Free COA Patient History and Ocular Motility Questions and Answers — Questions and Answers
Question 1: Which of the following MOST qualifies as a chief complaint?
- Current medications
- Munson's sign
- Eye fatigue (Correct answer)
- Exophoria
Correct answer: Eye fatigue
Explanation: <br> A chief complaint is the primary symptom or concern that brings a patient to seek medical attention. "Eye fatigue" is a symptom described by the patient, making it a chief complaint. The other options are clinical findings or medical history details.
Question 2: Which common familial ocular disorder should you record during a patient's history?
- Scholiosis
- Keratoconus (Correct answer)
- Hemophilia
- Cholesteremia
Correct answer: Keratoconus
Explanation: <br> Keratoconus is a common familial ocular disorder that affects the shape of the cornea and should be recorded during a patient's history. The other conditions listed are not primarily ocular disorders.
Question 3: Which history-taking category would not typically be pertinent when interviewing a patient with a chief complaint of headaches?
- Duration
- Cause
- Date
- Ethnicity (Correct answer)
Correct answer: Ethnicity
Explanation: <br> When interviewing a patient with a chief complaint of headaches, ethnicity is typically not pertinent to the assessment of the headache. Instead, aspects such as the duration, cause, and date of onset of the headache are more relevant for diagnosis and treatment planning.
Question 4: Which test uses a prism to center the corneal reflex?
- Hess
- Worth four dot
- Krimsky (Correct answer)
- Hirschberg
Correct answer: Krimsky
Explanation: <br> The Krimsky test uses a prism to center the corneal reflex when assessing ocular alignment. By observing the position of the corneal light reflex relative to the center of the pupil, the examiner can determine the presence and magnitude of strabismus or misalignment of the eyes.
Question 5: Which item is not designated as a version?
- Levoversion
- Sursumversion
- Dextroversion
- Intraversion (Correct answer)
Correct answer: Intraversion
Explanation: <br> "Intraversion" is indeed not a designation of a version. The prefix "intra-" typically denotes movement inward or within. In the context of eye movements, "intra-" usually refers to convergence, the inward movement of both eyes toward each other.
Question 6: Which of the following is incorrect regarding the mad do rod test?
- The test cannot be used to measure both vertical and horizontal photos at a distance and near. (Correct answer)
- The tests can be used to measure vertical phobias at a distance.
- The test can be used to measure vertical phobias in near
- The test can be used to measure both verbal and horizontal phobias at a distance and near.
Correct answer: The test cannot be used to measure both vertical and horizontal photos at a distance and near.
Explanation: <br> The Mallett unit (MA) is used to quantify the magnitude and direction of phorias in both vertical and horizontal planes at distance and near. Therefore, option A is incorrect; the test can be used to measure both vertical and horizontal phorias at a distance and near.
Question 7: Which item is not a classification of fixation?
- Central
- Primary (Correct answer)
- Steady
- Maintained
Correct answer: Primary
Explanation: <br> "Primary" is not a classification of fixation. Central, steady, and maintained fixation refer to different aspects of how the eyes focus on an object. Central fixation refers to focusing on the central point of an object, steady fixation means maintaining focus without wandering, and maintained fixation implies continued focus over time.
Question 8: Which of the following symptoms requires prompt attention?
- Diplopia
- Halos around lights
- Pain in the eye
- Sudden loss of vision (Correct answer)
Correct answer: Sudden loss of vision
Explanation: <br> Sudden loss of vision is a symptom that requires prompt attention because it can indicate a serious condition that needs immediate medical intervention. While the other symptoms are concerning, sudden vision loss is most urgent.
Question 9: Which part of the patient examination is performed by asking specific questions in an orderly sequence?
- History (Correct answer)
- Refraction
- Tonometry
- Visual field testing
Correct answer: History
Explanation: <br> Patient history is obtained by asking specific questions in an orderly sequence to gather information about the patient's symptoms, medical history, and any relevant factors that may impact their eye health. This step is crucial in understanding the patient's condition and guiding further examination and treatment. Refraction, tonometry, and visual field testing are important components of the eye examination, but they do not involve asking specific questions to gather patient history.
Question 10: What is an important question to ask a patient that complains of a "red eye"?
- Do you wear contact lenses?
- Have you experienced eye pain?
- Do you have blurred vision? (Correct answer)
- Are you allergic to any medications?
Correct answer: Do you have blurred vision?
Explanation: <br> When a patient complains of a "red eye," it's essential to ask about associated symptoms like blurred vision, as it could indicate more serious underlying conditions such as corneal inflammation, uveitis, or glaucoma.
Question 11: After introduction to the patient, one of the first items that should be obtained as part of history taking is ______:
- The chief complaint or reason for the patient's visit (Correct answer)
- Medication allergies
- Past ocular surgeries
- Family medical history
Correct answer: The chief complaint or reason for the patient's visit
Explanation: <br> The chief complaint or reason for the patient's visit. This is a crucial step in history-taking as it helps prioritize the patient's concerns and guides the examination.
Free COA Patient History and Ocular Motility Questions and Answers
Which of the following MOST qualifies as a chief complaint?