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Online Tests for Ophthalmologists
Stage 4
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4.1 What is the definition of low vision?
Permanently impaired vision in one eye that causes functional limitations that cannot be corrected with spectacles, surgeries, medications, etc.
Permanently impaired vision in both eyes that causes functional limitations that cannot be corrected with spectacles, surgeries, medications, etc.
Impaired vision that can be corrected to some degree with spectacles, surgeries, medications, etc.
Best corrected visual acuity of 6/60 in each eye.
4․2 If a patient’s best corrected visual acuity is 6/70, what stage of visual impairment does the patient have?
Mild visual impairment
Moderate visual impairment
Severe visual impairment
Blindness
4․3 Low Vision occurs most frequently at which level of visual acuity?
Mild (6/12)
Moderate (6/18)
Severe (6/60)
Blindness (3/60)
4․4 What are some barriers or reasons why many practitioners have difficulty providing low vision rehabilitation care?
Cost of exam and devices
Patients not interested to go
Not feasible to stock devices in the office
All of the above
4․5 Which of the following is an example of a directed question when asking the patient’s about their goals during their first low vision exam?
Do you have hypertension?
Does your family have history of AMD, Diabetes, glaucoma?
How are you managing your medications?
What is your occupation?
4․6 What is a disadvantage of using a Feinbloom chart when measuring a patient’s visual acuity during a low vision exam?
The chart shows numbers, not letters
Difficult for patients with central scotomas from advanced AMD
Placing the Feinbloom chart at different distances
Good lighting is always needed
4․7 A 65 years old patient measures 1.52 OD and OS on the MARS contrast sensitivity chart. What kind of contrast sensitivity loss does this patient have?
Profound
Severe
Moderate
Normal
4․8 You are about to start Trial Frame Refraction on your patient during his first low vision exam and are wondering what is the just noticeable difference (JND). His BCVA was 3/60 OD and OS. Which bracketing lenses would you start with when refracting him?
+/- 0.25
+/- 0.50
+/- 1.00
+/- 2.00
4․9 You go to the clinic and cannot find your continuous text near card but were able to measure the distance BCVA of Mr. Garo. His BCVA was 6/60 OD and OS. What is the Feq for Mr. Garo to read 1M print?
5D
8D
10D
15D
4․10 Ms. Hasmik wears a +2.50 add and holds her reading material at 40 cm. Her last good reading was 1.3M and threshold was 1.0M. What is the Feq?
2.00D
2.00D
4.00D
5.50D
4․11 Which of the following are part of the Low Vision Assessment Kit?
Slit lamp
Trial Frame Refraction
LogMar Chart
School books/magazines
All of the above
4․12 Which of the following is considered a visual field expander intervention?
Telescope
CCTV
Hand held magnifier
Stand magnifier
4․13 How much space is recommended to set up a low vision clinic?
100 sq meters
50 sq meters
10 sq meters
20 sq meters
4․14 Which of the following is considered a non-optical intervention?
Mobility cane
Fresnel prism
CCTV
Tinted filters
4․15 If your low vision patient who is 70 years old is illiterate, which chart setting should you use to measure patient’s visual acuity?
Pictures
Numbers
Tumbling Es
All of the above
4․16 When getting the case history of your patient, what are some questions that should be asked when understanding their visual function?
Do you like to read, what are you trying to read?
Any recent falls?
How do you do your shopping at the supermarket?
All of the above
4․17 If Mr. Vazgen comes into your clinic and during your case history, he states that he recently bumped into the doorway of his home to his left, what kind of device would be helpful for him to navigate better?
Fresnel prism
Mobility cane
Telescope
Filter
4․18 Which of the following are some psychology needs of low vision patients that need to be addressed?
Anger
Guilt
Depression
Acceptance
All of the above
4․19 Which of the following is an example of improving contrast for certain ADL tasks?
Placing a grey tape along white colored doorsteps
Painting a door blue that is surrounded by light yellow walls
Placing white rice on a white plate
Placing a silver safety rail against a grey tiled bathroom wall
4․20 Ms. Anna has lost her vision and only has a BCVA of 6/60 in both eyes. She loves to cook. What is something you can recommend her to help with cooking at home?
Talking clocks & timers
Labeling drawers using large different colored labels & textures
Different colored & sized measuring cups
All of the above
4․21 Hagop is 7 years old and is visually impaired from congenital glaucoma. He is about to start school. What is a good recommendation you can give to Hagop’s teacher to help navigate throughout the school day?
Separating activities into groups
Place toy boxes on the floor
Adding a blue rug in the classroom
Having Hagop sit in the front of the classroom
4․22 Which is a way to control lighting for various ADL tasks?
Moving patient closer to window
Removing curtains
Adding desk lamps
Replacing ceiling lights with a brighter bulbs
4․23 Mr. Samvel is wearing +4.00 D and holds the reading card at 20 cm. His last good reading was at 2.0 M. What is the Feq?
15D
12D
10D
5D
4․24 What is an advantage of using Loupes rather than high add powered reading glasses?
Wider field of view
No training is needed
Loupes are easier to align
Loupes gain some working distance
4․25 As the power of the hand magnifier _________, the useable field of view __________.
increases, increases
increases, decreases
decreases, decreases
decreases, stays the same
4․26 As the distance of the hand magnifier from spectacle plane is _______, the useable field of view _____________.
increases, increases
decreases, decreases
decreases, increases
decreases, stays the same
4․27 Ms. Anush states that she is having difficulty seeing the label of her medication bottle with her 30D Hand Magnifier. Where would you recommend Ms. Anush to hold her hand magnifier to help her see the label better?
Holding the magnifier right at the spectacle plane and using the add in her bifocal glasses
Holding the magnifier right at the spectacle plane and using the distance portion of her bifocal glasses
Holding magnifier at 33cm away from with distance portion of her bifocal glasses.
It does not matter where she places the hand magnifier.
4․28 What is the linear field of view in a 10D hand magnifier with a 20 mm lens diameter held at 10 cm from the eye?
5cm
3cm
2cm
10 cm
4․29 If the magnifier is held at one focal length from the eye, the field of view is ________ that of the diameter of the lens.
twice
equal
half
three times
4․30 Mr. Andranik reads 2M print well at 30 cm with a +3.00D add. You want to prescribe a stand magnifier for him. What is the Feq of the stand magnifier which will help him read the newspaper?
5D
6.67D
10D
15D
4․31 Which of the following is NOT a reason to prescribe telescopes?
Reading music
Surgical procedures
Knitting
Reading a newspaper
4․32 Which of the following statements is true in regards to Keplerian and Galilean telescopes?
In Keplerian, the focal lengths of object and eye are inside the telescope while in Galilean the two focal lengths are outside the telescope.
In Keplerian, the focal lengths of object and eye are outside the telescope while in Galilean the two focal lengths are inside the telescope.
Keplerian telescopes are better for hyperopic patients whereas Galilean telescope is better for myopic patients.
The image of Keplerian telescope is erect whereas the image of Galilean telescope is inverted.
4․33 Which of the following is the most common complaint for a low vision patient?
Driving
Computer use
Reading
Writing
4․34 What is the advantage of using a LogMAR chart when measuring distance visual acuity during a low vision examination?
It has a uniform size progression of 0.1 log units per line
It is portable and can be used to measure visual acuity at different distances
It has options of using Landolt C and other modes
Improvement in VA of 2 lines or more have been found in a number of patients
All of the above are advantages of using LogMAR charts
4․35 What are some solutions to improve reading ability?
Magnification
Measuring size of scotomas
Add better task lighting
Magnification and Measuring size of scotomas
All of the above
4․36 What does Relative Size Magnification (RSM) mean?
Patient moves closer to object and vice versa
Taking an object of a specific physical size and making it larger
Multiplying the magnification power of lens in LV device by two.
None of the above
4․37 What does Relative Distance Magnification (RDM) mean?
Patient moves closer to object and vice versa
Taking an object of a specific physical size and making it larger
Multiplying the magnification power of lens in LV device by two.
None of the above
4․38 What does Kestenbaum’s Rule tell us in regards to prescribing a low vision device for our patient?
It is criticized since patients perform better with a distance visual acuity chart than a near acuity chart
The Feq equals the best corrected near acuity divided by the viewing distance
In order to achieve fluent reading, the Feq should be half of the Kestenbaum’s rule value.
It is criticized because we use a threshold visual acuity.
4․39 You would like to prescribe high powered NVO glasses for Ms. Aida. You determine she needs +8D NVO glasses and therefore, you recommend Ms. Aida prism half eye near glasses. What amount of BI prism will be incorporated in her new spectacles?
8 BI in each eye
10 BI in each eye
12 BI in each eye
14 BI in each eye
4․40 Patients have to hold a hand magnifier at ______ focal length in order to view the object clearly.
half
two times
one
zero
4․41 What does the term “Critical Print Size” mean?
The smallest print in which patient can read 1M at their maximum reading speed
The patient’s reading threshold
The largest letters the patient can read comfortably.
The target print size that patient would like to read.
4․42 Mr. Ara reads 1.8 M fluently at 40 cm with his 2.50D add. What is his Feq in order to read 1M print?
4D
2.22D
5D
8D
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