Patient Case History

Question 1

The problem-oriented medical record system consists of?

Answer 1

Defined database
Complete problem list
Initial treatment plans
Progress notes

Question 2

In defined database, procedures include:

Answer 2

Patient history
Preliminary examination
Ocular examination
Refractive examination
Binocular vision examination

Question 3

Complete problem list includes:

Answer 3

List of px’s problem constantly changed
Systemic problem that has a ocular or visual effects/changes
List of problem not only the ones that can be solved by a student or practitioner

Question 4

It provides information concerning diagnostic workup and management

Answer 4

Initial treatment plans

Question 5

SOAP stands for

Answer 5

Symptomatic
Objective
Assessment
Plan

Question 6

Provides permanent list at subsequent visits

Answer 6

Problem list

Question 7

Provides forms available for use in CL fitting, vision therapy, LV px care

Answer 7

Progress visit

Question 8

Determine the date or how often CL and glasses is prescribed

Answer 8

Ocular history

Question 9

Present state of his or her health and nature of any current or recent illness

Answer 9

Health history

Question 10

Questions concerning family ocular and health history directed mainly toward sight-threatening conditions

Answer 10

Family ocular and health hx

Question 11

Blurred vision that occurs in bright daylight might be due to

Answer 11

Nuclear or subcapsular cataract

Question 12

Blurred vision involving transient or obscuring vision in an older adult could be sign of

Answer 12

Temporal arteritis

Question 13

Blurred vision involving transient loss of vision could be due to

Answer 13

Migraine syndrome or multiple sclerosis

Question 14

High exophoria at near

Answer 14

Convergence insufficiency

Question 15

High exophoria at distance

Answer 15

Divergence excess

Question 16

Esophoric at both distance and near

Answer 16

Divergence insufficiency

Question 17

A difference in the size and shapes of the retinal images for the two eyes

Answer 17

Aniseikonia

Question 18

A type of strabismus wherein there is an adaptation to preexisting refractive or binocular vision problem

Answer 18

Functional strab

Question 19

A type of strab that occur early in life that causes symptoms of eyestrain

Answer 19

Paralytic strab

Question 20

Consists of prodromal visual aura, followed by a unilateral, throbbing HA accompanied by a feeling of nausea

Answer 20

Migraine HA

Question 21

Severe, occurring early in the morning, usually being present in awakening and disappearing at some time during the day

Answer 21

Hypertension HA

Question 22

Also known as histamine cephalgia

Answer 22

Cluster HA

Question 23

Severe, boring, unilateral headache occurring in the temporal region

Answer 23

Cluster HA

Question 24

Also known as tic douloureux

Answer 24

Trigeminal Neuralgia

Question 25

An extremely sharp piercing, knife like pain, of sudden onset in the facial region

Answer 25

Trigeminal Neuralgia

Question 26

An inflammatory process affecting the lid margins

Answer 26

Blepharitis

Question 27

Atopic in form causes symptoms like tearing, redness in the eye along with edema of bulbar conjunctiva

Answer 27

Allergic conjunctivitis

Question 28

Form of allergic conjunctivitis occurring in the spring and summer months

Answer 28

Vernal conjunctivitis

Question 29

Causes irritation and redness, mucopurulent discharge and complains eyes sticking

Answer 29

Bacterial conjunctivitis

Question 30

Triad of light sensitivity

Answer 30

Pain, photophobia, lacrimation

Question 31

Caused by corneal ulcers, acute iritis, and acute glaucoma. Indication of internal condition is present of ciliary injection

Answer 31

Deep-seated ocular pain

Question 32

Highly contagious, behind as an acute follicular conjunctivitis. Photophobia may be marked as symptom

Answer 32

Epidemic keratoconjunctivitis

Question 33

Other term for epidemic keratoconjunctivitis

Answer 33

Adenoviral Conjunctivitis

Question 34

AC/A

Answer 34

Accommodative Convergence/ Accommodation

Question 35

RPE

Answer 35

Retinal Pigment Epithelium

Question 36

AC

Answer 36

Anterior Chamber

Question 37

O.D.

Answer 37

Doctor of Optometry

Question 38

XT

Answer 38

Exotropia

Question 39

KCS

Answer 39

Keratoconjunctivitis sicca

Question 40

NPDR

Answer 40

Non-Proliferative Diabetic Retinopathy

Question 41

PDR

Answer 41

Proliferative Diabetic Retinopathy

Question 42

OU

Answer 42

Oculus Uterque

Question 43

DS

Answer 43

Diopter Sphere

Question 44

APD

Answer 44

Afferent Pupillary Defect

Question 45

PH

Answer 45

Pinhole

Question 46

TBUT

Answer 46

Tear Break-Up Time

Question 47

LASIK

Answer 47

Laser Assisted In-Situ Keratomileusis

Question 48

MPD

Answer 48

Monocular Pupillary Distance

Question 49

IPD

Answer 49

Interpupillary Distance

Question 50

HVID

Answer 50

Horizontal Visible Iris Diameter

Question 51

VVID

Answer 51

Vertical Visible Iris Diameter

Question 52

LP

Answer 52

Light Perception

Question 53

LProj

Answer 53

Light Projection

Question 54

GPC

Answer 54

Giant Papillary Conjunctivitis

Question 55

PSC

Answer 55

Posterior Subcapsular Cataract

Question 56

AV

Answer 56

Arteriovenous

Question 57

BCVA

Answer 57

Best corrected visual acuity

Question 58

HM

Answer 58

Hand motion

Question 59

IOP

Answer 59

Intraocular pressure

Question 60

OD

Answer 60

Oculus dexter

Question 61

OS

Answer 61

Oculus sinister

Question 62

External eye symptoms

Answer 62

Itching and burning Pain or FB Sensation Sensitivity to light Excessive tearing A feeling of dryness

Question 63

Extreme sensitivity to light and excessive tearing in the first few months or years of life

Answer 63

Congenital glaucoma

Question 64

Result of stimulation of the ophthalmic division of the trigeminal nerve

Answer 64

Excessive tearing

Question 65

Outward turning of the eyelid margin

Answer 65

Ectropion

Question 66

Inward turning of the eyelid margin

Answer 66

Entropion

Question 67

Also known as keratoconjunctivitis sicca

Answer 67

Aqueous deficiency

Question 68

An absolute or partial deficiency in aqueous tear production

Answer 68

Aqueous deficiency

Question 69

Tear film layers:

Answer 69

Oil (lipid) Aqueous Mucin

Question 70

Chief complaint may be due to to the presence of vitreous floaters

Answer 70

Seeing spots

Question 71

Most commonly seen when looking at the sky or at the unconstructed background

Answer 71

Vitreous floaters

Question 72

A form of chronic anterior uveitis affecting the pars plana

Answer 72

Pars planitis

Question 73

Complaints of seeing red spots may be caused by hemorrhages within the retina

Answer 73

Retinal hemorrhages

Question 74

Visual aura followed by a sick HA

Answer 74

Migraine scotoma

Question 75

Classic cause is keratoconus

Answer 75

Monocular diplopia

Question 76

Who developed the problem oriented optometric records?

Answer 76

Laurence Weed

Question 77

Management for convergence insuff

Answer 77

Plus lenses

Question 78

Management for divergence excess

Answer 78

Base out prism

Question 79

A vicelike pain in the forehead, a pain located in the occipital area accompanied by muscular stiffness

Answer 79

Tension HA

Question 80

Distortion of object size and shape is called

Answer 80

Metamorphopsia

Question 81

Blurred vision that accompanies a unilateral change in refraction

Answer 81

Nuclear sclerosis

Question 82

In an older patient, blurred vision that is not due to a change in refraction is most likely due to

Answer 82

Lens opacities or ARMD

Question 83

Blurred vision occurring in reduced illumination may be due to

Answer 83

Night myopia or receptor degeneration

Question 84

Possible cause of unilateral acuity loss

Answer 84

Functional amblyopia

Question 85

If a patient has latent hyperopia what procedure should be done?

Answer 85

Cycloplegic refraction

Question 86

What are the binocular vision syndromes?

Answer 86

Convergence and divergence insuff, convergence and divergence excess

Question 87

Explain LOANER lenses

Answer 87

Prescribing a low powered spheres, cylinders, or low-power prisms

Question 88

Management for migraine HA

Answer 88

going to bed Ergotamine tartrate drinking a cup of black coffee

Question 89

Temporal arteritis often leads to

Answer 89

Ischemic optic neuropathy

Question 90

Treatment for blepharitis

Answer 90

Washing hair or scalp using a Selsun shampoo Removing the scales using a cotton applicator

Question 91

Most prominent symptom of allergic conjunctivitis

Answer 91

Intense itching

Question 92

Main symptom of vernal conjunctivitis

Answer 92

Extreme itching

Question 93

Treatment for allergic conjunctivitis

Answer 93

Cold compress Antihistamines

Question 94

Most prominent symptom of bacterial conjunctivitis

Answer 94

Irritation and redness

Question 95

Appearance of spots, strings, cobwebs or rings is called

Answer 95

Muscae volitantes

Question 96

Minification of the retinal image

Answer 96

Accommodative micropsia

Question 97

Presence of rainbow halos around lights is a classic symptom of

Answer 97

Angle closure glaucoma

Question 98

A condition in which one or both inner canthal areas are partly covered by a fold of skin

Answer 98

Epicanthus

Question 99

One pupil is larger than the other

Answer 99

Essential anisocoria

Question 100

4 color anomalies

Answer 100

Protanopia Deuteranopia Protanomaly Deuteranomaly

Question 101

Strabismus that occurs during adult life is a result of

Answer 101

Paralysis of an ocular muscle or nerve

Question 102

Functional strab is said to be

Answer 102

Concomitant

Question 103

Paralytic strab is usually

Answer 103

Incomitant

Question 104

Management for aqueous deficiency

Answer 104

Artificial tears

Question 105

Clinical signs of keratoconus

Answer 105

Thinning and protrusion of cornea

Question 106

Blurred vision after prolonged near work for a patient not of presby age

Answer 106

Uncorrected hyperopia, uncorrected astig, poor facility of accomm

Question 107

Blurred vision in reduced illumination as in night driving

Answer 107

Retinitis pigmentosa

Question 108

A term used to describe any complaint involving a feeling of fatigue, discomfort or pain

Answer 108

Eyestrain

Question 109

A term used as a synonym for eyestrain

Answer 109

Asthenopia

Question 110

According to Donders, asthenopia could be due to?

Answer 110

Excessive use of accommodation