ADVANCED COT REVIEW EXAM Questions with Correct

pg. 1 ADVANCED COT REVIEW EXAM/ Questions with Correct Answers/ Updated 2024/2025. Guaranteed Pass!!

Of the following conditions, which one is least likely to cause transient vision loss (amaurosis fugax)?

• Migraine
• Thyroid disease
• Papilledema
• Carotid artery disease - ANSWER - B. Thyroid disease

Consensual light reflex in the OS results in

• Left pupil constriction
• Left pupil dilation
• Right pupil constriction
• Right pupil dilation - ANSWER - A. Left pupil constriction

If the amount of light information transmitted to the brain from one eye differs from that of the other eye, the patient has a(n)

• Afferent pupillary defect
• Tonic pupil
• 3rd nerve palsy
• Adie's pupil - ANSWER - A. Afferent pupillary defect

Calibration of the applanation tonometer is performed by

• Only a qualified service technician
• Using a measured weight attached to the tonometer balancing arm at 0, 2, and 6
• Using a measured weight attached to the tonometer balancing arm at 0, 3, and 5
• Having a second tech verify the IOP on several patient to confirm the accuracy of the tonometer -

ANSWER - B. Using a measured weight attached to the tonometer balancing arm at 0, 2, and 6

• / 3

pg. 2 Probing of the tear duct may be useful treatment for patients with

• Epiphora
• Epicanthus
• Exophoria
• episcleritis - ANSWER - A. Epiphora

Which instrument is used in chalazion surgery?

• clamp
• dilator
• forceps
• needle - ANSWER - A. clamp

The surgical instrument used to enlarge the punctum?

• Forceps
• Clamp
• Dilator
• Keratome - ANSWER - C. Dilator

While scrubbing your hands and arms, the run off of soap and water should drip down the

• Hands
• Wrists
• Elbows
• fingers - ANSWER - C. Elbows

What is the most common way to record visual acuity in infants and preverbal children?

A. MCS

B. CSM

C. MCG

• CMG - ANSWER - B. CSM ( Central Steady Maintained) 2 / 3

pg. 3

Which is not a factor in the diagnosis of chronic open angle glaucoma?

• Visual field loss
• Optic nerve head cupping
• Intraocular pressure
• High blood pressure
• All are factors - ANSWER - D. High blood pressure

Aqueous is produced at the sight of the:

• Canal of Schlemm
• Episcleral veins
• Ciliary body
• Trabecular meshwork
• Ciliary processes - ANSWER - E. Ciliary processes

Corneal edema from PMMA contact lens wear should be reduced by:

• Reducing lens diameter
• Refit with an RGP
• Increasing lens diameter
• Reducing optical zone
• Increasing optical zone - ANSWER - B. Refit with an RGP

Which is a correct term for a diagnostic position of gaze?

• Abduction
• Inferior nasal
• Intortion
• Convergence
• All of the above - ANSWER - B. Inferior nasal
• / 3