CO Patient Care, Ethics & Clinical Procedures in Orthoptics 3

Question 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:

Accepted Answer

Verify refractive correction is current and patch compliance is adequate

Answer

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

Question 2

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

Accepted Answer

Total deviation (manifest + latent)

Answer

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

Question 3

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

Accepted Answer

Initiating a personal social media friendship with a current patient

Answer

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

Question 4

The synoptophore is used clinically to measure:

Accepted Answer

Angle of deviation and grades of binocular vision simultaneously

Answer

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

Question 5

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

Accepted Answer

Activate the emergency response system and begin CPR if no pulse

Answer

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

(CO) Certified Orthoptist Practice Test

(CO) Certified Orthoptist Practice Test

CO Patient Care, Ethics & Clinical Procedures in Orthoptics 3