CPOA Patient Care 2

Question 1

A patient reports sudden loss of vision in one eye after a blunt injury. What is the most appropriate initial action?

Accepted Answer

Notify the supervising optometrist immediately

Answer

Sudden vision loss following trauma is a medical emergency requiring immediate evaluation by the supervising optometrist.

Question 2

When preparing a patient for corneal topography, which instruction is most important?

Accepted Answer

Request the patient remove contact lenses at least 2 weeks prior for rigid lenses

Answer

Rigid contact lenses distort corneal shape and should be removed for an extended period before corneal topography to ensure accurate results.

Question 3

A pediatric patient is uncooperative during visual acuity testing. Which alternative method is most appropriate for a 3-year-old?

Accepted Answer

Tumbling E or HOTV chart

Answer

The Tumbling E or HOTV chart uses symbols or matching cards that young children can identify without needing to know letters.

Question 4

Which vital sign is most relevant to document for a patient presenting with hypertensive retinopathy?

Accepted Answer

Blood pressure

Answer

Blood pressure is directly related to hypertensive retinopathy and its documentation guides the optometrist's clinical decisions.

Question 5

A patient's pupillary response shows a positive relative afferent pupillary defect (RAPD). Which structure is most likely affected?

Accepted Answer

Optic nerve

Answer

A positive RAPD indicates asymmetric damage to the afferent visual pathway, most commonly the optic nerve.

(CPOA) Certified Paraoptometric Assistant Practice Test