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Ophthalmic Medical Assistant Practice Test

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Test sobre Ophthalmic Medical Assistant Practice Test, creado por Dani Geiger el 03/03/2015.
Dani Geiger
Test por Dani Geiger, actualizado hace más de 1 año
Dani Geiger
Creado por Dani Geiger hace más de 9 años
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Resumen del Recurso

Pregunta 1

Pregunta
The only eye care professional who is a medical doctor is the
Respuesta
  • Optometrist
  • Ocularist
  • Ophthalmologist
  • Orthoptist

Pregunta 2

Pregunta
A patient in need of a prosthetic eye would be referred to an
Respuesta
  • Ocularist
  • Optician
  • Orthoptist
  • Optometrist

Pregunta 3

Pregunta
Of the following, the eye care professional who routinely fills prescriptions for eyeglasses is the
Respuesta
  • Ocularist
  • Optician
  • Ophthalmic Medical Technician
  • Orthoptist

Pregunta 4

Pregunta
An ophthalmologist who concentrates on one area of the eye or focuses on a specific ocular disease is called
Respuesta
  • An optician
  • An ocularist
  • An optometrist
  • A subspecialist

Pregunta 5

Pregunta
The level directly above certified ophthalmic medical assistant on JCAHPO'S certification ladder is
Respuesta
  • Certified ophthalmic medical technologist
  • Certified ophthalmic registered nurse
  • Certified ophthalmic technician
  • Certified ophthalmic photographer

Pregunta 6

Pregunta
Of the following, the responsibility that routinely falls to the ophthalmic medical assistant is
Respuesta
  • Diagnosing certain conditions
  • Making prognostic estimates
  • Performing certain diagnostic tests
  • Prescribing treatment for certain problems

Pregunta 7

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

Pregunta 8

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

Pregunta 9

Pregunta
An ophthalmologist's office may disclose information regarding a patient's condition only when the individual seeking the information
Respuesta
  • Is the patients spouse
  • Has received permission from the patient
  • Is the patient's employer
  • Is a member of the patient's immediate family

Pregunta 10

Pregunta
Of the following, the structure that is part of the ocular adnexa is the
Respuesta
  • Cornea
  • Eyelid
  • Lens
  • Optic nerve

Pregunta 11

Pregunta
The medial rectus muscle rotates the eyes
Respuesta
  • Inward towards the nose
  • Outward towards the temple
  • Downward and outward toward the temple
  • Downward and inward toward the nose

Pregunta 12

Pregunta
The membrane that lines the inner eyelid is the
Respuesta
  • Bulbar conjuntiva
  • Epithelium
  • Palpebral conjunctiva
  • Tarsus

Pregunta 13

Pregunta
The tough, transparent membrane that provides about two thirds of the eye's focusing power is the
Respuesta
  • Retina
  • Conjunctiva
  • Sclera
  • Cornea

Pregunta 14

Pregunta
The white tissue surroundind the cornea and forming the main structural component of the globe is the
Respuesta
  • Cilisry body
  • Limbus
  • Sclera
  • Vitreous

Pregunta 15

Pregunta
The structures of the uveal tract, or uvea, are
Respuesta
  • Iris, ciliary body, choroid
  • Iris, posterior chamber, ciliary body
  • Choroid, sclera, retina
  • Iris, lens, choroid

Pregunta 16

Pregunta
The clear, transparent fluid that fills the anterior chamber is called the
Respuesta
  • Vitreous
  • Aqueous humor
  • Choroid
  • Tear film

Pregunta 17

Pregunta
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
Respuesta
  • Accomodation
  • Presbyopia
  • Glaucoma
  • Cataract

Pregunta 18

Pregunta
The primary function of the sphincter and dilator muscles is to
Respuesta
  • 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

Pregunta 19

Pregunta
In this figure of the lacrimal system, the structures are correctly identified as
Image:
6a2e8606-466a-4938-a91d-dfd7769709f0 (image/jpg)
Respuesta
  • (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

Pregunta 20

Pregunta
Under normal conditions, aqueous fluid leaves the eye in the sequence
Respuesta
  • 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

Pregunta 21

Pregunta
Injury or degeneration of the macula will most likely result in loss of
Respuesta
  • Night or dim-light visioj
  • Peripheral vision
  • Distance vision
  • Detailed central vision

Pregunta 22

Pregunta
In this figure of the visual pathway, the structures are correctly identified as
Image:
bc6adf90-e96e-46b3-b90e-6a5ce6c86a2c (image/jpg)
Respuesta
  • (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

Pregunta 23

Pregunta
The suffix -itis added to the name of a tissue or organ produces the medical term for
Respuesta
  • Infection
  • Inflammation
  • Ischemia
  • Degeneration

Pregunta 24

Pregunta
A body part deprived of its normal blood supply due to blockage or breakage of a vessel is said to be
Respuesta
  • Inflamed
  • Infected
  • Ischemic
  • Neoplastic

Pregunta 25

Pregunta
Diabetes Mellitus is an example of the type of disease process called
Respuesta
  • Metabolic
  • infectious
  • Neoplastic
  • Degenerative

Pregunta 26

Pregunta
An abnormal change observed by a physician while examining a patient is referred to as
Respuesta
  • An etiology
  • A symptom
  • A sign
  • A syndrome

Pregunta 27

Pregunta
When the orbital contents swell, pushing the eyeball forward, the resulting condition is termed
Respuesta
  • Blepharitis
  • Exophthalmos
  • Ectropion
  • Exotropia

Pregunta 28

Pregunta
The term diplopia is used to describe
Respuesta
  • Swelling from large amounts of fluid
  • Paralysis
  • Double vision
  • Deviation of one or both eyes

Pregunta 29

Pregunta
Treatment of congenital strabismus may include surgery of the
Respuesta
  • Cornea
  • Eyelid
  • Retina
  • Eye muscles

Pregunta 30

Pregunta
Inward deviation of an eye that occurs only when the eye is covered is called
Respuesta
  • Esophoria
  • Esotropia
  • Exophoria
  • Exotropia

Pregunta 31

Pregunta
Amblyopia referd to
Respuesta
  • 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

Pregunta 32

Pregunta
The term chalazion describes
Respuesta
  • 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

Pregunta 33

Pregunta
A condition of dry eyes is called
Respuesta
  • Dacrocystitis
  • Keratoconus
  • Blepharitis
  • Keratoconjuntivitis sicca

Pregunta 34

Pregunta
Primary open-angle glaucoma
Respuesta
  • 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

Pregunta 35

Pregunta
A cataract is
Respuesta
  • A clouding of the vitreous gel
  • A benign growth on the conjunctiva
  • A branch-shaped corneal ulcet
  • An opacification of the crystalline lens

Pregunta 36

Pregunta
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
Respuesta
  • Age-related macular edema
  • Retinal detatchment
  • Retinitis pigmentosa
  • Papilledema

Pregunta 37

Pregunta
Substances that permit the passage of light without significant disruption are termed
Respuesta
  • Opaque
  • Transparent
  • Translucent
  • Electromagnetic

Pregunta 38

Pregunta
A convex lens with a focal length of 0.50 meter has a power of
Respuesta
  • 0.20
  • 0.50
  • 2.00
  • 5.00

Pregunta 39

Pregunta
A toric cornea is characteristic of
Respuesta
  • Hyperopia
  • Myopia
  • Presbyopia
  • Astigmatism

Pregunta 40

Pregunta
The type of lens that best corrects myopia combined with astigmatism is a
Respuesta
  • Cylindrical lens
  • Spherical lens
  • Spherocylindrical lens
  • Multifocal lens

Pregunta 41

Pregunta
The difference between the power of the upper segment and the power of the lower segment in a bifocal lens is referred
Respuesta
  • Circle of least confusion
  • Refractive index
  • Principal meridian
  • Add

Pregunta 42

Pregunta
The correct transposition of the plus-cylinder prescription +1.00+2.00×90
Respuesta
  • +3.00-2.00×90
  • +1.00-2.00×180
  • +3.00-2.00×180
  • +2.00-1.00×90

Pregunta 43

Pregunta
The term neutralization in retinoscopy refers to
Respuesta
  • 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

Pregunta 44

Pregunta
If the distance portion of an eyeglass lens is +2.00 and the bifocal add is +1.00, then the bifocal power is
Respuesta
  • +1.00
  • +2.00
  • +3.00
  • -1.00

Pregunta 45

Pregunta
The first step in performing manual lensometry or keratometry is to
Respuesta
  • Focus the eyepiece
  • Lubricate the instrument
  • Position the eyeglasses
  • Position the patient

Pregunta 46

Pregunta
If the lensmeter mires cannot be centered in the central portion of the lensmeter target, the lens probably contains a
Respuesta
  • Sphere
  • Cylinder
  • Spherocylinder
  • Prism

Pregunta 47

Pregunta
The part of the comprehensive medical eye examination during which the visible parts of the lacrimal apparatus are inspected is
Respuesta
  • Ophthalmoscopy
  • The external examination
  • The alignment and motility examination
  • The visual field examination

Pregunta 48

Pregunta
Healthy, asymptomatic individuals between the ages of 40 & 64 should have a comprehensive medical eye exam every
Respuesta
  • 6 months
  • Year
  • 2-4 years
  • 5 years

Pregunta 49

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

Pregunta 50

Pregunta
Close examination of the lids, lashes, cornea, and lens can be accomplished with the
Respuesta
  • Biomicroscope
  • Ophthalmoscope
  • Gonioscope
  • Exophthalmometer

Pregunta 51

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

Pregunta 52

Pregunta
If a pinhole acuity test is found to significantly improve a patient's poor visual acuity, the patient probably has
Respuesta
  • Glaucoma
  • A cataract
  • Poor peripheral vision
  • A refractive error

Pregunta 53

Pregunta
Jaeger notations, snellen M units, and distance equivalents are various units of measuring
Respuesta
  • Near visual acuity
  • Ocular motility
  • Peripheral vision
  • Pupil width

Pregunta 54

Pregunta
Having a patient follow a finger in the six cardinal positions of gaze is a method of evaluating
Respuesta
  • Direct pupillary reaction
  • Peripheral vision
  • Extraocular muscle function
  • Distance acuity

Pregunta 55

Pregunta
The prism and alternate cover test is used to
Respuesta
  • Evaluate depth perception
  • Evaluate peripheral vision
  • Measure deviation in a misaligned eye
  • Measure near visual acuity

Pregunta 56

Pregunta
Of the following, the procedure that mistbe performed before pupillary dilation is
Respuesta
  • Cycloplegic refraction
  • Biomicroscope
  • Ophthalmoscopy
  • The swinging-light test

Pregunta 57

Pregunta
In a normal consensual reaction, when a light is directed into the pupil of one eye, the pupil of the other eye
Respuesta
  • Constricts
  • Dilates
  • Is unchanged
  • Pulsates

Pregunta 58

Pregunta
Of the following, the test that evaluates disturbances or defects in the visual field is the
Respuesta
  • Worth four-dot test
  • Titmus stereopsis test
  • Schirmer test
  • Amsler grid test

Pregunta 59

Pregunta
Intraocular pressure is measured by flattening a small area of the central cornea in
Respuesta
  • Keratometry
  • Applanation tonometry
  • Indentation tonometry
  • Schiøtz tonometry

Pregunta 60

Pregunta
A reading of 3 on the Goldmann tonometer dial indicates an intraocularpressure of
Respuesta
  • 0.3 mm Hg
  • 3 mm Hg
  • 15 mm Hg
  • 30 mm Hg

Pregunta 61

Pregunta
Gonioscopy is a procedure used to view the
Respuesta
  • External structures of the eye
  • Structures of the anterior chamber angle
  • Vitreous
  • Optic nerve head

Pregunta 62

Pregunta
Indirect ophthalmoscopy provides a
Respuesta
  • 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

Pregunta 63

Pregunta
The three transparent structures that compose what is termed the ocular media are the
Respuesta
  • Cornea, lens, and retina
  • Conjunctiva, cornea, and lens
  • Cornea, lens, and vitreous
  • Lens, vitreous, and aqueous humor

Pregunta 64

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

Pregunta 65

Pregunta
Pachymetry is useful in determining the
Respuesta
  • 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

Pregunta 66

Pregunta
Of the following, the procedure used for counting endothelial cells of the cornea is
Respuesta
  • Fluorescein angiography
  • Specular microscopy/photography
  • Ultrasonography
  • Pachymetry

Pregunta 67

Pregunta
An acuity chart printed in faint gray instead of sharp black on white is useful for measuring
Respuesta
  • Near visual acuity
  • Glare sensitivity
  • Color vision
  • Contrast sensitivity

Pregunta 68

Pregunta
Fluoroscein angiography is a valuable method of detecting and documenting
Respuesta
  • Abnormalities in the structures of the outer eye
  • Corneal endothelial cells
  • Abnormalities in ocular blood vessels
  • Lens opacities

Pregunta 69

Pregunta
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
Respuesta
  • A-scan ultrasonography
  • B-scan ultrasonography
  • Fluorescein angiography
  • Specular microscopy

Pregunta 70

Pregunta
The printed circles on a visual field chart refer to the
Respuesta
  • 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

Pregunta 71

Pregunta
On a visual field chart, a contour obtained with a single target of a particular size and brightness is
Respuesta
  • A shallow scotoma
  • An absolute scotoma
  • An isopter
  • A circle of eccentricity

Pregunta 72

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

Pregunta 73

Pregunta
A defect in the inferior temporal retina will affect the
Respuesta
  • Inferior temporal field of vision
  • Inferior nasal field of vision
  • Superior temporal field of vision
  • Superior nasal field of vision

Pregunta 74

Pregunta
On visual field charts, the physiologic blind spot appears in the
Respuesta
  • Center of the visual field
  • Nasal visual field
  • Temporal visual field
  • Inferior visual field

Pregunta 75

Pregunta
Two examples of static perimetry are
Respuesta
  • 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

Pregunta 76

Pregunta
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
Respuesta
  • Threshold perimetry
  • Suprathreshold perimetry
  • The tangent screen test
  • Goldmann perimetry

Pregunta 77

Pregunta
One disadvantage of Goldmann periimetry is that it
Respuesta
  • 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

Pregunta 78

Pregunta
One advantage of computerized threshold perimetry is that it
Respuesta
  • 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

Pregunta 79

Pregunta
This figure illustrates the
Image:
f17f743d-42c8-4413-9b9b-056c51d0926c (image/jpg)
Respuesta
  • 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

Pregunta 80

Pregunta
This figure shows the focal point of light rays in an eye that is
Image:
21a891f2-d22b-406e-99f4-f89eb9923d93 (image/jpg)
Respuesta
  • Myopic
  • Presbyopic
  • Emmetropic
  • Hyperopic

Pregunta 81

Pregunta
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
Image:
e1a7c792-4c58-4344-894a-0e444e22085c (image/jpg)
Respuesta
  • Physiologic blind spot
  • Scotoma
  • Depression
  • Hemianopia

Pregunta 82

Pregunta
In this visual field chart of both eyes, the condition depicted is most often due to
Image:
c9338152-2775-437d-9874-dcb1b1a01ec2 (image/jpg)
Respuesta
  • Glaucoma
  • Small pupil size
  • A lesion or tumor in the optic chiasm
  • Cataracts

Pregunta 83

Pregunta
For accurate perimetry, the patient's near correction must be in place if the patient
Respuesta
  • Has ptosis
  • Is presbyopic
  • Has a pupil size of 2mm or smaller
  • Is easily distracted

Pregunta 84

Pregunta
Correction for distance, near, and intermediate vision in one lens can be achieved with
Respuesta
  • An executive bifocal lens
  • A round-top segment bifocal lens
  • A single vision lens
  • A double-D segment trifocal lens

Pregunta 85

Pregunta
Transitional zones or areas of blending that create distorted or blurred vision are a particular drawback of
Respuesta
  • Round-top multifocal lenses
  • Conventional seamed multifocal lenses
  • Progressive-addition multifocal lenses
  • Polarized lenses

Pregunta 86

Pregunta
Because of its resistance to shattering , the material choice for safety glasses is
Respuesta
  • Heat-treated flint glass
  • Chemically treated flint glass
  • CR-39
  • Polycarbonate

Pregunta 87

Pregunta
Interpupillary distance is measured principally to determine
Respuesta
  • 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

Pregunta 88

Pregunta
Interpupillary distance is measured principally to determine
Respuesta
  • 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

Pregunta 89

Pregunta
The procedure for obtaining monocular interpupillary distance involves measuring the distance from
Respuesta
  • 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

Pregunta 90

Pregunta
The accurate measurement of vertex distance during refractometry is required
Respuesta
  • 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

Pregunta 91

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

Pregunta 92

Pregunta
The primary purpose of triage is to
Respuesta
  • 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

Pregunta 93

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

Pregunta 94

Pregunta
Of the following, the situation that should be treated as an emergency requiring immediate action is a
Respuesta
  • Recent onset of flashes of light
  • Loss of contact lenses needed for work
  • Mucous discharge from the eye
  • Sudden, painless, severe loss of vision

Pregunta 95

Pregunta
Generally, urgent situations are those requiring that the patient be seen within
Respuesta
  • 3 to 6 hours
  • 24 to 48 hours
  • 5 to 7 days
  • 1 to 2 weeks

Pregunta 96

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

Pregunta 97

Pregunta
When assisting a patient who feels faint in the office, the ophthalmic kedical assistant should first
Respuesta
  • Begin CPR
  • Get the emergency cart
  • Splash water on the patient's face
  • Get the patient's head below the heart

Pregunta 98

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

Pregunta 99

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

Pregunta 100

Pregunta
A papoose board is useful in
Respuesta
  • 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

Pregunta 101

Pregunta
The "fix and follow" method of evaluating visual function is generally used with
Respuesta
  • Infants
  • School-aged children
  • Elderly patients
  • Patients with low vision

Pregunta 102

Pregunta
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
Respuesta
  • 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

Pregunta 103

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

Pregunta 104

Pregunta
Approximately 95% of all individuals over the age of 65 havr some degree of
Respuesta
  • Glaucoma
  • Cataract
  • Diabetes
  • Diplopia

Pregunta 105

Pregunta
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
Respuesta
  • 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

Pregunta 106

Pregunta
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
Respuesta
  • 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

Pregunta 107

Pregunta
One disadvantage of ophthalmic medicinal ointments is that they
Respuesta
  • 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

Pregunta 108

Pregunta
Of the following, the type of injection classified as a form of systemic drug delivery is the
Respuesta
  • Intravitreal
  • Subconjunctival
  • Subcutaneous
  • Retrobulbar

Pregunta 109

Pregunta
When instilling eyedrops, the ophthalmic medical assistant should
Respuesta
  • 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

Pregunta 110

Pregunta
Of the following, the drug that is most helpful when performing both a fundus examination and an objective refraction on a pediatric patient is
Respuesta
  • An anesthetic
  • A miotic
  • A mydriatic
  • A cycloplegic

Pregunta 111

Pregunta
The two types of drugs that could stimulate an attack of angle closure glaucoma in patients with narrow anterior chamber angles are
Respuesta
  • Mydriatics and cycoplegics
  • Mydriatics and antihistimines
  • Anesthetics and dyes
  • Antiallergic and anti inflammatory agents

Pregunta 112

Pregunta
In ophthalmology, topical anesthetics are most often used to
Respuesta
  • Perform major eye surgery
  • Treat corneal defects on a long-term basis
  • Relieve minor eye fatigue and redness
  • Prevent discomfort during diagnostic procedures

Pregunta 113

Pregunta
Miotics function to reduce the intraocular pressure by
Respuesta
  • 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

Pregunta 114

Pregunta
All of the following are used to treat bacterial infections except
Respuesta
  • Neomycin
  • Sulfonamides
  • Nystatin
  • Bacitracin

Pregunta 115

Pregunta
The topical drug phenylephrine is classified as
Respuesta
  • A miotic
  • A mydriatic
  • An anesthetic
  • An antimicrobial

Pregunta 116

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

Pregunta 117

Pregunta
Topical corticosteroids function primarily as
Respuesta
  • 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

Pregunta 118

Pregunta
A common side effect of cycloplegics is
Respuesta
  • Eye redness
  • Blurred vision
  • High blood pressure
  • Corneal edema

Pregunta 119

Pregunta
The microbe most likely to cause recurrent fever blisters is
Respuesta
  • Adenovirus
  • Cytomegalovirus
  • Epstein-Barr virus
  • Herpesvirus

Pregunta 120

Pregunta
A corneal abrasion caused by a tree twig is most likely to cause a
Respuesta
  • Fungal infection
  • Protozoal infection
  • Viral infection
  • Chlamydial infection

Pregunta 121

Pregunta
Of the following, the people most at risk for developing an ocular infection by the protozoan Acanthamoeba are those who
Respuesta
  • Eat undercooked or raw meat
  • Use homemade salt solutions to clean their contact lenses
  • Have had chickenpox during childhood
  • Use contaminated cosmetics

Pregunta 122

Pregunta
The primary purpose of standard precautions is to
Respuesta
  • 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

Pregunta 123

Pregunta
A tonometer tip is best disinfected by using
Respuesta
  • Boiling water
  • Moist heat
  • A germicide
  • Soap and water

Pregunta 124

Pregunta
Sterilization is best defined as
Respuesta
  • 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

Pregunta 125

Pregunta
An autoclave is used to
Respuesta
  • 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

Pregunta 126

Pregunta
If the ophthalmic medical assistant accidentally touches the sterile functional surface of a disposable instrument
Respuesta
  • Resterilized in the office
  • Wiped with alcohol
  • Wiped with a sterile cloth
  • Discarded, no matter what it's cost

Pregunta 127

Pregunta
An infection caused when the eye has been penetrated by a contaminated metal fragment is an example of
Respuesta
  • Direct-contact transmission
  • Indirect-contact transmission
  • Common-vehicle transmission
  • Vector transmission

Pregunta 128

Pregunta
Ophthalmic medical assistants with open cuts on their hands
Respuesta
  • 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

Pregunta 129

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

Pregunta 130

Pregunta
The discussion involved in obtaining informed consent
Respuesta
  • 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

Pregunta 131

Pregunta
Of the following, the suture material that is not broken down by the body but must be removed from the suture site is
Respuesta
  • Polypropylene
  • Collagen
  • Gut
  • Polyglactin 910

Pregunta 132

Pregunta
The rhumboid-shaped needle point used in procedures involving the cornea or sclera where the plane of penetration must be precise is
Respuesta
  • Cutting point
  • Reverse-cutting
  • Spatula point
  • Taper point

Pregunta 133

Pregunta
In this photograph, the surgical instruments are correctly identified from left to right as
Image:
c1c7947f-4235-40fd-bc00-afe73da5d945 (image/jpg)
Respuesta
  • Scissors, forceps, needle holder
  • Forceps, scissors, needle holder
  • Needle holder, forceps, scissors
  • Forceps, needle holder, scissors

Pregunta 134

Pregunta
To maintain hemostasis during a surgical procedure, the surgeon uses
Respuesta
  • Curettes
  • Cannulas
  • Clamps
  • Forceps

Pregunta 135

Pregunta
In lacrimal-system probing, a cannula is used to
Respuesta
  • Enlarge the small punctal opening
  • Scoop out the unwanted tissue
  • Hold the suture needle steady
  • Flush out a tear duct with an irrigating solution

Pregunta 136

Pregunta
All of the following are considered to be within the sterile operating field except
Respuesta
  • The instrument tray
  • Masks
  • Gloves
  • Drapes

Pregunta 137

Pregunta
Prepping the patient is usually done
Respuesta
  • 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

Pregunta 138

Pregunta
Of the following, the suture size least likely to be used for eye surgery is
Respuesta
  • 2-0
  • 5-0
  • 8-0
  • 10-0

Pregunta 139

Pregunta
The contact lens that allows oxygen to reach the cornea only through the tear pump are
Respuesta
  • Soft lenses
  • Rigid gas-permeable lenses
  • Polymethylmethacrylate lenses
  • Extended-wear lenses

Pregunta 140

Pregunta
A prescription for contact lenses
Respuesta
  • 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

Pregunta 141

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

Pregunta 142

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

Pregunta 143

Pregunta
Cosmetic restorative lenses are most appropriate for patients who
Respuesta
  • 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

Pregunta 144

Pregunta
Disinfection of contact lenses serves primariky to
Respuesta
  • 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

Pregunta 145

Pregunta
Contact lenses are most likely to be contraindicated in individuals who
Respuesta
  • 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

Pregunta 146

Pregunta
Generally, when inserting a soft contact lens on a patient, the ophthalmic medical assistant should first place the lens on the
Respuesta
  • Sclera above the cornea
  • Sclera below the cornea
  • Sclera to the right or left of the cornea
  • Cornea directly

Pregunta 147

Pregunta
A corneal abrasion caused by foreign material lodged between the cornea and the contact lens
Respuesta
  • Can result in a serious corneal infection
  • Usually is more painful in soft lens wearers than in rigid lens wearers
  • Usually requires no treatment beyond removal of the lens for a few days
  • Always requires treatment with a pressure patch

Pregunta 148

Pregunta
The onky acceptable rinsing solution for contact lenses is
Respuesta
  • Salt tablets dissolved in distilled water
  • Salt tablets dissolved in tap water
  • The contact lens user's own saliva
  • Sterile saline solution
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