptoms of

Select one of the following:

Age-related macular edema
Retinal detatchment
Retinitis pigmentosa
Papilledema

Explanation

Question 37 of 148

1

Substances that permit the passage of light without significant disruption are termed

Select one of the following:

Opaque
Transparent
Translucent
Electromagnetic

Explanation

Question 38 of 148

1

A convex lens with a focal length of 0.50 meter has a power of

Select one of the following:

0.20
0.50
2.00
5.00

Explanation

Question 39 of 148

1

A toric cornea is characteristic of

Select one of the following:

Hyperopia
Myopia
Presbyopia
Astigmatism

Explanation

Question 40 of 148

1

The type of lens that best corrects myopia combined with astigmatism is a

Select one of the following:

Cylindrical lens
Spherical lens
Spherocylindrical lens
Multifocal lens

Explanation

Question 41 of 148

1

The difference between the power of the upper segment and the power of the lower segment in a bifocal lens is referred

Select one of the following:

Circle of least confusion
Refractive index
Principal meridian
Add

Explanation

Question 42 of 148

1

The correct transposition of the plus-cylinder prescription +1.00+2.00×90

Select one of the following:

+3.00-2.00×90
+1.00-2.00×180
+3.00-2.00×180
+2.00-1.00×90

Explanation

Question 43 of 148

1

The term neutralization in retinoscopy refers to

Select one of the following:

Administering cycloplegic eyedrops, which block accomodation
Finding the lens power that affects movement of the retinal reflex and fills thd pupil with light
Measuring the prescription of the patient's exisiting eyeglasses
Balancing the correction of both the patient's eyes

Explanation

Question 44 of 148

1

If the distance portion of an eyeglass lens is +2.00 and the bifocal add is +1.00, then the bifocal power is

Select one of the following:

+1.00
+2.00
+3.00
-1.00

Explanation

Question 45 of 148

1

The first step in performing manual lensometry or keratometry is to

Select one of the following:

Focus the eyepiece
Lubricate the instrument
Position the eyeglasses
Position the patient

Explanation

Question 46 of 148

1

If the lensmeter mires cannot be centered in the central portion of the lensmeter target, the lens probably contains a

Select one of the following:

Sphere
Cylinder
Spherocylinder
Prism

Explanation

Question 47 of 148

1

The part of the comprehensive medical eye examination during which the visible parts of the lacrimal apparatus are inspected is

Select one of the following:

Ophthalmoscopy
The external examination
The alignment and motility examination
The visual field examination

Explanation

Question 48 of 148

1

Healthy, asymptomatic individuals between the ages of 40 & 64 should have a comprehensive medical eye exam every

Select one of the following:

6 months
Year
2-4 years
5 years

Explanation

Question 49 of 148

1

When recording the patient's chief complaint, the opbthalmic medical assistant should

Select one of the following:

Include an evaluation of the patient's words
Include only the facts as stated by the patient
Substitute technical terms for the patient's words
Include any diagnoses that seem likely

Explanation

Question 50 of 148

1

Close examination of the lids, lashes, cornea, and lens can be accomplished with the

Select one of the following:

Biomicroscope
Ophthalmoscope
Gonioscope
Exophthalmometer

Explanation

Question 51 of 148

1

In the snellen acuity recording 20/200, the number 100 represents

Select one of the following:

Size of the largest optotype seen by the patient
Distance in feet from the patient to the chart
Distance in meters from the patient to the chart
Distance in feet at which a normal eye can see the particular line on the chart

Explanation

Question 52 of 148

1

If a pinhole acuity test is found to significantly improve a patient's poor visual acuity, the patient probably has

Select one of the following:

Glaucoma
A cataract
Poor peripheral vision
A refractive error

Explanation

Question 53 of 148

1

Jaeger notations, snellen M units, and distance equivalents are various units of measuring

Select one of the following:

Near visual acuity
Ocular motility
Peripheral vision
Pupil width

Explanation

Question 54 of 148

1

Having a patient follow a finger in the six cardinal positions of gaze is a method of evaluating

Select one of the following:

Direct pupillary reaction
Peripheral vision
Extraocular muscle function
Distance acuity

Explanation

Question 55 of 148

1

The prism and alternate cover test is used to

Select one of the following:

Evaluate depth perception
Evaluate peripheral vision
Measure deviation in a misaligned eye
Measure near visual acuity

Explanation

Question 56 of 148

1

Of the following, the procedure that mistbe performed before pupillary dilation is

Select one of the following:

Cycloplegic refraction
Biomicroscope
Ophthalmoscopy
The swinging-light test

Explanation

Question 57 of 148

1

In a normal consensual reaction, when a light is directed into the pupil of one eye, the pupil of the other eye

Select one of the following:

Constricts
Dilates
Is unchanged
Pulsates

Explanation

Question 58 of 148

1

Of the following, the test that evaluates disturbances or defects in the visual field is the

Select one of the following:

Worth four-dot test
Titmus stereopsis test
Schirmer test
Amsler grid test

Explanation

Question 59 of 148

1

Intraocular pressure is measured by flattening a small area of the central cornea in

Select one of the following:

Keratometry
Applanation tonometry
Indentation tonometry
Schiøtz tonometry

Explanation

Question 60 of 148

1

A reading of 3 on the Goldmann tonometer dial indicates an intraocularpressure of

Select one of the following:

0.3 mm Hg
3 mm Hg
15 mm Hg
30 mm Hg

Explanation

Question 61 of 148

1

Gonioscopy is a procedure used to view the

Select one of the following:

External structures of the eye
Structures of the anterior chamber angle
Vitreous
Optic nerve head

Explanation

Question 62 of 148

1

Indirect ophthalmoscopy provides a

Select one of the following:

Nonmagnified view of the fundus
15-fold magnified view of the fundus
Wider field of view of the fundus than does direct ophthalmoscopy
Narrower field of view of the fundus than does direct ophthalmoscopy

Explanation

Question 63 of 148

1

The three transparent structures that compose what is termed the ocular media are the

Select one of the following:

Cornea, lens, and retina
Conjunctiva, cornea, and lens
Cornea, lens, and vitreous
Lens, vitreous, and aqueous humor

Explanation

Question 64 of 148

1

The interferometer measures visual acuity potential by using a laser or special light beams to

Select one of the following:

Project parallel lines onto the macula
Photograph the cornea's endothelial cells
Project a lighted Snellen chart onto the retina
Deliver radiating sound waves throughout the cornea

Explanation

Question 65 of 148

1

Pachymetry is useful in determining the

Select one of the following:

Position and size of tumors in the eye
Macular function in a patient with a media opacity
Degree of a patient's sensitivity to glare
Ability of the cornea to withstand the stress of surgery

Explanation

Question 66 of 148

1

Of the following, the procedure used for counting endothelial cells of the cornea is

Select one of the following:

Fluorescein angiography
Specular microscopy/photography
Ultrasonography
Pachymetry

Explanation

Question 67 of 148

1

An acuity chart printed in faint gray instead of sharp black on white is useful for measuring

Select one of the following:

Near visual acuity
Glare sensitivity
Color vision
Contrast sensitivity

Explanation

Question 68 of 148

1

Fluoroscein angiography is a valuable method of detecting and documenting

Select one of the following:

Abnormalities in the structures of the outer eye
Corneal endothelial cells
Abnormalities in ocular blood vessels
Lens opacities

Explanation

Question 69 of 148

1

Of the following, the procedure most useful in calculating the power of an artificial lens to be implanted in a patient who has undergona cataract extraction is

Select one of the following:

A-scan ultrasonography
B-scan ultrasonography
Fluorescein angiography
Specular microscopy

Explanation

Question 70 of 148

1

The printed circles on a visual field chart refer to the

Select one of the following:

Radial meridians
Boundaries of a normal patient's island of vision
Eccentricity from fixation at 10° intervals
Holes within the contour of an otherwise normal visual field

Explanation

Question 71 of 148

1

On a visual field chart, a contour obtained with a single target of a particular size and brightness is

Select one of the following:

A shallow scotoma
An absolute scotoma
An isopter
A circle of eccentricity

Explanation

Question 72 of 148

1

Generally, the 0° point on visual field charts of both the right and the left eye is located at the

Select one of the following:

Extreme right on the horizontal meridian, and the other meridians are measured progressively in a clockwise direction
Extreme left on the horizontal meridian, and the other meridians are measured progressively in a clockwise direction
Extreme right on the horizontal meridian, and the other meridians are measured progressively in a counterclockwise direction
Top of the vertical meridian, and the other meridians are measured progressively in a counterclockwise motion

Explanation

Question 73 of 148

1

A defect in the inferior temporal retina will affect the

Select one of the following:

Inferior temporal field of vision
Inferior nasal field of vision
Superior temporal field of vision
Superior nasal field of vision

Explanation

Question 74 of 148

1

On visual field charts, the physiologic blind spot appears in the

Select one of the following:

Center of the visual field
Nasal visual field
Temporal visual field
Inferior visual field

Explanation

Question 75 of 148

1

Two examples of static perimetry are

Select one of the following:

The tangent screen test and the contrast sensitivity test
Suprathreshold perimetry and Autoplot perimetry
The tangent screen test and Goldmann perimetry
Threshold perimetry and suprathreshold perimetry

Explanation

Question 76 of 148

1

The technique of placing a target of a given size in the visual field and gradually increasing its brightness until the patient sees it is the basis for

Select one of the following:

Threshold perimetry
Suprathreshold perimetry
The tangent screen test
Goldmann perimetry

Explanation

Question 77 of 148

1

One disadvantage of Goldmann periimetry is that it

Select one of the following:

Covers only the central 30° of the visual field
Requires the examiner to move the target at the same speed in each direction
Provides no means of controlling the brightness of the test targets
Produces printed results that are difficult to plot and interpret

Explanation

Question 78 of 148

1

One advantage of computerized threshold perimetry is that it

Select one of the following:

Is quicker and easier to perform than kinetic perimetry
Is more sensitive in detecting shallow defects than kinetic perimetry
Eliminates the need for the technician to be in the room
Eliminates the need for patient response

Explanation

Question 79 of 148

1

This figure illustrates the

Select one of the following:

Light divergent property of a convex lens
Light divergent property of a concave lens
Light convergent property of a convex lens
Light convergent property of a concave lens

Explanation

Question 80 of 148

1

This figure shows the focal point of light rays in an eye that is

Select one of the following:

Myopic
Presbyopic
Emmetropic
Hyperopic

Explanation

Question 81 of 148

1

In this visual field chat of the right eye, the arrow on the left points to an area of decreased visual sensitivity known as a

Select one of the following:

Physiologic blind spot
Scotoma
Depression
Hemianopia

Explanation

Question 82 of 148

1

In this visual field chart of both eyes, the condition depicted is most often due to

Select one of the following:

Glaucoma
Small pupil size
A lesion or tumor in the optic chiasm
Cataracts

Explanation

Question 83 of 148

1

For accurate perimetry, the patient's near correction must be in place if the patient

Select one of the following:

Has ptosis
Is presbyopic
Has a pupil size of 2mm or smaller
Is easily distracted

Explanation

Question 84 of 148

1

Correction for distance, near, and intermediate vision in one lens can be achieved with

Select one of the following:

An executive bifocal lens
A round-top segment bifocal lens
A single vision lens
A double-D segment trifocal lens

Explanation

Question 85 of 148

1

Transitional zones or areas of blending that create distorted or blurred vision are a particular drawback of

Select one of the following:

Round-top multifocal lenses
Conventional seamed multifocal lenses
Progressive-addition multifocal lenses
Polarized lenses

Explanation

Question 86 of 148

1

Because of its resistance to shattering , the material choice for safety glasses is

Select one of the following:

Heat-treated flint glass
Chemically treated flint glass
CR-39
Polycarbonate

Explanation

Question 87 of 148

1

Interpupillary distance is measured principally to determine

Select one of the following:

The base curve of a lens
The optical center of a lens
Thecpantoscopic angle of a lens frame
The segment height of a multifocal lens

Explanation

Question 88 of 148

1

Interpupillary distance is measured principally to determine

Select one of the following:

The base curve of a lens
The optical center of a lens
The pantoscopic angle of a lens frame
The segment height of a multifocal lens

Explanation

Question 89 of 148

1

The procedure for obtaining monocular interpupillary distance involves measuring the distance from

Select one of the following:

One pupil to the other in a single measurement
One pupil to the other in a single measurement and then dividing the results by 2
One pupil to the bridge of the nose and then multiplying the result by 2
Each pupil to the bridge of the nose separately and then adding the results

Explanation

Question 90 of 148

1

The accurate measurement of vertex distance during refractometry is required

Select one of the following:

For all refractive prescriptions
Only for multifocal prescriptions
Only for prescriptions with corrections greater than or equal to -5 to +5 diopters
Only for prescriptions with corrections less than or equal to -5 to +5 diopters

Explanation

Question 91 of 148

1

As a starting point, most opticians recommend fitting the top of a bifocal segment

Select one of the following:

Level with the upper lid margin
Level with the lower lid margin
Level with the lower rim of the pupil
Exactly at the middle of the eyeglass lens

Explanation

Question 92 of 148

1

The primary purpose of triage is to

Select one of the following:

Obtain the patient's complete ophthalmic history
Diagnose the patient's problem
Classify the patient's chief complaint according to its severity and urgency
Schedule office appointments acording to the availability of the physician

Explanation

Question 93 of 148

1

If the ophthalmic medical assistant notices a discrepancy between the patient's report of a traumatic injury and the injury itself, the assistant should

Select one of the following:

Confront the injured patient immediately
Inform the ophthalmologist in private, without the patient present
Inform the ophthalmologist in the presence of the patient
Disregard the discrepancy, as this matter is not the responsibility of the ophthalmic medical assistant

Explanation

Question 94 of 148

1

Of the following, the situation that should be treated as an emergency requiring immediate action is a

Select one of the following:

Recent onset of flashes of light
Loss of contact lenses needed for work
Mucous discharge from the eye
Sudden, painless, severe loss of vision

Explanation

Question 95 of 148

1

Generally, urgent situations are those requiring that the patient be seen within

Select one of the following:

3 to 6 hours
24 to 48 hours
5 to 7 days
1 to 2 weeks

Explanation

Question 96 of 148

1

A patient telephones the ophthalmologist's office reporting an alkali burn to the eye. The ophthalmic assistant should instruct the patient to

Select one of the following:

Patch the eye and proceed immediately to the office or emergency facility
Keep the eye closed and proced immediately to the office or emergency facility
Irrigate the eye with water for 20 minutes and then proceed to the office or emergency facility
Put a lubricating ointment on the eye and proceed immediately to the office or emergecy facility

Explanation

Question 97 of 148

1

When assisting a patient who feels faint in the office, the ophthalmic kedical assistant should first

Select one of the following:

Begin CPR
Get the emergency cart
Splash water on the patient's face
Get the patient's head below the heart

Explanation

Question 98 of 148

1

In encounters with irate or hostile patients, the best approach an ophthalmic medical assistant can take is to

Select one of the following:

Recommend that they see anothe physician
Try to convince them that they are being unreasonable
Listen calmly to their complaints and apologize for any misunderstanding
Ignore them until they calm down

Explanation

Question 99 of 148

1

When interacting with a visually impaired or blind patient, the ophthalmic medical assistant should

Select one of the following:

Approach quietly to avoid startling the patient
Speak through an accompanying companion
Speak loudly to ensure comprehension
Face the patient and say the patient's name

Explanation

Question 100 of 148

1

A papoose board is useful in

Select one of the following:

Propping up a toddler at the slit lamp
Immobilizing an infant during an ophthalmic evaluation
Transporting a toddler from one examining room to another
Testing visual acuity in a school-aged child who cannot identify letters

Explanation

Question 101 of 148

1

The "fix and follow" method of evaluating visual function is generally used with

Select one of the following:

Infants
School-aged children
Elderly patients
Patients with low vision

Explanation

Question 102 of 148

1

A patient with insulin dependent diabetes suddenly becomes sweaty, dizzy, and disoriented while waiting to see the ophthalmologist. The assistant, acting in compliance with the office's emergency procedures, should first

Select one of the following:

Reschedule the appointment and send the patient home
Have the patient lie down until the episode passes
Give the patient fruit juice or candy to stabilize the blood sugar level
Have the patient drink one or two glasses pf water

Explanation

Question 103 of 148

1

When testing visual acuity in elderly patients, the ophthalmic medical assistant should

Select one of the following:

Concentrate on distance acuity, as near acuity is not as important in this age group
Require that these patients respond quickly, so that an objective measurement can be obtained
Adjust the lighting to avoid glare, which often is a problem in this age group
Use the Allen chart rather than the Snellen chart when testing visual acuity

Explanation

Question 104 of 148

1

Approximately 95% of all individuals over the age of 65 havr some degree of

Select one of the following:

Glaucoma
Cataract
Diabetes
Diplopia

Explanation

Question 105 of 148

1

When the ophthalmic medical assistant schedules a lengthy appointment for a patient with IDDM, the most appropriate recommendation to make to the patient is to

Select one of the following:

Fast for several hours before the appointment
Come in right before lunch
Come in right after breakfast or lunch
Eat lightly on the day of the appointment

Explanation

Question 106 of 148

1

When the ophthalmic medical assistant asks a literate 8 year old patient to read the visual acuity chart, the child begins reciting the alphabet. The most effective action the assistant can take to get the results needed is to

Select one of the following:

Praise the child for trying hard to cooperate
Ask the parent to get the child started reading the chart
Ask the child to start at the beginning of the chart and read each letter separately
Move the child closer to the chart

Explanation

Question 107 of 148

1

One disadvantage of ophthalmic medicinal ointments is that they

Select one of the following:

May cause unwanted effects in other parts of the body
May blur vision when applied
Cannot be used in patients with excessive tearing
Do not remain in contact with the eye surface for very long

Explanation

Question 108 of 148

1

Of the following, the type of injection classified as a form of systemic drug delivery is the

Select one of the following:

Intravitreal
Subconjunctival
Subcutaneous
Retrobulbar

Explanation

Question 109 of 148

1

When instilling eyedrops, the ophthalmic medical assistant should

Select one of the following:

Administer the medication directly to the cornea
Make certain the dropper makes contact with the conjunctival sac
Administer the medication directly into the conjunctival sac
Apply direct pressure to the eyelids

Explanation

Question 110 of 148

1

Of the following, the drug that is most helpful when performing both a fundus examination and an objective refraction on a pediatric patient is

Select one of the following:

An anesthetic
A miotic
A mydriatic
A cycloplegic

Explanation

Question 111 of 148

1

The two types of drugs that could stimulate an attack of angle closure glaucoma in patients with narrow anterior chamber angles are

Select one of the following:

Mydriatics and cycoplegics
Mydriatics and antihistimines
Anesthetics and dyes
Antiallergic and anti inflammatory agents

Explanation

Question 112 of 148

1

In ophthalmology, topical anesthetics are most often used to

Select one of the following:

Perform major eye surgery
Treat corneal defects on a long-term basis
Relieve minor eye fatigue and redness
Prevent discomfort during diagnostic procedures

Explanation

Question 113 of 148

1

Miotics function to reduce the intraocular pressure by

Select one of the following:

Decreasing the production of aqueous humor
Contracting the ciliary body muscle and opening the outflow channels for aqueous humor
Paralyzing the ciliary body muscle and closing the anterior chamber angle
Dilatinf the pupil and opening the anterior chamber angle

Explanation

Question 114 of 148

1

All of the following are used to treat bacterial infections except

Select one of the following:

Neomycin
Sulfonamides
Nystatin
Bacitracin

Explanation

Question 115 of 148

1

The topical drug phenylephrine is classified as

Select one of the following:

A miotic
A mydriatic
An anesthetic
An antimicrobial

Explanation

Question 116 of 148

1

The ophthalmologist has written that includes the abbreviations "gtt" and "bid." These indicate that the prescribed drug is

Select one of the following:

An ointment to be administered every hour
An ointment to be administered at bed time
Topical drops to be administered 4 times a day
Topical drops to be administered twice a day

Explanation

Question 117 of 148

1

Topical corticosteroids function primarily as

Select one of the following:

Lubricants, which keep the external eye moist and maintain tear film balance
Antimicrobials, which inhibit the growth of bacteria, viruses, or fungi
Irrigating solutions, which flush out the eye during surgical procedures
Anti-inflammatory and anti-allergic agents, which reduce swelling and scarring of the lids and anterior segment

Explanation

Question 118 of 148

1

A common side effect of cycloplegics is

Select one of the following:

Eye redness
Blurred vision
High blood pressure
Corneal edema

Explanation

Question 119 of 148

1

The microbe most likely to cause recurrent fever blisters is

Select one of the following:

Adenovirus
Cytomegalovirus
Epstein-Barr virus
Herpesvirus

Explanation

Question 120 of 148

1

A corneal abrasion caused by a tree twig is most likely to cause a

Select one of the following:

Fungal infection
Protozoal infection
Viral infection
Chlamydial infection

Explanation

Question 121 of 148

1

Of the following, the people most at risk for developing an ocular infection by the protozoan Acanthamoeba are those who

Select one of the following:

Eat undercooked or raw meat
Use homemade salt solutions to clean their contact lenses
Have had chickenpox during childhood
Use contaminated cosmetics

Explanation

Question 122 of 148

1

The primary purpose of standard precautions is to

Select one of the following:

Identify disease-causing microbes
Reduce the opportunity for harmful microbes to flourish and threaten patients and medical personnel
Protect the sterility of a sterilized article
Destroy all the microorganisms in the office environment

Explanation

Question 123 of 148

1

A tonometer tip is best disinfected by using

Select one of the following:

Boiling water
Moist heat
A germicide
Soap and water

Explanation

Question 124 of 148

1

Sterilization is best defined as

Select one of the following:

The transmission of infectious microbes from reservoir to host
The range of procedures used to prevent the spread of infectious microbes in the office
The process of inactivating or eliminating most disease-causing microorganisms
The destruction of all microorganisms

Explanation

Question 125 of 148

1

An autoclave is used to

Select one of the following:

Disinfect medical amterials that would be destroyed by dry or moist heat
Sterilize medical materials by means of pressurized moist heat
Sterilize medical materials by means of dry heat
Decontaminate reusable medical materials before they are sterilized

Explanation

Question 126 of 148

1

If the ophthalmic medical assistant accidentally touches the sterile functional surface of a disposable instrument

Select one of the following:

Resterilized in the office
Wiped with alcohol
Wiped with a sterile cloth
Discarded, no matter what it's cost

Explanation

Question 127 of 148

1

An infection caused when the eye has been penetrated by a contaminated metal fragment is an example of

Select one of the following:

Direct-contact transmission
Indirect-contact transmission
Common-vehicle transmission
Vector transmission

Explanation

Question 128 of 148

1

Ophthalmic medical assistants with open cuts on their hands

Select one of the following:

Should wear gloves to protect patients
Should wear gloves to protect themselves
Should wear gloves to protect patients and themselves
Do not need to wear gloves if they wash their hands before and after working with patients

Explanation

Question 129 of 148

1

Of the following, the task that is the responsibility of the ophthalmic assistant when caring for a patient undergoing minor surgery is

Select one of the following:

Initiating the discussion of informed consent
Prepping the patient for the procedure
Administering a local anesthetic by injection
Determining when the patient is steady enough to leave the office

Explanation

Question 130 of 148

1

The discussion involved in obtaining informed consent

Select one of the following:

Is necessary only before a major surgical procedure
Occurs between the patient and the ophthalmic medical assistant
Covers the benefits as well as the risks of the procedure
Is conducted mainly for the protection of the surgeon

Explanation

Question 131 of 148

1

Of the following, the suture material that is not broken down by the body but must be removed from the suture site is

Select one of the following:

Polypropylene
Collagen
Gut
Polyglactin 910

Explanation

Question 132 of 148

1

The rhumboid-shaped needle point used in procedures involving the cornea or sclera where the plane of penetration must be precise is

Select one of the following:

Cutting point
Reverse-cutting
Spatula point
Taper point

Explanation

Question 133 of 148

1

In this photograph, the surgical instruments are correctly identified from left to right as

Select one of the following:

Scissors, forceps, needle holder
Forceps, scissors, needle holder
Needle holder, forceps, scissors
Forceps, needle holder, scissors

Explanation

Question 134 of 148

1

To maintain hemostasis during a surgical procedure, the surgeon uses

Select one of the following:

Curettes
Cannulas
Clamps
Forceps

Explanation

Question 135 of 148

1

In lacrimal-system probing, a cannula is used to

Select one of the following:

Enlarge the small punctal opening
Scoop out the unwanted tissue
Hold the suture needle steady
Flush out a tear duct with an irrigating solution

Explanation

Question 136 of 148

1

All of the following are considered to be within the sterile operating field except

Select one of the following:

The instrument tray
Masks
Gloves
Drapes

Explanation

Question 137 of 148

1

Prepping the patient is usually done

Select one of the following:

After final scrubbing and without sterile gloves
Before final scrubbing and without sterile gloves
After final scrubbing and with non sterile gloves
Before final scrubbing and with sterile gloves

Explanation

Question 138 of 148

1

Of the following, the suture size least likely to be used for eye surgery is

Select one of the following:

2-0
5-0
8-0
10-0

Explanation

Question 139 of 148

1

The contact lens that allows oxygen to reach the cornea only through the tear pump are

Select one of the following:

Soft lenses
Rigid gas-permeable lenses
Polymethylmethacrylate lenses
Extended-wear lenses

Explanation

Question 140 of 148

1

A prescription for contact lenses

Select one of the following:

Is identical to that for eyeglasses
Requires only keratometry and refraction measurements
Includes both keratometry and base curve measurements
Includes vertex and interpupillary distance measurements

Explanation

Question 141 of 148

1

One significant advantage of soft lenses as compared to rigid gas-permeable lenses is that soft lenses

Select one of the following:

Generally are easier to handle, clean, and disinfect
Can correct large amounts of astigmatism or irregular corneas more effectively
Generally are easier to adapt to and initially more comfortable to wear
Can be modified after manufacture

Explanation

Question 142 of 148

1

An allergic reaction related to contact lens wear is most often due to individuals sensitivity to a

Select one of the following:

Soft contact lens material
Rigid contact lens material, such as silicon acrylate
Soap used to wash hands before insertion
Preservative or disinfectant chemical in a lens solution

Explanation

Question 143 of 148

1

Cosmetic restorative lenses are most appropriate for patients who

Select one of the following:

Want to enhance or change the color of their irises
Have disfigured eyes
Require relief from photophobia or glare sensitivity
Have large amounts of astigmatism that would otherwise require thick glasses

Explanation

Question 144 of 148

1

Disinfection of contact lenses serves primariky to

Select one of the following:

Remove surface protein deposits
Keep the lens surface hydrophilic
Prevent the growth of bacteria, viruses, and fungi
Lubricate the area between the cornea and the lens

Explanation

Question 145 of 148

1

Contact lenses are most likely to be contraindicated in individuals who

Select one of the following:

Have refractive errors resulting from keratoconus
Work in occupations requiring excellent peripheral vision
Participate heavily in sports activities
Are routinely exposed to excessive amounts of fumes or dust

Explanation

Question 146 of 148

1

Generally, when inserting a soft contact lens on a patient, the ophthalmic medical assistant should first place the lens on the

Select one of the following:

Sclera above the cornea
Sclera below the cornea
Sclera to the right or left of the cornea
Cornea directly

Explanation

Question 147 of 148

1

	Created by Dani Geiger over 9 years ago

Quiz on Ophthalmic Medical Assistant Practice Test, created by Dani Geiger on 03/03/2015.

Ophthalmic Medical Assistant Practice Test

Question 1 of 148

The only eye care professional who is a medical doctor is the

Select one of the following:

Explanation

Question 2 of 148

A patient in need of a prosthetic eye would be referred to an

Select one of the following:

Explanation

Question 3 of 148

Of the following, the eye care professional who routinely fills prescriptions for eyeglasses is the

Select one of the following:

Explanation

Question 4 of 148

An ophthalmologist who concentrates on one area of the eye or focuses on a specific ocular disease is called

Select one of the following:

Explanation

Question 5 of 148

The level directly above certified ophthalmic medical assistant on JCAHPO'S certification ladder is

Select one of the following:

Explanation

Question 6 of 148

Of the following, the responsibility that routinely falls to the ophthalmic medical assistant is

Select one of the following:

Explanation

Question 7 of 148

An ophthalmic medical assistant accidentally administers too many eyedrops to a patient's eye. The first action the assistant should take is to

Select one of the following:

Explanation

Question 8 of 148

While waiting for the ophthalmologist, an anxious patient asks the Ophthalmic Medical Assistant for the results of a recent test. The assistant should

Select one of the following:

Explanation

Question 9 of 148

An ophthalmologist's office may disclose information regarding a patient's condition only when the individual seeking the information

Select one of the following:

Explanation

Question 10 of 148

Of the following, the structure that is part of the ocular adnexa is the

Select one of the following:

Explanation

Question 11 of 148

The medial rectus muscle rotates the eyes

Select one of the following:

Explanation

Question 12 of 148

The membrane that lines the inner eyelid is the

Select one of the following:

Explanation

Question 13 of 148

The tough, transparent membrane that provides about two thirds of the eye's focusing power is the

Select one of the following:

Explanation

Question 14 of 148

The white tissue surroundind the cornea and forming the main structural component of the globe is the

Select one of the following:

Explanation

Question 15 of 148

The structures of the uveal tract, or uvea, are

Select one of the following:

Explanation

Question 16 of 148

The clear, transparent fluid that fills the anterior chamber is called the

Select one of the following:

Explanation

Question 17 of 148

The condition occurring most often in individuals over age 45 in which the lens can no longer change shape to focus at the near is

Select one of the following:

Explanation

Question 18 of 148

The primary function of the sphincter and dilator muscles is to

Select one of the following:

Explanation

Question 19 of 148

In this figure of the lacrimal system, the structures are correctly identified as

Select one of the following:

Explanation

Question 20 of 148

Under normal conditions, aqueous fluid leaves the eye in the sequence