CALIFORNIA LAW EXAM OPTOMETRY
NEWEST EXAM AND PRACTICE EXAM
2024 ACTUAL EXAM 350 QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS)
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GRADED A+
What is considered a prescription lens? - ...ANSWER...Any
device that alters or changes the visual powers of the human
eye. This includes any plano contact lens.
What 5 components are required on a spectacle prescription? -
...ANSWER...1. patient's name
2. dioptric power of the lens
3. issue and expiration dates
4. name, address, telephone, and license number of OD
5. Signature of OD
What is the expiration date for a spectacle rx? -
...ANSWER...cannot be less than 2-4 years from the date of
issue unless by patient history or circumstance, including:
presence of visual abnormalities related to ocular/systemic
disease, reasonable probability of change earlier than 2 years.
true/false: you can fill an expired glasses prescription in the
case that the glasses were broken, lost, or damaged. -
...ANSWER...true
In such cases, the dispenser shall recommend that patient
returns to prescriber for an eye examination.
true/false: prescriber must orally inform patient of their
spectacle rx expiration date. - ...ANSWER...true
True/false: a glasses rx expiration date may be extended by
the prescriber - ...ANSWER...true
True/false: expired glasses prescriptions may be filled in the
event of loss, breakage, or damage - ...ANSWER...true
RATIONALE: *in such cases, the dispenser shall
recommend that the patient return to the prescriber for an eye
exam.
For clinical practice, if there are any differences between
California law and federal law, which supersedes? -
...ANSWER...federal law
What is the expiration date for contact lenses? -
...ANSWER...cannot be less than 1 year and no more than 2
years from date of issue, unless by patient history or
circumstance and there is reasonable probability for change
earlier than 1 year. Expiration date must not be less than reexam date.
true/false: the prescriber has discretion in releasing a CL rx
for RGP lenses (spherical, biotoric, bifocal), keratoconus
lenses, and other custom design lenses manufactured for a
patient and not mass produced. - ...ANSWER...true,
CALIFORNIA LAW.
RATIONALE: for federal law, there is no discretion.
prescriber must release rx for all lenses, whether requested or
not.
this means that in California you must give the prescription at
the end of a soft CL exam. For GP/specialty lenses you are
not required to like in other states.
true/false: federal law states that in clinical practice a
prescriber cannot charge for standard lenses required for
fitting, but can share for "speciality" lenses -
...ANSWER...true
true/false: A registered dispensing optician may fit, adjust or
dispense contact lenses or glasses - ...ANSWER...true
RATIONALE: if the prescription by an ophthalmologist or
optometrist specifically authorizes contact lenses or glasses,
and acting on the advice, direction, and responsibility of the
prescriber.
an assistant/student optometrist can do what 10 exam
procedures under the responsibility and supervision of a
OMD/OD? - ...ANSWER...1. fit prescription lenses
2. prepare patient for exam
3. VA, pupils, and ocular motility testing (EOMs)
4. automated visual field testing
5. ophthalmic photos and digital imaging
6. tonometry
7. lensometry
8. non-subjective autorefraction
9. administer cycloplegics, mydriatics, topical anesthetics
10. pachymetry, keratometry, A/B scans, electrodiagnostic
testing
*Cannot administer controlled substances or do
confrontations!
Upon receiving a CL request from the seller, the prescriber
has ____ business days or until ______ to confirm, alter, or
deny the prescription request. - ...ANSWER...1 business day
or 2 pm of next business day (whichever is sooner).
(fed law: 8 business hours)
--seller may communicate by phone, fax, or email
--Fed law: Business hours-between 9am and 5pm, Monday to
Friday, and Saturday if open, not including holidays.
When does a spectacle rx have to be released to the patient? -
...ANSWER...release upon completion of the exam
When does a contact lens rx have to be released to the patient?
- ...ANSWER...release upon completion of exam or upon
completion of the fitting process. (fed law)
After completing the fitting of CL, but not more than _____
days after receipt of the prescription, a registered CL
dispenser must direct patient to return to prescriber for
evaluation. - ...ANSWER...60 days
true/false: patients may take their prescription to any eye
doctor or registered dispensing optician to be filled -
...ANSWER...true
true/false: ODs are not allowed to sale Plano goggles,
sunglasses, or color lenses/occupational protective eyewear -
...ANSWER...false
How long must an OD keep a patient record for? Is this any
different if the patient is a minor? - ...ANSWER...7 years from
the date treatment is completed
If a minor, record must be kept for a minimum of 7 years or
until patient reaches 19.
*Ex: patient is 8 years old. Record must be kept til he is 19.
ODs can treat anterior segment and adnexa infections
excluding what 3 conditions in children under 12 years old? -
...ANSWER...1. lacrimal gland
2. lacrimal drainage system
3. sclera
true/false: OD can treat ocular allergies of anterior segment
and adnexa - ...ANSWER...true
true/false: OD can treat traumatic iritis in a patient over 18 -
...ANSWER...true
true/false: OD can treat peripheral corneal inflammation,
keratitis, and episcleritis in a patient over 18 -
...ANSWER...true
true/false: OD can treat unilateral nonrecurrent
nongranulomatous idiopathic iritis in a patient over 18 -
...ANSWER...true
true/false: post-surgical ocular inflammation does not have to
be co-managed with the treated surgeon - ...ANSWER...false
True/false: ODs can treat nonmalignant ocular surface disease
and dry eye disease - ...ANSWER...true
True/false: ODs can treat hypotrichosis and blepharitis -
...ANSWER...true
What types of 4 types of glaucoma can ODs treat in patients
over 18? - ...ANSWER...1. POAG
2. Pigmentary
3. Exfoliation
4. Steroid-induced
For a TPA certified OD, may prescribe topical steroids but
must consult with an OMD if condition is worse in _____
days after diagnosis - ...ANSWER...21 days
ODs are limited to prescribing codeine and hydrocodone with
compound and tramadol to ____ days - ...ANSWER...3 days
*refer to OMD if pain persists
Can ODs prescribe oral antiviral medication? -
...ANSWER...Yes - topical and oral antiviral medication (no
formulary) for herpes simplex and varicella zoster - keratitis,
conjunctivitis, periocular dermatitis.
true/false: a TPA certified OD can perform corneal scraping
with cultures and debridement of corneal epithelium -
...ANSWER...true
true/false: a TPA certified OD can perform mechanical
epilation and treatment or removal of sebaceous gland cysts
by expression - ...ANSWER...true
true/false: a TPA certified OD can collect blood by skin
puncture or venipuncuture for testing for patients with
diabetes or high cholesterol - ...ANSWER...false
can do skin puncture for diabetes only, cannot do for
cholesterol
true/false: a TPA certified OD can remove sutures with
consultation with the treating physician - ...ANSWER...true
true/false: a TPA certified OD can administer oral fluorescein
for patient with suspected diabetic retinopathy -
...ANSWER...true
true/false: a TPA certified OD cannot use an auto-injector to
counter anaphylaxis - ...ANSWER...false
true/false: a TPA certified OD can order smears, cultures,
CBC, mycobacterial culture, acid fast stain, urinalysis, X-rays
for diagnoses of eye/adnexa conditions. May also order other
types of imaging with prior consultation with OMD or other
appropriate physician - ...ANSWER...true
true/false: a TPA certified OD can perform punctacle
occlusion by plugs, including laser, diathermy, cryotherapy,
or other means defined as surgery. - ...ANSWER...false; can
do punctual plugs only... no surgery:
Punctal occlusion by plugs, excluding laser, diathermy,
cryotherapy, or other means defined as surgery.
True/false: to order an MRI, an OD must consult with a PCP -
...ANSWER...true
Ordering smears, cultures, sensitivities, CBC, mycobacterial
culture, acid fast stain, urinalysis, and x-rays for diagnosis of
eye/adnexa conditions do not require prior consultation. An
OD may order other types of images (e.g. MRIs) with prior
consultation with OMD or other appropriate physician.
true/false: a TPA certified OD can remove foreign bodies
from cornea, eyelid or conjunctiva with any appropriate
instrument other than a scalpel, as long as corneal FB is non
perforating, and no deeper than mid-stroma and does not
require surgical repair. - ...ANSWER...true
true/false: a TPA certified OD can probe the nasal lacrimal
tract - ...ANSWER...false
cannot probe nasal lacrimal tract at any age
true/false: a TPA certified OD can perform lacrimal
irrigation/dilation on patients 12 years or older -
...ANSWER...true [Show Less]