Want To Be An Ophthalmologist? Take This Quiz!

100 Questions

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Want To Be An Ophthalmologist? Take This Quiz!

An ophthalmologist is a medical or osteopathic doctor who specializes in eye and vision care. Ophthalmologists differ from optometrists and opticians in their levels of training and in what they can diagnose and treat. Want to be an Ophthalmologist? Take this quiz!


Questions and Answers
  • 1. 
    Which of the following is an example of a consultation
    • A. 

      Jim, you suspect Jim may have the early stage primary open angle glaucoma. unfortunately you do not have the appropriate diagnostic equipment at your clinic. you send jim to another physician to have an evaluation for glaucoma with notes for Jim to return to your office for continued care.

    • B. 

      Karen, you suspect Karen has advanced exudative age-related macular degeneration. After your conversation with Karen the decision is made to go to a local ophthalmologist for avastin injections every 4 weeks.

    • C. 

      Bob has early signs of cataracts. After you explain your findings and the significance, BOB is pissed about the news and decides to go another doctor for a second opinion

    • D. 

      Jack has early cataracts. after you explain your findings and significance, Jack respectfully asks for his records and if there is another optometrist in the area that you trust, so he could get a second opinion. you give him the information of a colleague and he explains that he will be back in a year just like always

  • 2. 
    If there is a suspected problem. when should a baby's first eye exam be done?
    • A. 

      6 months or earlier 

    • B. 

      3 years

    • C. 

      1st grade 

  • 3. 
    Which of the following age ranges is the ONLY age range in which its ok for a patient to go 3 years without an eye exam (according to the lectures)
    • A. 

      3-5 YOA

    • B. 

      6-18 YOA

    • C. 

      40-60 YOA

    • D. 

      18-40 YOA

    • E. 

      6 months old or younger

    • F. 

      61 YOA or older 

  • 4. 
    Which of the following parts of a routine wellness exam would NOT be covered by medical insurance  (select all that apply)
    • A. 

      Refraction with Rx given to pt

    • B. 

      Binocular vision screening

    • C. 

      IOP

    • D. 

      Anterior segment

    • E. 

      Visual fields

    • F. 

      Dilation

    • G. 

      OCT

    • H. 

      Option 8

    • I. 

      Diagnostic refraction (no Rx given)

  • 5. 
    In the course of an eye wellness exam of an established pt. you do a refraction and/or pertinent related tests, in which the patient really wants to buy new glasses. you should bill the following CPT code  
    • A. 

      92015, 92014

    • B. 

      92015

    • C. 

      92015, 92004

    • D. 

      92004

    • E. 

      92014, 92014

  • 6. 
    True or false? there is a higher insurance reimbursement for including dilation as part of an eye wellness examination
    • A. 

      True

    • B. 

      False

  • 7. 
    Regarding the eye wellness examination @ Ketchum health your very first patient, here for a new eye wellness examination is following you down the hall. during the trek to the exam room, you completed autorefractometry/keratometry. in the exam room, you completed a thoroughly detailed history of the patient (PMH, POH, meds, allergies, etc.). after your completed refraction,  you find that the patient would benefit from spectacles for both far and near. Goldmann applanation tonometry was 15/16mmHg. the patient then consented to dilation. once dilated, you proceed to find that this patient has unremarkable eyes. you hand over the new prescription and send the patient to optical to pick out some shiny new frames assuming that everything mentioned was documented correctly... does it meet the minimum requirements for Ketchum health
    • A. 

      NOOOOOO!

    • B. 

      YUSSSSS!!

  • 8. 
    Karen comes into your office and states the following complaint  "my right eye is red and irritated" you start a problem-focused exam in the health record  during your FOLDARS she explains intermittent frequency. symptoms started 3 days ago. when to occurs it seems to last for the whole day. looking at the computer makes it worse. closing her eyes makes it better. and when it occurs it is about an 8 of 10 on the pain scale. which of the following would be the MOST appropriate chief complaint to document
    • A. 

      OD red and irritated

    • B. 

      My right eye is red and irritated

    • C. 

      OD Injection 

    • D. 

      OD red and irritated x 3 days, intermittent, entire day (when occurs), computer makes it worse, closed eyes help, 8 of 10 pain scale

    • E. 

      Problem-focused exam

    • F. 

      Complete exam

  • 9. 
    According to the lectures, what is the minimum number of HPI categories that you need to cover/ask in order to bill 92004/92014
    • A. 

      4

    • B. 

      6

    • C. 

      1

    • D. 

      3

    • E. 

      5

  • 10. 
    In terms of disc diameters, how large is the FOV of a direct ophthalmoscope
    • A. 

      2dd

    • B. 

      5dd

    • C. 

      1dd

    • D. 

      3dd

  • 11. 
    In general, what is the percentage of the fundus we can see with DO
    • A. 

      50-70%

    • B. 

      15-20%

    • C. 

      10%

    • D. 

      80-90%

  • 12. 
    You can maximize the FOV of DO by all of the following except 
    • A. 

      Increasing working distance 

    • B. 

      Maximizing pupil

    • C. 

      Decreasing working distance 

    • D. 

      Having a myopic patient wear their glasses

  • 13. 
    High myopia will ______________ the FOV of DO
    • A. 

      Decrease

    • B. 

      Increase

    • C. 

      Refractive error plays no part in field of view

  • 14. 
    For fundus biomicroscopy, decreasing slit lamp mag or increasing the dioptric power of the condensing lense will _______________ the FOV
    • A. 

      Increase

    • B. 

      Decrease

    • C. 

      Not change

  • 15. 
    For fundus biomicroscopy, which condensing lens will give the best balance between magnification and FOV 
    • A. 

      78D

    • B. 

      90D

    • C. 

      60D

    • D. 

      20D

  • 16. 
    For SL biomicroscopy, increasing the power of the condensing lens will _____________ FOV and _____________ magnification 
    • A. 

      Increase, decrease

    • B. 

      Decrease, increase

    • C. 

      Increase, increase

    • D. 

      Decrease, decrease

  • 17. 
    According to the lecture material, the focal point of a 90D condensing lens is approximately 
    • A. 

      8mm

    • B. 

      14mm

    • C. 

      12mm

    • D. 

      10mm

    • E. 

      0.8mm

  • 18. 
    A red-free filter will accentuate all of the following EXCEPT
    • A. 

      Choroidal melanoma

    • B. 

      Retinal nerve fiber layer

    • C. 

      Blood vessels

    • D. 

      Choroidal nevi

  • 19. 
    You are evaluating your patients left eye using your DO, which of the following directions would direct your patient to fixate to center the ONH in your view
    • A. 

      Up and to the right 

    • B. 

      Down and to the right

    • C. 

      Up and to the left

    • D. 

      Down and to the left

    • E. 

      Up and towards your nose

  • 20. 
    Approximately how much power should you dial into the DO to start evaluating the eyelids
    • A. 

      +20.0D

    • B. 

      +17.0D

    • C. 

      +30.00D

    • D. 

      -20.0D

    • E. 

      -23.00D

  • 21. 
    You are evaluating the anterior segment with your DO, starting at the lids and lashes (assuming it is clear), in order to visualize the cornea/conjunctiva --> iris --> lens --> vitreous --> retina, how would you adjust your DO compensating lenses 
    • A. 

      Decrease plus

    • B. 

      Decrease minus

    • C. 

      Increase plus

  • 22. 
    Jim is evaluating his patient's right eye for a PSC. Jim knows from the patient's record that he has a large central opacity which was last examined 1 week ago (he knows it's there). he has dialed in +3.00 into the DO, he is 1-2cm from the patient's eye, and moving around to examine all quadrants but he is failing to see anything. what is Jim doing wrong
    • A. 

      Jim is way too close 

    • B. 

      Jim is way too far away

    • C. 

      He has dialed up too much power

    • D. 

      Jim hasn't dialed in enough power 

  • 23. 
    Which of the following filters would allow the BEST visualization of ONH drusen 
    • A. 

      Red free

    • B. 

      Cobalt blue 

    • C. 

      Fluorescein

    • D. 

      Green free

  • 24. 
    The appearance of this ONH is likely due to which of the following
    • A. 

      Idiopathic intracranial hypertension

    • B. 

      Tilted disc

    • C. 

      High myopia 

    • D. 

      ONH drusen

  • 25. 
    This is a fundus image of 
    • A. 

      OS RPE crescent

    • B. 

      OD RPE crescent

    • C. 

      OS choroidal crescent

    • D. 

      OD choroidal crescent

    • E. 

      OS Scleral crescent 

    • F. 

      OD scleral crescent 

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