Deck 4: History Taking

Question 1

The primary reason for a patient's office visit, written as a concise description of the problem, is known as

A)the cause of the problem.
B)the chief complaint.
C)the symptoms.
D)the patient history

Answer 1

the chief complaint.

Question 2

A patient's ocular history should include all of the following questions except

A)"Does the patient wear optical correction?"
B)"Has the patient had past eye infections?"
C)"What has been the frequency of change to the patient's prescription?"
D)"Does the patient suffer from diabetes?"

Answer 2

"Does the patient suffer from diabetes?"

Question 3

When taking a patient's history, they should be asked if anyone in their family has been diagnosed with hereditable ocular disorders. All of the following are hereditable ocular disorders except

A)glaucoma.
B)conjunctivitis.
C)strabismus.
D)high myopia.

Answer 3

conjunctivitis.

Question 4

When taking a family history, all of the following should be included except

A)mother-in-law.
B)grandmother.
C)sister.
D)son.

Question 5

A patient should be asked about any medications they are presently taking. Which of the following medications may affect the patient's vision?

A)Acetaminophen
B)Ibuprofen
C)Aspirin
D)Penicillin

Question 6

If light flashes are a patient's chief complaint, that could be a sign of

A)the onset of a retinal hole.
B)cataracts.
C)glaucoma.
D)allergy.

Question 7

Which of the following diseases have an acute effect on the eye?

A)Diabetes mellitus
B)Sepsis
C)Common cold
D)Heart failure

Question 8

Patients with diabetes should get an eye exam every

A)6 months.
B)1 year.
C)2 years.
D)5 years.

Question 9

A patient's interim history refers to which of the following?

A)Past reactions to medication
B)Visual acuity
C)History of a patient's condition since their previous visit
D)Prior surgical procedures

Question 10

If a patient comes in with a chief complaint of light sensitivity, it could be a sign of

A)mucus or discharge in the eye.
B)strabismus.
C)nyctalopia.
D)myopia.

Question 11

If a patient cannot recall the name of a medication they are taking, the ophthalmic assistant should

A)ask the patient to describe the color of the tablet.
B)disregard the medication and move on.
C)call the patient's pharmacy to find out.
D)ask the patient to go home and retrieve the medication.

Question 12

Aside from asking a patient what medications they are currently taking, it is equally important to ask whether or not the patient

A)had breakfast that morning.
B)has had allergies or reactions to certain medications in the past.
C)was prescribed eye drops 10 years ago.
D)wears sunglasses.

Question 13

A patient who reports transient vision loss and describes it as "curtains of darkness" is most likely suffering from

A)blepharitis.
B)cataracts.
C)conjunctivitis.
D)an ischemic event.

Question 14

If a patient comes in with a chief complaint of red, painful eyes, an appropriate follow-up question would be

A)"Is it a scratchy pain?"
B)"Is it a dull aching pain?"
C)"Is the pain only present around bright light?"
D)All of the above

Question 15

In order to determine whether a patient's chief complaint is a result of a recurrence or complication of a previous ophthalmic condition, the assistant should ask the patient about

A)recent ophthalmic or orbital surgery.
B)their mother's eye color.
C)contact lens prescription.
D)their exposure to chemicals.

Question 16

Normally, the general population has a 1% chance of contracting glaucoma; however, if a patient has a family history of glaucoma the risk factor rises to

A)20%.
B)10%.
C)50%.
D)5%.

Question 17

If a patient's chief complaint is that they feel like they are seeing through a frosted window, what might they have?

A)Macular degeneration
B)Iritis
C)Cataract
D)Corneal abrasion

Question 18

All of the following constitute a patient's social history except

A)use of tobacco products.
B)alcohol consumption.
C)recreational drug use.
D)pet ownership.

Question 19

Retinal tears and detachments occur most often in those who are

A)nearsighted.
B)farsighted.
C)diabetic.
D)patients with no history of eye disease.

Question 20

The procedure followed when a patient calls the office with an urgent or emergency situation is called

A)rapid response.
B)triage.
C)universal precautions.
D)sentinel event.

Question 21

What triage category would a patient complaining of a newly discovered central blind spot fall into?

A)Emergency
B)Urgent
C)Semi-urgent
D)Routine

Question 22

A patient who has called into the clinic because of a chemical burn to the eye should be told to do what before coming in?

A)Throw away the container holding the chemical
B)Clean up the mess caused by the accident
C)Irrigate the affected eye, continually, for at least 10 to 15 minutes
D)Close the affected eye for 10 to 15 minutes

Question 23

All of the following information should be collected from the patient while taking the history of a present condition except

A)onset.
B)location.
C)duration.
D)­­desired medication.

Question 24

What do you do if a patient prefers only to speak to the physician?

A)Insist that they must answer your questions first
B)Show them the door
C)Comply with their request and notify the physician
D)Give them the silent treatment

Question 25

What types of medications or supplements increase a patient's propensity to bleed, exacerbating certain eye diseases?

A)Blood thinners
B)Over-the-counter vitamins
C)Antibiotics
D)Steroids

Question 26

A patient suffering from distorted vision such as "fuzzy" or "minified" objects may be suffering from

A)retinitispigmentosa.
B)macular edema.
C)retinal detachment.
D)retinal artery occlusion.

Question 27

A patient who reports seeing an aura consisting of flashing lines in a zigzag pattern may be suffering from

A)myasthenia gravis.
B)A blocked tear duct.
C)iritis.
D)scintillatingscotoma.

Question 28

Which of the following is not part of history taking?

A)Current medications
B)Family history
C)Contrast sensitivity
D)Chief complaint

Question 29

A patient suffering from conjunctivitis will typically present what symptom?

A)Discharge from the eye
B)Scratchy feeling in the eye
C)Hazy vision
D)All of the above

Question 30

Diplopia is another name for

A)double vision.
B)blurred vision.
C)loss of vision.
D)nightblindness.

Question 31

If a patient is suffering from monocular diplopia

A)they will always be myopic as well.
B)covering one eye will eliminate the double vision.
C)double vision will persist when one eye is covered.
D)they will have above-average eyesight.

Question 32

Asking whether or not a patient wears contact lenses or eyeglasses is part of the

A)family history.
B)ocular history.
C)current medication.
D)chief complaint.