COT Patient History and Ophthalmic Examination Techniques

Question 1

When documenting a patient's chief complaint, which element is MOST important to record first?

Accepted Answer

Onset, location, duration, character, and associated symptoms

Answer

Duration of symptoms

Answer

Family history of eye disease

Answer

Current medications

Question 2

During confrontation visual field testing, the examiner's visual field serves as the:

Accepted Answer

Control for comparison with the patient's field

Answer

Measure of the patient's peripheral vision

Answer

Baseline for automated perimetry

Answer

Reference for color vision testing

Question 3

The cover-uncover test primarily detects which type of ocular deviation?

Accepted Answer

Tropia (manifest deviation)

Answer

Phoria (latent deviation)

Answer

Hyperopia

Answer

Anisometropia

Question 4

When measuring visual acuity with a Snellen chart at 20 feet, a patient reads the 20/40 line. This means the patient can read at 20 feet what a person with normal vision can read at:

Accepted Answer

40 feet

Answer

10 feet

Answer

20 feet

Answer

80 feet

Question 5

Amsler grid testing is used primarily to detect defects in which area of the visual field?

Accepted Answer

Central 10–20 degrees

Answer

Peripheral visual field

Answer

Superior quadrant

Answer

Nasal field

Question 6

Which test is used to evaluate the relative afferent pupillary defect (RAPD)?

Accepted Answer

Swinging flashlight test

Answer

Cover test

Answer

Hirschberg test

Answer

Worth 4-dot test