COP1B Lecture 2 Quiz

1. In applanation tonometry, the theory is based on which one of the following formulas?
a. IOP=area/force
b. IOP=force/area
c. IOP=force/time
d. IOP=time/force
2. Which one of the following is NOT a disadvantage to Schiotz tonometry?
a. It is more invasive than applanation tonometry
b. Repeated measurements may be misleading
c. The patient must be positioned in a sitting position
d. The patient must be positioned in a supine position
3. Which one of the following steps is FIRST in the order of performing Goldmann tonometry?
a. Disinfect tip
b. Instruct patient
c. Place tip in holder
d. Sit patient securely at slit lamp
4. At which one of the following readings is an IOP measurement considered statistically out of
the “normal” range?
a. 14 mm Hg
b. 18 mm Hg
c. 20 mm Hg
d. 22 mm Hg
5. Which one of the following is the average diurnal variation of IOP?
a. 2 mm Hg
b. 4 mm Hg
c. 6 mm Hg
d. 8 mm Hg
6. Which one of the following conditions would probably DECREASE the IOP?
a. A nervous patient having blepharospasms during tonometry
b. A patient arriving after having 3 beers with his lunch
c. A patient wearing a tight collar and necktie
d. Taking the IOP first thing in the morning
7. Which one of the following conditions would probably INCREASE the IOP?
a. A patient sitting normally for tonometry instead of lying down for Schiotz tonometry
b. A patient on a long-term ocular steroid for chronic blepharitis
c. A patient taking a Beta blocker orally for his heart condition
d. A patient presenting with an acute anterior uveitis
8. At which pachymetry reading is a zero adjustment needed?
a. 405 micrometers
b. 525 micrometers
c. 545 micrometers
d. 560 micrometers
9. The “Master Problem List” consists of which one of the following elements of the SOAP
format?
a. Subjective Complaints
b. Objective testing
c. Assessments
 d. Plan for solving problems
10. Which one of the following is the BEST way to record the diagnosis in SOAP format after
discovering a patient needs 2 prism diopters BD prism in front of one eye to achieve clear and
single binocular vision?
a. Diplopia
b. 2BD prism needed
c. Hypertropia
d. Poor vertical fusion
11. If beginning with a binocular refraction behind the phoropter, what is TYPICALLY the amount
of plus needed to blur the fellow (untested) eye from 20/20 to 20/40?
a. +0.50D
b. +1.00D
c. +1.50D
d. +2.00D
12. Which one of the following binocular balance techniques can be used on a patient with
unequal acuities?
a. Dissociated bichrome test
b. Humphriss immediate contrast technique
c. Prism balance test
d. Polaroid binocular refraction
13. Which one of the following values is being measured in a vergence facility test?
a. Patient’s ability to compensate for his phoria
b. Patient’s ability to overcome fixation disparity
c. Patient’s accommodative posture
d. Patient’s vergence system speed and resistance to fatigue
14. Which one of the following statements is NOT true about fixation disparity?
a. A large phoria can be fully compensated and present no fixation disparity
b. If only one eye shows a disparity and you choose to correct it, the prism is Rx’ed before
the opposite eye
c. In young patients with an eso disparity, plus lenses can be Rx’ed to relax
accommodative vergence
d. Sometimes a small phoria will still show a fixation disparity