Ophthalmic Medical Assistant Practice Test

Descrição

Quiz sobre Ophthalmic Medical Assistant Practice Test, criado por Dani Geiger em 03-03-2015.
Dani Geiger
Quiz por Dani Geiger, atualizado more than 1 year ago
Dani Geiger
Criado por Dani Geiger mais de 9 anos atrás
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4

Resumo de Recurso

Questão 1

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

Questão 2

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

Questão 3

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

Questão 4

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

Questão 5

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

Questão 6

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

Questão 7

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

Questão 8

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

Questão 9

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

Questão 10

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

Questão 11

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

Questão 12

Questão
The membrane that lines the inner eyelid is the
Responda
  • Bulbar conjuntiva
  • Epithelium
  • Palpebral conjunctiva
  • Tarsus

Questão 13

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

Questão 14

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

Questão 15

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

Questão 16

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

Questão 17

Questão
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
Responda
  • Accomodation
  • Presbyopia
  • Glaucoma
  • Cataract

Questão 18

Questão
The primary function of the sphincter and dilator muscles is to
Responda
  • 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

Questão 19

Questão
In this figure of the lacrimal system, the structures are correctly identified as
Responda
  • (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

Questão 20

Questão
Under normal conditions, aqueous fluid leaves the eye in the sequence
Responda
  • 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

Questão 21

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

Questão 22

Questão
In this figure of the visual pathway, the structures are correctly identified as
Responda
  • (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

Questão 23

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

Questão 24

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

Questão 25

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

Questão 26

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

Questão 27

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

Questão 28

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

Questão 29

Questão
Treatment of congenital strabismus may include surgery of the
Responda
  • Cornea
  • Eyelid
  • Retina
  • Eye muscles

Questão 30

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

Questão 31

Questão
Amblyopia referd to
Responda
  • 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

Questão 32

Questão
The term chalazion describes
Responda
  • 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

Questão 33

Questão
A condition of dry eyes is called
Responda
  • Dacrocystitis
  • Keratoconus
  • Blepharitis
  • Keratoconjuntivitis sicca

Questão 34

Questão
Primary open-angle glaucoma
Responda
  • 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

Questão 35

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

Questão 36

Questão
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
Responda
  • Age-related macular edema
  • Retinal detatchment
  • Retinitis pigmentosa
  • Papilledema

Questão 37

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

Questão 38

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

Questão 39

Questão
A toric cornea is characteristic of
Responda
  • Hyperopia
  • Myopia
  • Presbyopia
  • Astigmatism

Questão 40

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

Questão 41

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

Questão 42

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

Questão 43

Questão
The term neutralization in retinoscopy refers to
Responda
  • 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

Questão 44

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

Questão 45

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

Questão 46

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

Questão 47

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

Questão 48

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

Questão 49

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

Questão 50

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

Questão 51

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

Questão 52

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

Questão 53

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

Questão 54

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

Questão 55

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

Questão 56

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

Questão 57

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

Questão 58

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

Questão 59

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

Questão 60

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

Questão 61

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

Questão 62

Questão
Indirect ophthalmoscopy provides a
Responda
  • 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

Questão 63

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

Questão 64

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

Questão 65

Questão
Pachymetry is useful in determining the
Responda
  • 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

Questão 66

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

Questão 67

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

Questão 68

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

Questão 69

Questão
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
Responda
  • A-scan ultrasonography
  • B-scan ultrasonography
  • Fluorescein angiography
  • Specular microscopy

Questão 70

Questão
The printed circles on a visual field chart refer to the
Responda
  • 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

Questão 71

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

Questão 72

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

Questão 73

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

Questão 74

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

Questão 75

Questão
Two examples of static perimetry are
Responda
  • 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

Questão 76

Questão
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
Responda
  • Threshold perimetry
  • Suprathreshold perimetry
  • The tangent screen test
  • Goldmann perimetry

Questão 77

Questão
One disadvantage of Goldmann periimetry is that it
Responda
  • 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

Questão 78

Questão
One advantage of computerized threshold perimetry is that it
Responda
  • 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

Questão 79

Questão
This figure illustrates the
Responda
  • 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

Questão 80

Questão
This figure shows the focal point of light rays in an eye that is
Responda
  • Myopic
  • Presbyopic
  • Emmetropic
  • Hyperopic

Questão 81

Questão
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
Responda
  • Physiologic blind spot
  • Scotoma
  • Depression
  • Hemianopia

Questão 82

Questão
In this visual field chart of both eyes, the condition depicted is most often due to
Responda
  • Glaucoma
  • Small pupil size
  • A lesion or tumor in the optic chiasm
  • Cataracts

Questão 83

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

Questão 84

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

Questão 85

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

Questão 86

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

Questão 87

Questão
Interpupillary distance is measured principally to determine
Responda
  • 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

Questão 88

Questão
Interpupillary distance is measured principally to determine
Responda
  • 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

Questão 89

Questão
The procedure for obtaining monocular interpupillary distance involves measuring the distance from
Responda
  • 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

Questão 90

Questão
The accurate measurement of vertex distance during refractometry is required
Responda
  • 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

Questão 91

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

Questão 92

Questão
The primary purpose of triage is to
Responda
  • 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

Questão 93

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

Questão 94

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

Questão 95

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

Questão 96

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

Questão 97

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

Questão 98

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

Questão 99

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

Questão 100

Questão
A papoose board is useful in
Responda
  • 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

Questão 101

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

Questão 102

Questão
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
Responda
  • 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

Questão 103

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

Questão 104

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

Questão 105

Questão
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
Responda
  • 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

Questão 106

Questão
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
Responda
  • 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

Questão 107

Questão
One disadvantage of ophthalmic medicinal ointments is that they
Responda
  • 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

Questão 108

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

Questão 109

Questão
When instilling eyedrops, the ophthalmic medical assistant should
Responda
  • 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

Questão 110

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

Questão 111

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

Questão 112

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

Questão 113

Questão
Miotics function to reduce the intraocular pressure by
Responda
  • 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

Questão 114

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

Questão 115

Questão
The topical drug phenylephrine is classified as
Responda
  • A miotic
  • A mydriatic
  • An anesthetic
  • An antimicrobial

Questão 116

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

Questão 117

Questão
Topical corticosteroids function primarily as
Responda
  • 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

Questão 118

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

Questão 119

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

Questão 120

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

Questão 121

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

Questão 122

Questão
The primary purpose of standard precautions is to
Responda
  • 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

Questão 123

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

Questão 124

Questão
Sterilization is best defined as
Responda
  • 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

Questão 125

Questão
An autoclave is used to
Responda
  • 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

Questão 126

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

Questão 127

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

Questão 128

Questão
Ophthalmic medical assistants with open cuts on their hands
Responda
  • 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

Questão 129

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

Questão 130

Questão
The discussion involved in obtaining informed consent
Responda
  • 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

Questão 131

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

Questão 132

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

Questão 133

Questão
In this photograph, the surgical instruments are correctly identified from left to right as
Responda
  • Scissors, forceps, needle holder
  • Forceps, scissors, needle holder
  • Needle holder, forceps, scissors
  • Forceps, needle holder, scissors

Questão 134

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

Questão 135

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

Questão 136

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

Questão 137

Questão
Prepping the patient is usually done
Responda
  • 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

Questão 138

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

Questão 139

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

Questão 140

Questão
A prescription for contact lenses
Responda
  • 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

Questão 141

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

Questão 142

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

Questão 143

Questão
Cosmetic restorative lenses are most appropriate for patients who
Responda
  • 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

Questão 144

Questão
Disinfection of contact lenses serves primariky to
Responda
  • 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

Questão 145

Questão
Contact lenses are most likely to be contraindicated in individuals who
Responda
  • 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

Questão 146

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

Questão 147

Questão
A corneal abrasion caused by foreign material lodged between the cornea and the contact lens
Responda
  • 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

Questão 148

Questão
The onky acceptable rinsing solution for contact lenses is
Responda
  • 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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