AOA Study Guide 2026

Everything you need to pass the AOA exam in one place: the exam format, every topic to study, real practice questions with explanations, flashcards, and full-length practice tests. Free, no sign-up needed.

📋 AOA Exam Format at a Glance

370
Questions
480 min
Time Limit
75.00%
Passing Score

📚 AOA Topics to Study (23)

✍️ Sample AOA Questions & Answers

1. Bitemporal hemianopia is most commonly caused by a lesion at which anatomical location?
✓ Optic chiasm

Bitemporal hemianopia results from compression of the crossing nasal fibers at the optic chiasm, most often by a pituitary adenoma.

2. Which anti-VEGF agent is FDA-approved for neovascular (wet) AMD treatment by intravitreal injection?
✓ Aflibercept (Eylea) and ranibizumab both approved

Both aflibercept (Eylea) and ranibizumab (Lucentis) are FDA-approved for neovascular AMD; bevacizumab is widely used off-label due to cost differences.

3. The ciliary muscle contraction during accommodation causes which change to the crystalline lens?
✓ The lens becomes more convex as zonular tension decreases

When the ciliary muscle contracts, it moves anteriorly and inward, releasing zonular tension and allowing the elastic lens to assume a more spherical (convex) shape, increasing its power for near focus.

4. Topical antihistamine-mast cell stabilizer combinations (e.g., olopatadine) are first-line treatment for:
✓ Allergic conjunctivitis

Dual-acting antihistamine/mast cell stabilizers like olopatadine block H1 receptors and prevent mast cell degranulation, providing rapid and sustained relief from allergic conjunctivitis symptoms.

5. Low vision rehabilitation is indicated when a patient's best-corrected visual acuity is:
✓ 20/70 or worse in the better eye with reduced functional ability

Low vision rehabilitation is appropriate for patients with best-corrected VA of 20/70 or worse that limits daily functioning and cannot be further improved by optical correction or treatment.

6. The vitreous humor is composed primarily of which substance?
✓ Hyaluronic acid and collagen fibrils

The vitreous is approximately 99% water, with the structural framework provided by a network of hyaluronic acid (providing viscosity) and collagen fibrils (type II and IX).

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Your AOA Study Path
1. Learn with Flashcards → 2. Drill Practice Tests → 3. Take the Full Exam Simulation
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