CE Test Questions
Thanks for Asking: Keys to Taking an Accurate Contact Lens Case History

Exam Questions
1. Taking a patient's case history is both diagnostic and which of the following?

    A. Healing.
    B. Therapeutic
    C. Holistic.
    D. Profitable.
2. Analytical skills must be balanced with interpersonal skills to establish which of the following with the patient?

    A. Rapport and facilitate communication
    B. Demands on time.
    C. HIPPA compliance.
    D. Professional integrity.
3. The rapport established during the taking of a case history:

    A. Gives us more empathy for our patients.
    B. Corrects any misconceptions.
    C. Keeps us in charge of the interview.
    D. Establishes a good foundation of communication for ongoing patient care and education
4. The contact lens fitter must maintain a balance between what two things while directing the interview.

    A. Staying on schedule and staying focused.
    B. Asking questions and educating the patient.
    C. Actively directing the encounter and facilitating the patient's spontaneous report of history.
    D. Building trust and staying in charge of the interview.
5. The contact lens fitter conducts the interview in order to:

    A. Avoid unnecessary complaints.
    B. Clarify any of the patient's needs and problems, come up with a diagnostic and treatment plan, and make lens selection easier.
    C. Make the patient happy they chose us as their provider.
    D. Get to know what patients think about contact lenses in general so we can market our services better.
6. Measuring “value” assists the fitter by knowing what the priorities of wearing contact lenses are to the patient and assists us with initial lens selection. Which are some questions you might want to ask to help determine this?

    A. Do you have relatives who wear contact lenses?
    B. Do you plan to wear your contact lenses full-time or part-time?
    C. Do you have insurance coverage?
    D. B and C.
7. After listing subjective symptoms what should be done to corroborate findings?

    A. Proceed to do a slit lamp exam.
    B. Gather medical history.
    C. Get insurance information, if any.
    D. Decide which objective tests should be done.
8. Which of the following objective tests might be used for analyzing contact lens fitting problems?

    A. Blood test.
    B. Eye examination.
    C. Color blindness test.
    D. Visual Acuities, Keratometer readings, and Fluorescein staining.
9. How should a clearly written “Plan” be written?

    A. In one or two sentences, listing the chief purpose of the visit and the action to be taken.
    B. A brief description of how many visits it will take to complete the fitting process.
    C. Instructions of how payment should be made.
    D. A comprehensive list of instructions the patient must follow during the adaption period.
10. Complete the following: Besides making handoffs easier to other staff or the Dr the “Plan” part of the case history…

    A. ...should be the last thing reviewed at the follow-up visit.
    B. ...should be the first thing reviewed at the follow-up visit.
    C. ...should only be read by the Dr. because of privacy issues.
    D. ...should be written on the patient's list of instructions at delivery time.
11. When taking the history of previous lens wear, attention should be given to:

    A. Previous complaints, details, and how it was resolved.
    B. How often the lenses were replaced.
    C. How much they cost.
    D. A and B.
12. When asking lifestyle questions, we should take a step back and think about what?

    A. Whether they would need a different lens than what we first had in mind.
    B. How many boxes we should order on the first order.
    C. Which products, including glasses and sunwear, might provide an alternative solution?
    D. Do they wear their lenses at night?
13. Special attention should be given when reviewing the medical history with the patient. Special note should be given for which of the following items:

    A. Diabetic screening results.
    B. Blood sugar levels.
    C. Hormone therapy.
    D. A and C only.
14. Ask for information that measures compliance in which of the following areas:

    A. Are they answering all questions completely and making eye contact.
    B. Previous eye health issues.
    C. Washing hands before handling lenses.
    D. Wearing schedules, cleaning and disinfection, and previous wearing instructions.
15. Each type of fitting has its procedures and protocols; follow-up visits

    A. Requires their own protocols
    B. Are handled all the same
    C. Follow soft lens fitting
    D. A & C
16. Having templates to be used for each type of visit ensures that:

    A. Most case histories will look uniform and neat.
    B. Nothing important is overlooked or forgotten because of time constraints or forgetfulness.
    C. We have more time to ask other important questions.
    D. We utilize our computers more in our daily practice.
17. What should be the first thing reviewed at the follow-up visit?

    A. Whether the patient has the lenses on that day or not.
    B. How long they are wearing the lenses every day.
    C. The “Plan” at the end of the case history taken on the first visit.
    D. Any handling difficulties.
18. If the patient is a child what should also be noted in the visit's notes?

    A. Their middle name.
    B. Which relative is present?
    C. Where they were born.
    D. Whether any family member wears contact lenses or not.
19. Before making any conclusions at the follow-up appointment, what should be considered closely?

    A. Is there any corneal edema present?
    B. Has the patient been happy with the comfort and vision?
    C. How much time is scheduled?
    D. Whether any additional tests or examinations need to be taken to validate the conclusions.
20. The outcome of establishing good rapport with the patient while taking the case history will result in which of the following:

    A. Eliminate refunds.
    B. Increase in the patient's well-being.
    C. Willingness to share everything with the fitter.
    D. Raising your blood pressure.

Evaluation Questions

21. In questions 21-25 please rate the effectiveness of how well each course met the stated learning objectives: Met the stated learning objectives?

    A. Excellent
    B. Very Good
    C. Good
    D. Fair
    E. Poor
22. Avoided commercial bias/influence?

    A. Excellent
    B. Very Good
    C. Good
    D. Fair
    E. Poor
23. How would you rate the overall quality of the material presented?

    A. Excellent
    B. Very Good
    C. Good
    D. Fair
    E. Poor
24. How were you directed to this course?

    A. 2020mag.com
    B. OAA Website
    C. NYSSO Website
    D. Ohio Opticians Website
    E. Other
25. Please describe the office in which you work.

    A. Independent Optician
    B. Independent Optometry
    C. Chain retail
    D. HMO/Military/Other
26. Comments on this program: