A history is obtained by: - ANSWERasking a series of organized and specific questions
The history should be recorded: - ANSWERby condensing the patient's story, including pertinent facts
When taking a history on a school-aged child, it is important to: - ANSWERget an account of the illnesses ...
A history is obtained by: - ANSWERasking a series of organized and specific questions
The history should be recorded: - ANSWERby condensing the patient's story, including pertinent facts
When taking a history on a school-aged child, it is important to: - ANSWERget an account of the
illnesses from both the parent and child
Which of the following is false? - ANSWERAll information given by the patient can be shared with
insurance companies without patient permission.
Which of the following is not part of a history? - ANSWERvisual acuity
The "presenting complaint'' is: - ANSWERThe main reason that the patient has come to the office.
An example of a question relating to onset would be: - ANSWER"When did you first notice the
problem?"
The question "Does your head hurt so badly that you have to leave school early?'' relates to: -
ANSWERSeverity
To obtain the most important information about the presenting complaint, you should ask questions
relating to: - ANSWERLocation, quality, severity, timing, and aggravating and alleviating factors.
A symptom is: - ANSWERa change noticed by the patient
An example of a sign is: - ANSWERan elevated intraocular pressure reading
,A 56-year-old patient complains of a sudden onset of double vision. It is most important to ask: -
ANSWER"Does the doubling vision go away if you cover one eye?"
An old photograph of the patient will be most useful to the physician if the patient complains of or
exhibits: - ANSWERlid droop, pupil abnormality, or head tilt
Your patient has a cut eye lid. It is important to know what caused the injury because: - ANSWERif
the object was organic (plant or animal matter), there is a greater risk of infection
A patient presents with a corneal foreign body, and your supervisor asks how the foreign body got
into the eye. This is an important question because: - ANSWERif the particle was under high speed,
there might be internal ocular damage
The patient is not wearing contacts, but would like to be fit for them. The most relevant question is: -
ANSWER"Have you tried contact lenses before?"
A 52-year-old patient hands you his single-vision glasses, the only glasses he has. Which of the
following is the most important question in determining the patient's refractive status? -
ANSWER"Do you wear these for driving or for reading?''
A patient reports that he sleeps in his contact lenses. An important question would be: -
ANSWER"What type of lenses are they?"
The patient gives a history of having a cataract removed with a laser. You should: - ANSWERask the
patient if the surgery was done in a hospital while laying down or sitting up in a chair (to an
instrument like a slit lamp)
The patient gives a history of having a laser treatment, but is not sure what it was for. You might
discover more by asking: - ANSWER"Have you had cataract surgery?"
"Do you have diabetes?"
"Do you have glaucoma?"
The patient states she used to wear contact lenses, but went back to her glasses. A pertinent
question would be: - ANSWER"Why did you stop wearing them?"
,A 76-year-old new patient tells you that he caught astigmatism from his brother when they were
both children. You should: - ANSWERask him what he means by "astigmatism"
Knowledge of a past ocular injury is needed because: - ANSWERit might help explain current
complaints and findings
The patient states that she has a prism in her glasses. Which of the following is the most important
to ask? - ANSWER"Have you ever had surgery to straighten your eyes?"
A mother brings in her 4-year-old son. The mother says he has a lazy eye. What do you need to find
out? - ANSWERWhat does she mean by "lazy eye"?
An example of a systemic illness is: - ANSWERcardiac problems
Questions asked of a hypertensive patient should include: - ANSWERmethod of blood pressure
control, decrease in vision, last blood pressure reading
Questions asked of a diabetic patient should include: - ANSWERmethod of sugar control, visual
stability, last blood sugar reading
A patient with hearing problems: - ANSWERmay have hardening of the arteries in the eye
Knowledge of a patient's breathing or lung problems would be important if the patient also has: -
ANSWERglaucoma
Your patient states that he has rheumatoid arthritis. You should now ask symptom-related question
to find out if he has: - ANSWERdry eye
Sickle cell disease: - ANSWERis hereditary and occurs primarily in the black population
Sickle cell disease may affect the eye: - ANSWERbecause the abnormally shaped cells can block the
eye's blood vessels
, Knowing a patient's past history of surgical procedures is important because: - ANSWERit may reveal
precautions needed before eye surgery is undertaken
Major infections that can affect the eye include: - ANSWERHuman Immunodeficiency Virus (HIV),
gonorrhea, tuberculosis, and herpes simplex
Your patient is a 4-month-old who was born prematurely. Which question will be most important in
predicting the occurrence of eye disorders related to prematurity? - ANSWERDid the baby receive
oxygen after birth?
In which of the following ocular disorders would it be most important to know what eye drops a new
patient is using? - ANSWERglaucoma
Which situation poses a potential problem in a patient taking aspirin containing medications? -
ANSWERThe patient with a cataract who will be having surgery
While taking the ocular history of the new patient, she mentions that her last ophthalmologist told
her she has macular degeneration. This should trigger you to specifically ask about which of the
following? - ANSWERvitamin use
Patients taking a diuretic might have which special need during the exam? - ANSWERfrequent trips to
the restroom
A patient taking a diuretic probably has which health problems? - ANSWERheart trouble
High blood pressure is frequently treated by: - ANSWERbeta blockers (OLOL)
If a patient with glaucoma is to be treated using beta-blockers, it would be most important to know if
the patient is currently being treated for: - ANSWERhigh blood pressure
It is important to know if a patient is taking birth control pills because: - ANSWERthese hormones can
cause changes in the retina
A patient who has been taking oral steroids for long periods should be evaluated for possible
development of: - ANSWERcataracts
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