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Patient Care, Ethics & Clinical Procedures in Orthoptics Flashcards

7 cards from real CO practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Patient Care, Ethics & Clinical Procedures in Orthoptics flashcards as text
  1. A 4-year-old with unilateral amblyopia shows no improvement after 3 months of full-time patching. Before changing therapy, the orthoptist should FIRST:

    Answer: Verify refractive correction is current and patch compliance is adequate

    Treatment failure is most commonly due to non-compliance or uncorrected refractive error, both of which must be ruled out before escalating therapy.

  2. During prism and alternate cover testing, you neutralize a deviation with 35 PD base-out. This measures the:

    Answer: Total deviation (manifest + latent)

    Alternate cover testing dissociates fusion, revealing the total deviation including any latent component.

  3. Which behavior by an orthoptist represents a breach of professional boundaries?

    Answer: Initiating a personal social media friendship with a current patient

    Social media relationships with current patients blur the professional boundary and can compromise objectivity and confidentiality.

  4. The synoptophore is used clinically to measure:

    Answer: Angle of deviation and grades of binocular vision simultaneously

    The synoptophore measures the objective angle of strabismus and assesses simultaneous perception, fusion, and stereopsis.

  5. A patient in your waiting room collapses and becomes unresponsive. As a healthcare professional, your FIRST action should be:

    Answer: Activate the emergency response system and begin CPR if no pulse

    Activation of emergency services and initiation of CPR per BLS protocol takes priority in any cardiac or respiratory arrest situation.

  6. A patient requests their orthoptic records to send to a specialist. Under HIPAA, you must comply:

    Answer: Within 60 days, with one 30-day extension if documented

    HIPAA mandates record release within 30 days, with a possible 30-day extension if the covered entity notifies the patient in writing.

  7. For a patient with intermittent exotropia, the distance deviation is 30 PD and the near deviation is 10 PD. This pattern is MOST consistent with:

    Answer: Divergence excess type intermittent exotropia

    Divergence excess type is characterized by a deviation at distance significantly larger than at near (typically ≥10 PD difference).