Patient Evaluation Flashcards
7 cards from real JCAHPO practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Patient Evaluation flashcards as text
A 45-year-old patient can no longer read comfortably without reading glasses. This age-related change in near vision is known as:
Answer: Presbyopia
Presbyopia is the age-related loss of accommodative amplitude due to decreased flexibility of the crystalline lens, typically becoming symptomatic in the mid-40s.
When measuring intraocular pressure with a Goldmann applanation tonometer, the examiner adjusts the force until the inner edges of two fluorescent semicircles:
Answer: Just touch at their inner margins
The endpoint for Goldmann applanation tonometry is when the inner edges of the mires just touch, corresponding to a 3.06 mm applanated area.
Which ocular motility test uses a red lens over one eye to help identify the type and degree of strabismus?
Answer: Maddox rod test
The Maddox rod test uses a grooved red lens to separate images and help quantify and characterize heterophorias and heterotropias.
During history taking, a patient reports halos around lights at night. This symptom is most associated with:
Answer: Corneal edema or cataracts
Halos around lights are classically associated with corneal edema (as in acute angle-closure glaucoma) or nuclear sclerotic cataracts scattering incoming light.
The normal range of intraocular pressure measured by applanation tonometry is approximately:
Answer: 10–21 mmHg
The statistically normal IOP range is 10–21 mmHg (mean ~16 mmHg), though glaucomatous damage can occur at any IOP.
A patient is referred for an Esterman visual field test. This test is specifically designed to assess:
Answer: Functional visual field for driving eligibility
The Esterman binocular visual field is used to evaluate functional vision for activities such as driving and disability assessments.
Which finding on cover test indicates a manifest strabismus (tropia) rather than a latent deviation (phoria)?
Answer: The eye moves when the cover is placed over it
In a manifest tropia, the deviated eye will move to take up fixation when the dominant eye is covered, indicating the deviation is present without fusion demand.