AOC Documentation and Record Keeping 3

Question 1

When documenting versions, which grading scale is most commonly used in orthoptic practice?

Accepted Answer

-4 to +4 scale

Answer

Versions are graded on a -4 to +4 scale, where 0 is normal, negative values indicate underaction, and positive values indicate overaction.

Question 2

A chart entry reads 'V pattern ET 20PD primary, 8PD upgaze, 30PD downgaze'. What does this indicate?

Accepted Answer

Greater esotropia in downgaze than upgaze

Answer

A V pattern describes a strabismus that is larger in downgaze than upgaze, which is consistent with the documented measurements.

Question 3

Which documentation practice is required when a parent provides history for a pediatric patient?

Accepted Answer

Record must note that history was obtained from a proxy and identify the relationship

Answer

When history is obtained from a third party, documentation must specify that information came from a proxy and identify who that person is (e.g., mother, guardian).

Question 4

What is the correct way to document a corrected error in a paper medical record?

Accepted Answer

Draw a single line through the error, initial, and date it

Answer

Errors in paper records must be corrected by drawing a single line through the error while keeping it legible, then initialing and dating the correction.

Question 5

When documenting the Worth 4-Dot test, which response pattern indicates suppression of the right eye?

Accepted Answer

Patient reports 3 green dots

Answer

Seeing 3 green dots on the Worth 4-Dot test indicates suppression of the right eye, which normally sees the red dots through the red filter.

(AOC) American Orthoptic Council Practice Test

(AOC) American Orthoptic Council Practice Test

AOC Documentation and Record Keeping 3