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Procedures Three Final Exam Study Guide Flashcards | StudBud
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Procedures Three Final Exam Study Guide
Procedures Three Final Exam Study Guide
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1
The diameter of a rigid contact lens can best be measured by
millimeter ruler
lensometer
radiuscope
measuring magnifier
2
Conventional wear means you use a pair of contact lenses for ___________?
8 months
6 months to a year
6 weeks
6 days
3
To measure the vertical meridian with a manual keratometer
superimpose the plus signs
superimpose the circles
superimpose the minus signs
4
Constant blurring with a toric soft lens is most likely the result of:
a tight fitting contact lens
a dry lens
a lens that has stabilized off-axis
a loose fitting lens
5
Higher water content lenses provide more oxygen to the cornea in
HEMA soft lenses
RGPS
PMMA lenses
Silicone hydrogels
6
Round bacteria that appear singly, paired, clustered, or chained are
spirochetes
bacilli
cocci
diplo
7
From the JCAHPO CD, the markings on a soft toric contact lens always indicate
the CL axis
the brand of CL
the axis of the refractive cylinder
the orientation of the CL on the eye
8
Placing an enhancing tint on a soft contact lens creates:
a Significant tint that changes the eye color
A tint to help you see the ctls
none of the above
a light tint
9
A thorough history for the fitting of RGPs does not include the following
patient's occupation
patient's expectations
patient's visual acuities
contact lens history
10
All of the following are contact lens parameters except:
base curve
diameter
lens thickness
K's
11
Pt would keep the same pair of Ctl for the entire year and remove the lenses each night. What type of
replacement
Frequent replacement
Conventional replacement
Daily wear
Disposable wear
12
Which is not true of a thin design soft CL?
they offer greater oxygen transmission when compared to thicker lenses
they are easier to insert than standard thickness lenses
they are generally more comfortable than thicker lenses
they can be fit in larger diameters
13
Which of the following is an advantage of an RGP over a soft lens?
Better quality of vision
Difficulty achieving on-eye stability
Problems wearing on an occasional basis
Less comfortable
14
A 44.50, +4.00 rigid lens design has the same effective power as 44.00 and
-4.25
+4.25
-4.50
+4.50
15
Soft contact lenses are susceptible to deposits of
leukocytes
surfactants
enzymes
proteins
16
How can you make a tight fitting soft CL fit looser?
flatten the BC
increase the diameter
steepen the BC
steepen the BC and increase the diameter
17
The correct lens for a toric soft contact lens fit is primarily determined by:
maximizing the cylinder amount
spherical equivalent
trial and error through the use of a trial contact lens
exactly matching the glasses Rx
18
Which Contact lens are more gas permeable?
Soft Ctl
RGPS
PMMA
19
For a successful contact lens fitting appointment outcome, the most important consideration is:
Getting enough sleep the day before
Having all new Equipment
Time Taking
The patient's motivation, expectations, and lens comfort
20
Which is not a symptoms of a patient with a hypersensitivity reaction due to contact lens solutions?
light sensitivity
all are symptoms
tearing
fogging of a contact lens
21
Schirmer tear testing should be performed before an A-scan if a patient needs this test.
False
True
22
Which of the following reflects the steepest base curve of CL or steepest cornea?
45.00 D
47.00 D
8.3 mm
83.9 mm
23
A large cornea usually requires a rigid contact lens diameter to be over_________mm.
7.5
5.4
10.0
9.5
24
If a patient has a need for an astigmatic correction and they wish to wear monovision
they should have a toric lens designed as they would for a non-presbyopic
they should be fit with alternating vision bifocal contact lenses only
they should never be fit with monovision if they have astigmatism
25
A high water content lens contains over 45% water
False
True
26
The peripheral zone of the cornea is ________ the central corneal zone.
the same curvature
much flatter than
a little flatter than
much steeper than
27
What does CLARE stand for?
contact lens abrasion and red eye
contact lens induced acute red eye
Contact lens acute red eye
Contact lens acquired red eye
28
Used when cause of a condition is unknown. Allows for indentification of PMNs, lymphocytes, and epithelial cells
Culture
Giemsa stain
Gram stain
29
Cryotherapy is used for all of the following EXCEPT:
Retinoblastoma
Neovascularization of the fundus
retinal detachments
Proliferative diabetic retinopathy
30
Which of the following inflammatory cell types is most associated with allergic inflammation?
neutrophils
eosinophils
lymphocytes
basophils
31
Which is not proper procedure for patient insertion of a soft contact lens?
wash, rinse, and dry hands
place concave side up on finger tip
retract lids with other fingers
look down and place lens on eye
32
An important difference when fitting soft and rigid lenses is that soft contact lenses are?
more susceptible to spectacle blur
usually more comfortable
more durable
closely fit to the shape of the cornea
33
Which of the following may be a contraindication for rigid contact lens wear?
using medications that affect tear production
playing body contact sports
All are true
active corneal disease
34
A corneal infection can be caused by a Bacteria
True
False
35
preliminatry results in 24 hours with final results in 48 to 72 hours
Gram stain
Culture
Giemsa stain
36
Which of the following is true?
+8 D=2x
10x=+10D
5x=+2D
+20 D=4x
37
what is the diameter of this RGP
90.00
10.00
9.00
9.50
38
Rigid contact lens patients with small palpebral fissure size may do best with a __________ fit
bitoric
interpalpebral
conventional
high riding
39
fibrovascular scar caused by corneal neovascularization
Corneal edema
pannus
Contact lens related red eye
GPC
40
Eighty percent of gas permeable contact lens wearers will show 3 and 9 o'clock staining
False
True
41
For "K" readings of 44.00x180 and 42.00x90, the base curve for a contact lens fit 1D flatter than "K" would be
43.00
44.00
42.00
41.00
42
used to differentiate bacterial organisms into 2 groups: Gram + and Gram -
Culture
Giemsa stain
Gram stain
43
Treatment for contact lens over wear syndrome typically includes
NSAIDS
steroids
switching lens brands
pilocarpine
44
Needs to be incubated before results will show
Gram stain
Giemsa stain
Culture
45
Put these in order from flattest/ middle/ steepest 8.6, 8.9,8.3
8.9/8.6/8.3
8.6/8.3/8.9
8.3/8.6/8.9
8.9/8.3/8.6
46
A rigid contact lens should be inserted directly into
superior conjunctiva
central cornea
inferior cornea
inferior conjunctiva
47
Which group is least prone to deposits?
Group 1
Group 3
Group 5
Group 4
48
occurs in patients who over wear their CLs and causes perilimbal injection and sub-epithelial infiltrates
Corneal edema
GPC
Corneal abrasion
Contact lens related red eye
49
Which is not a design type for bifocal soft contact lenses?
aspheric
translating
simultaneous view
all are design types
50
Can be used for determining a noninfectious inflammatory process
Giemsa stain
Gram stain
Culture
51
Treatment of GPC usually involves discontinuing CL wear for a period of time, changing contact lenses, and changing Ctl
True
False
52
Which Pair of soft CL fit and is given a brand of contact lenses that should be removed nightly disposed of every 2wk is
frequent replacement
flexible wear with disposable replacement
daily wear with frequent replacement
extended wear with conventional replacement
53
Which of the following is the most serious contact lens associated complication?
corneal edema
contact lens related red eye
GPC
suppurative keratitis
54
The Cornea gets oxygen from the atmosphere, and Tear film
True
False
55
Which is not a symptom of a patient with a hypersensitivity reaction due to contact lens solutions?
All are symptoms
tearing
fogging of a contact len
redness
56
Which is not proper procedure for patient removal of a soft contact lens?
slide lens down to white of eye
wash, rinse, and dry hands
place fingertip on upper edge of lens
look upward and retract lower lid
57
The average diameter of a PMMA lens is:
9.0-9.8 mm
7.5-8.8 mm
13 to 15 mm
3.5-5.5 mm
58
Which of the following is not a sign or symptoms of a corneal ulcer related to contact lens wear?
mucous discharge
acute eye pain
red eye
chronic eye pain
59
Which of the following best describes the shape of the cornea?
The entire cornea is spherical
The central 5 mm is spherical and then steepens towards the periphery
The central 5 mm is steep but aspherical and flattens towards the periphery
The central 5 mm is spherical and flattens towards the periphery
60
A rigid gas permeable contact lens for a keratoconus eye should be fit
3.0 D flatter than K
from a diagnostic kit so the fluorescein pattern and fit can be viewed
1.5 D flatter than K
on flat K
61
In general, the higher the water content of a soft contact lens, the greater the amount of oxygen transmission.
False
True
62
When obtaining material for a conjunctival culture it is important to:
use topical anesthesia before taking the smear
swab both the conjunctiva and lid margin
avoid any discharge that is present
use sterile swab moistened with sterile saline solution
63
Which is not proper procedure for rigid gas permeable contact lens care?
rinse in tepid (lukewarm) water
clean between fingers instead of in the palm of the hand
store in fresh soaking solution
all are proper procedures
64
Which of the following patients would be the easiest contact lens fit and the patient most likely to be successful with
A 17 year old -2.00 D myope
A patient with -1.00-2.50x180 Rx
A 30 yold +1.50 hyperope who wants to try color Ctl
A 50 year old presbyope wanting bifocal contact lenses
65
Which wetting angle would promote the best tear spread on a contact lens
11 Degrees
13 degrees
10 degrees
12 degrees
66
plated on a slide and fixed with a blue and red stain
Giemsa stain
Gram stain
Culture
67
The fluorescein pattern of a steep fitting rigid lens may reveal
an even fluorescein pattern
central vaulting/apical clearance
central touch
68
A soft CL should center well enough to cover at least________ percent of the cornea.
75
90
80
100
69
Bearing is when a CL fits so flat that it is sitting on the cornea
False
True
70
A contact lens of 8.6 BC and 14.2 diam fits too tight. Which of the following would loosen the lens?
8.7 BC and 14.2 diam
8.3 BC and 14.4 diam
8.7 BC and 14.4 diam
8.4 BC and 14.2 diam
71
Our ability to see near objects is a result of, the thickening of increase in curvature of the crystalline lens
False
True
72
All of the following are advantages to wearing a contact lens EXCEPT:
contact lenses increase peripheral vision
C and D are not advantages
less susceptibility to eye infections
decreased sensitivity to glare
73
The most common type of color vision deficiency is:
Protan
Tritan
Deutan
74
Which is not usually a patient symptom of a tight fitting soft CL?
ghost images
soreness
excessive lens awareness
smokey vision
75
Acceptable movement, with blink, for a soft CL would be no less than:
.45
1mm
2mm
.5 mm
76
Schirmer's test is performed
with fluorescein
with or without anesthetic
without anesthetic
in a dark room
77
Which of the following represents against-the-rule astigmatism?
45.00@35 and 47.00@125
47.00@090 and 48.00@180
45.00@090 and 46.00@010
47.00@090 and 46.00@180
78
local drying of the cornea nasally and temporally in an RGP wearer
3/9
4/6
6/9
3/6
79
An over-refraction of +0.50-1.00x45 for a non-toric rigid lens indicates that there is _________ present.
residual astigmatism
no astigmatism
corneal astigmatism
myopia
80
Soft contact lenses were introduced to the US in
1980
1970
1859
2005
81
Contact lenses with a higher______will be easier for a patient to insert.
cyl
diameter
modulus
base curve
82
Which of the following is not a preservative used in solutions?
hydroxymethylcellulose
Thimerasol
Benzalkonium chloride
chlorhexidine
83
Which is true of low water content soft lenses when compared to high water content lenses?
they are the least durable
the water content is more than 55%
they are a better choice for the patient with dry eyes
they allow more oxygen to pass through the lens
84
If the horizontal corneal meridian has the steepest curvature, the astigmatism is called
against-the-rule
irregular
with-the-rule
oblique
85
Regarding Sloan reading cards, 4M print is _____ as large as 3M print.
half
4x
twice
3x
86
A contact lens design for presbyopes that imitates spectacle bifocal lenses describes:
monovision
alternating vision bifocal lenses
simultaneous vision bifocal lenses
flat top bifocal contact lens
87
A corneal may occur from a tiny particle getting under the lens.
Abrasion
GPC
RGP
Paplidema
88
Cleaning of a contact lens should always include rubbing the contact lens.
False
True
89
The Nd:YAG laser is an example of:
photochemical
photothermal
photoionizing
photodynamic
90
Alternating lens design CLs should be fit:
on K
much steeper thank K
steeper than K
flatter than the flat K
91
Some toric RGP lenses are designed with a small segments of the lens edge removed to allow for stability on the eye
prism ballast
double slab off
truncation
base down prism
92
Which of the following is not true of corneal warpage?
the cornea cannot return to its original shape
it may cause spectacle blur
it is typified by irregular astigmatism
it is caused either by a poor fitting CL or prolonged metabolic stress
93
All of the following are types of contact lenses EXCEPT:
RGP
Soft Ctl
PMMA
RQP
94
The distance from a flat surface to the highest point on a contact lens is termed the:
vault
sagittal depth
A and B
Base curve
95
Which is the most common contact lens related problem?
corneal edema
corneal neovascularization
GPC
corneal ulcer