1
Q
If an OD knows or suspects that a patient’s injury was the result of assaultive or abusive conduct, specifically domestic violence, then what must be done?
A
OD must contact a local enforcement agency by telephone and
must send a California Emergency management Form 5-502 to a local law enforcement agency within two working days of discovering the injury
2
Q
A patient may be referred to an immediate family member provider if there is no alternative provider within how many miles and minutes?
A
Within 25 miles
And
40 minutes
3
Q
What does TPA stand for?
A
Therapeutic Pharmaceutical Agents
4
Q
Can an OD prescribe hydrocodone or can they prescribe oxycodone?
A
Hydrocodone
*TPA certified OD can prescribe for 3 DAYS ONLY, refer to OMD if pain persists
5
Q
ANSI
A
American National Standards Institute
6
Q
RDO
A
Registered Dispensing Ophthalmic business
7
Q
SBO
A
State Board of Optometry
8
Q
DCA
A
Department of Consumer Affairs
9
Q
If Central corneal ulcer does not improve within 48 hours what next?
A
Refer
10
Q
When to refer if no improvement for central corneal ulcer, Dacryocystitis , preseptal cellulitis, adnexal infections
A
After 48 hours and there’s no improvement need to refer
11
Q
If idiopathic iritis gets worse after 72 hours
A
Consult
12
Q
If episcleritis gets worse after 72 hours
A
Consult
13
Q
If pain persists when on class 3 oral narcotics
A
Refer after 72 hours (3 days)
14
Q
When to consult if HSV gets worse?
A
After 1 week
15
Q
can OD tx sclera in minors?
A
NO
16
Q
Can OD tx traumatic iritis in minors?
A
YES
17
Q
Can OD tx episcleritis and cornea in minors?
A
YES
18
Q
Pt requests a copy of records, you must provide it within how many days and at what cost?
A
Provide within 15 days and at 0.25 cents per page
19
Q
What drugs can you RX without consulting OMD or PCP?
A
Topical steroids
Topical antibiotics
Topical non-antibiotics
Oral antibiotics
20
Q
What drugs do you need to consult with OMD or PCP before prescribing? (2)
A
1) Oral steroid
2) Oral non-antibiotics (if patient under 5 years old)
21
Q
What type of glaucomas can ODs tx?
A
Exfoliating
Steroid induced
Pigment dispersion
POAG, NTG
22
Q
50 year old patient with IOP 30,40 comes into your office, what do you do?
A
Stabilize IOP by tx with acetazolamide (oral CAI) and refer to OMD
23
Q
Can on ophthalmic assistant fit prescription lenses?
A
Yes
24
Q
Can ophthalmic assistant perform tonometry?
A
Yes
25
What diagnostic measurements can an ophthalmic assistant perform? (Name at least 4)
1) pachymetry
2) keratometry
3) A/B scans
4) automated VF (not confrontational or tangent)
5) OCT imaging
6) fundus photos
7) tonometry
8) lensometry
26
Licensed OD shall provide to each patient that makes a payment to the practice a receipt with what information on it? (5)
1) OD name
2) OD license number
3) place of practice
4) description of goods and services
5) amount charged
27
Can languages spoken be included in advertising?
Yes
28
Which conditions if still on meds after 6 weeks need to refer to OMD (2)
Episcleritis
Idiopathic iritis
29
If recurrence after 1 year need to consult OMD
Episcleritis and inflammatory keratitis
30
Idiopathic iritis if not resolved after 3 weeks
Consult
31
Idiopathic iritis still on meds after 1 year, what’s the next step?
Refer to OMD
32
Examples of schedule II drugs
Hydrocodone
Cocaine
Methamphetamine
Oxycodone
Fentanyl
Adderall
Ritalin
33
Examples of schedule III drugs
Codeine
Tylenol + codeine
Ketamine
Anabolic steroids
Testosterone
34
Examples of Schedule IV drugs
Xanax
Ambien
Valium
35
If patient is 16 years old, how long do you keep their records
7 years
*for minors must keep records for minimum 7 years AND at least until patient reaches age 19
36
You are calling in a prescription to the pharmacy for a patient, what information must you give?
1) name of patient
2) name, quantity, directions for use of drug
3) date of issue
4) name, address, telephone number, license and DEA number (for controlled substance)
5) signature of prescriber
37
You are examining a post op patient and notice a corneal suture. What should you legally do?
Consult with OMD before suture removal
*TPA certified OD may perform suture removal with consultation with treating physician
*subject to co-management with surgeon
38
Can an OD treat steroid induced glaucoma?
Yes
*TPA certified OD can treat steroid induced glaucoma in patients over 18 years old (not in minors)
39
You treat your patient with ocular surface allergy with topical steroids. When are you legally required to consult with an OMD? (Timeline)
If the condition worsens in 21 days (3 weeks)
40
Your patient comes in with ocular pain secondary to traumatic iritis, are you legally allowed to treat without co-managing with OMD?
YES
*because you are only required to co-manage if pain is secondary to post-operative (examples: iridotomy, corneal graft, glaucoma surgery)
41
You forget to input your refraction results into your records, this is considered?
Professional inefficiency
42
When are you legally required to give patient records for FREE?
Patient needs copy of her records to confirm her eligibility for Medi-Cal
43
In what case are you legally allowed to give a discount?
Patient is uninsured and will pay in full immediately
44
Requirements to be immunization certified (3)
1) must take CDC certified course with hands-on training
2) BSL certified
3) comply with record keeping/reporting
*can only administer vaccines in patients over 18 years old for flu, herpes zoster, pneumococcus and sars COV-2
45
OD removal of FB must be
Non-perforating
No deeper than mid-stroma
Not require surgical repair
46
What can OD use to removal foreign body?
Needle and scalpel
47
Can an OD treat congenital glaucoma?
No, cannot treat any patient with congenital glaucoma at any age
48
Which condition can you Rx oral antiviral while co-managing with OMD?
Herpes zoster
49
How can an OD Tx CMV? (Cytomegalovirus)
Refer to OMD
50
What tests can OD order without first consulting PCP?
Corneal scraping/cultures
Skin test
CBC
Urinalysis
Smears
X-rays
Sensitivities
51
What can RDO do? (3)
1) fit, adjust, dispense CL (if Rx by OD or OMD)
2) must pass CL registry exam
3) after fitting and before 60 days must direct patient to be seen by provider
52
Can an assistant or new unlicensed grad perform confrontational VF or tangent VF?
NO
53
True or False
The words "as low as", "up to" "lowest prices" and statements of bait, discounts, premiums or gifts are NOT allowed in advertisements
TRUE
** price must be clear
**also cannot solicit from house to house
54
True or False
OD can treat dacryocystitis in minors (patients under age of 18)
FALSE
OD cannot tx minors with dacryocystitis
55
Which topical medications can you prescribe without consulting PCP or MD?
No restrictions, OD can prescribe topical steroids, and topical antibiotics without consulting
56
When do you need to consult first before prescribing oral steroids?
Consult if patient under 18 years old
57
True or False
Consult if patient is under 5 years old for non-antibiotic oral medications like anti-histamine
True
58
If preseptal cellulitis does not improve after 48 hours do you refer or consult with OMD?
REFER
59
If Episcleritis gets worse after 72 hours, do you refer or consult with OMD?
CONSULT
60
Patient requests copy of their records, but you are in the middle of CL fitting process, what do you legally do in this case?
Provide a copy of their records and charge 0.25 cents per page, within 15 days
61
OD can remove FB in which layers of the cornea?
Epithelium
Bowman's
Anterior stroma
Mid-stroma
62
If ocular pain persists while on medications after 72 hours, what must you do next?
REFER to OMD
*can only Rx class 3 oral narcotics for 3 days
63
If Idiopathic iritis worse after 72 hours, consult or refer?
CONSULT
64
If HSV worse after 1 week, consult or refer?
CONSULT
65
If HSV does not improve after 1 week, what next?
REFER
66
If HSV is not resolved after 3 weeks, what next?
REFER
67
Consultation/Referral time line for HSV
If worse after 1 week = CONSULT
If no improvement after 1 week = REFER
If not resolved after 3 weeks = REFER
68
What drugs can OD Rx for minors without consulting PCP or OMD?
Topicals!!!
Topical steroids
Topical antibiotics
Topical non-antibiotics
and oral antibiotics
69
What drugs require consultation for minors?
oral steroids and oral non-antibiotics like antihistamine
70
Consultation/Referral time line for Idiopathic Iritis
If worse after 72 hours = CONSULT
If not resolved in 3 weeks = CONSULT
If still on meds after 6 weeks = REFER
If STILL on meds after 1 year = REFER
71
Schedule II drug prescription requirements
**high abuse, high dependency, examples: hydrocodone, cocaine, oxycodone
MUST be on temper-proof Rx, signed in ink
Register with PDMP/CURES program
Must have DEA number
Must be TPA certified
72
DEA
Drug Enforcement Administration
73
PDMP
Prescription Drug Monitoring Program
74
CURES
Controlled Substance Utilization Review and Evaluations System
75
True or False
RDO can directly employ an OD/ OMD
FALSE
76
Patient comes in with chemosis and a corneal dendritic lesion of the right eye, they've had this for 3 weeks, what should you legally do?
Refer patient immediately to OMD
77
You forget to input your refraction results into your records, what is this considered?
Professional insufficiency
78
What are the requirements for immunization certification?
1. Must complete CDC certified course with hands-on training
2. Certified in basic life support
3. Comply with record keeping/reporting and apply for immunization certificate
79
Shatter-resistant lenses include?
Case-Hardened/ heat or chemical treated
laminated glass
resin (CR-39)
polycarbonate
80
An OD is substituting for their friend's practice location temporarily, what documentation is required?
OD must carry their license to show in the event its required
81
What is the minimum age a patient needs to be before you're allowed to destroy their records?
19 years old
82
What is required for proper bacterial/infection control?
Sink with hot/cold running water, liquid hand soap and sanitary towels or air blower
83
CL Rx must include? (6)
1) patient name
2) date
3) expiration date
4) Rx and wear schedule
5) OD name and signature
6) Address of clinic
84
True or False
OD can treat dacryosystitis, canaliculitis and scleritis in patients under 18 years old
FALSE
OD cannot treat those conditions in minors
85
A 16 year old patient has episcleritis, how do you manage?
Treat with steroids
* OD can treat episcleritis in minors
* need to consult with PCP if use oral steroids, but if topical steroids are used, no restrictions
86
When can you give discounts?
Patient uninsured and will pay immediately in cash
87
An unlicensed OD student/technician can do what under supervision? (Name at least 7)
A/B scans
Automated VF
Administer cycloplegics, mydriatics, topical anesthetics
Electrodiagnostic testing
Keratometry
Pachymetry
Tonometry
VA, pupils, EOMS
OCT, fundus photos
Non-subjective auto refraction
88
True or False
No OD and no two or more ODs jointly may have more than 11 offices
TRUE
89
Prescription ophthalmic device
any device that alters or changes the visual powers of the human eye or any plano contact lenses
examples: cosmetic contacts
90
You lease from a larger retail space, what are the laws that allow OD to lease space but ensure they can practice independently?
1) Lease cannot be less than 1 year and cannot be terminated for a reason that interferes with practice of optometry
2) Lease payments cannot be based on number of eye exams performed, Rx written, patient referrals or sale/promotion of product of optician, optical company, evt
3) OD has exclusive control over schedule, # of patients seen, time interval for appointments
91
Is this advertisement legal?
"Complete eye exam and pair of glasses for $50"
Yes
92
What can be included in advertisements? (Name at least 7)
1) Name, address, office hours
2) Languages spoken
3) certifications or accreditations (not NBEO, no specialties)
4) providing services under specific private or public insurance or health care plan
5) degrees received, names of school, postgraduate clinical training
6) Publications authorized by practitioner
7) teaching positions
8) affiliation with hospitals or clinics
9) fees for services or products and methods of payment
10) personal picture or picture of facilities
11) description of products advertised
12) statements providing public health info for preventable/corrective care
13) factual information
93
How long does a CL seller have to retain a copy of the Rx?
3 years
**seller must retain records for 3 years
94
A patient was seen when he was 8 years old. what is the minimum time to keep his records?
Must keep records for at least 7 years
8+ 7 = 15 years old
Must keep records until patient is 19 years old
19-15 = 4 years
Total years kept:
7+ 4 = 11 years
95
If a patient is 7 years old, how long should you keep their record?
Age 19
for a total of 12 years
96
When do you notify board that your primary office is moving locations?
30 days
97
Temporary practice refers to?
Practice away from principle practice for not more than 5 days in a 30 day period or not more than 36 days in a calendar year
98
True or False
OD is required to post a copy of license when temporarily substituting for another practitioner
FALSE, do not need to post a copy, but must carry one to provide evidence of license upon demand
99
True or False
OD can use intranasal stimulator in conjunction with treatment of dry eye syndrome
TRUE
100
TPA certified OD shall complete how many hours of CE every 2 years?
50 hours of CE
(35 hours of diagnosis, treatment, management of ocular disease in any combination;)
- 10 hours of glaucoma
- ocular infections
- inflammation and topical steroids, systemic meds, pain meds
101
What information must a patient receipt contain?
OD name, license #, place of practice, description of goods/services furnished, amount charged
## Footnote
This includes all essential details for billing and record-keeping.
102
What must a drug prescription contain?
Patient name, OD name, signature, license #, DEA number (if controlled substance), address, telephone #, drug name, quantity, direction for use, issue date
## Footnote
These elements ensure the prescription is valid and legally compliant.
103
What additional details are required on a controlled substance prescription form?
Patient name, address, number of refills (if applicable), OD signature (in ink), address, telephone #, PDMP/CURES information
## Footnote
This information is crucial for tracking the prescription of controlled substances.
104
What information is included in a spectacle lens prescription (expiration date 2-4 years)
Patient name, OD name, signature, license #, address, telephone #, issue date, expiration date, power, other parameters (add, PD, prism, slab-off)
## Footnote
These details are necessary for accurate lens manufacturing.
105
What details are required in a contact lens prescription expiration date 1-2 years?
Patient name, OD name, address, telephone#/fax#, issue date, expiration date, exam date, power, base curve, material of CL, manufacturer, trade name or equivalent brand if private label
## Footnote
This ensures that the contact lenses prescribed are appropriate for the patient's needs.
106
Fill in the blank: A controlled substance prescription must include the patient's _______.
name, address
## Footnote
Accurate identification is crucial for controlled substances to prevent misuse.
107
True or False: The OD's signature on a prescription can be in digital format.
False
## Footnote
The OD's signature must be in ink for validity.
108
What is the significance of the DEA number on a prescription?
It identifies the prescribing OD as authorized to prescribe controlled substances
## Footnote
This is a legal requirement for prescriptions involving controlled substances.
109
What parameters might be included in a spectacle lens prescription?
Add, PD, prism, slab-off
## Footnote
These parameters help in customizing lenses to fit the patient's specific vision needs.
110
Consult physician/surgeon for using ORAL non-antibiotic on which age group?
Under age 5
111
True or False
OD can treat hypotrichosis in minors
TRUE
112
Hypotrichosis
Absence or sparseness of hair growth of the scalp, eyebrows, eyelashes
113
True or False
OD can treat ocular Sjogrens in minors
TRUE
114
True or False
OD can treat scleritis in minors
FALSE
115
True or False
OD can treat dacryocystitis in minors
FALSE
*cannot treat dacryosystitis, canaliculitis or scleritis in minors
116
A 16 year old has episcleritis, how can an OD Tx them?
Steroids
* patient has inflammation, therefore needs steroids
* if using oral steroids, must consult with PCP/OMD
* if using topical steroids, no restrictions
117
Are there any restrictions with topical steroids?
No
* OD can use them on all ages without any restrictions
118
True or False
TPA certified OD can perform Administration of oral fluorescein to patients for suspected diabetic retinopathy.
True
119
True or False
TPA certified OD can perform Punctal occlusion by plugs ONLY.
TRUE
** No use of laser, diathermy, cryotherapy, or other means defined as surgery.
120
True or False
OD can perform Skin testing to diagnose ocular allergies
TRUE
**but limited to the superficial layer of the skin (Bausch + Lomb ocular allergy diagnostic
system).
121
True or False
OD can treat Terrien’s or Mooren’s ulcer
FALSE
*OD cannot tx
122
Excessive prescribing or treatment is considered?
Unprofessional conduct
123
Expiration date for spectacle lenses less than 2 years is considered?
Unprofessional conduct
124
Expiration date for spectacle lenses less than 2 years is considered?
Unprofessional conduct
125
What is the minimum age a patient has to be to destroy their records?
19 years old
126
Inspection of records
During business hours within 5 work days
127
Summary of records instead of entire record
Within 10-30 days
128
Copy of records
Within 15 days, at 0.25 cents per page
129
Metallic foreign body can be removed by an OD if they are in which layers of the cornea?
Epithelium
Bowmnan’s
Anterior stroma
Mid stroma
CA OD Law Exam
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