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
During a clinical encounter, an interpreter is needed for a non-English-speaking patient. Which interpreter arrangement is LEAST appropriate?
Answer: The patient's 8-year-old child
Using minor children as interpreters is inappropriate because it burdens the child, compromises accuracy, and violates privacy by exposing minors to adult medical details.
Stereoacuity of 40 seconds of arc measured with the Randot test indicates:
Answer: Fine stereopsis consistent with bifoveal fusion
40 seconds of arc is considered fine stereopsis and is consistent with intact bifoveal fusion and normal binocular vision.
A patient scheduled for strabismus surgery asks you what the surgical outcomes will be. You should:
Answer: Explain that success rates and possible need for repeat surgery exist, and direct surgical consent questions to the surgeon
Orthoptists can provide general education about outcomes but must direct consent and surgical risk discussions to the operating surgeon.
On the Bagolini striated lens test, the patient reports two crossing lines without any gap. This finding indicates:
Answer: Normal binocular single vision or anomalous retinal correspondence with BSV
Crossing lines without a gap indicate simultaneous perception at both foveas, seen in normal BSV or harmonious anomalous retinal correspondence.
A minor patient (age 14) wants their diagnosis kept from their parents. In most US states, what governs disclosure of routine orthoptic findings?
Answer: Parents or legal guardians retain the right to access minor children's medical records unless specific exceptions apply
In the US, parents generally have access to their minor child's records; HIPAA defers to state law, with limited exceptions for emancipated minors or specific sensitive services.
The 4-prism diopter base-out test is used to detect:
Answer: Central suppression scotoma
A 4 PD base-out prism placed before one eye normally induces a versional movement; absence of the expected refixation indicates a central suppression scotoma.
An orthoptist is asked by a pharmaceutical company to enroll patients in a clinical trial. The primary ethical requirement before enrollment is:
Answer: Institutional Review Board approval and proper informed consent from each patient
All human subjects research requires IRB oversight and full informed consent per the Declaration of Helsinki and federal regulations (45 CFR 46).