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Question 1Idaho Optometry Practice Act, statutes and administrative rules
Under Idaho law, which body is primarily responsible for administering the Idaho Optometry Practice Act and adopting rules to implement it?
- The Idaho Department of Insurance
- The Idaho Legislature's health committee
- The Idaho State Board of Medicine
- The Idaho Board of Optometry Correct answer.
Explanation
The Optometry Practice Act creates the Idaho Board of Optometry and gives it licensing and rulemaking authority. The Board operates within the state's professional licensing structure, not the medical board or the insurance department. The Legislature enacts statutes but does not administer the Act day to day.
Question 2Idaho Optometry Practice Act, statutes and administrative rules
Which activity falls within the practice of optometry under the Idaho Optometry Practice Act?
- Performing cataract surgery with an intraocular lens implant
- Fitting hearing aids after audiometric testing
- Diagnosing and treating systemic diabetes with insulin
- Measuring refractive error and prescribing corrective lenses Correct answer.
Explanation
Optometry centers on examination of the eye for refractive error and prescribing lenses, contact lenses, and permitted ocular treatment. Surgery and systemic medical management are outside optometric scope. Hearing aid fitting is audiology or hearing aid dispensing, not optometry.
Question 3Idaho Optometry Practice Act, statutes and administrative rules
A person in Idaho who is not licensed as an optometrist wishes to use the title 'optometrist' and examine patients for glasses. What does the Act require?
- A business license from the city where the office is located
- An active Idaho optometry license issued by the Board Correct answer.
- Registration with a national optometry association
- A physician's written sponsorship letter
Explanation
Idaho requires an active license from the Board to practice optometry and to hold out as an optometrist. A business license, association membership, or physician sponsorship does not authorize optometric practice. Practicing without the license exposes the person to legal penalties.
Question 4Idaho Optometry Practice Act, statutes and administrative rules
The Idaho Board of Optometry proposes a new rule on continuing education. Which statement best describes the Board's authority?
- The Board may act only with written approval of the Idaho Medical Board.
- The Board may adopt any rule it chooses, even if inconsistent with the statute.
- The Board may regulate only the fees it charges, not practice standards.
- The Board may adopt rules consistent with the Optometry Practice Act. Correct answer.
Explanation
An administrative board's rulemaking authority is limited to rules that implement and are consistent with the governing statute. The Board cannot enlarge its statutory powers or contradict the Act. It does not need medical board approval to adopt optometry rules.
Question 5Idaho Optometry Practice Act, statutes and administrative rules
An Idaho optometrist completes a contact lens fitting and the patient asks for the prescription so lenses can be purchased elsewhere. What is the optometrist's obligation?
- Withhold the prescription until the patient buys lenses from the optometrist.
- Release the prescription to the patient after the fitting is complete. Correct answer.
- Send the prescription only to another licensed optometrist.
- Release the prescription only if the patient signs a liability waiver.
Explanation
Patients are entitled to receive their contact lens prescription after a fitting so they can choose where to buy lenses. Conditioning release on an in-office purchase improperly restricts patient choice. The prescription is part of the patient's care record, not a sales tool for the practice.
Question 6Idaho Optometry Practice Act, statutes and administrative rules
An Idaho optometrist wants an unlicensed assistant to help with patient care. Which task may the optometrist properly delegate under Board rules?
- Deciding whether a patient needs a glaucoma referral
- Performing a visual acuity screening under direct supervision Correct answer.
- Prescribing a topical antibiotic for a corneal ulcer
- Interpreting corneal topography and diagnosing keratoconus
Explanation
Assistants may perform delegated technical tasks such as acuity screening when trained and supervised, but the optometrist retains responsibility for diagnosis and treatment decisions. Interpretation, prescribing, and referral decisions require the optometrist's professional judgment. Delegation cannot transfer optometric judgment to unlicensed staff.
Question 7Idaho Optometry Practice Act, statutes and administrative rules
An Idaho optometrist diagnoses a patient with bacterial conjunctivitis. Which action is most consistent with the therapeutic scope of Idaho optometry?
- Prescribe a topical antibiotic and monitor the infection. Correct answer.
- Administer general anesthesia before removing the eye.
- Perform a corneal transplant and manage postoperative care.
- Prescribe an oral antibiotic for the patient's systemic pneumonia.
Explanation
Idaho optometrists may use pharmaceutical agents to treat ocular conditions within optometric scope. They may not perform surgery such as corneal transplant or enucleation, and they do not manage unrelated systemic infections like pneumonia. The key limit is ocular diagnosis and treatment, not general medicine or surgery.
Question 8Idaho Optometry Practice Act, statutes and administrative rules
Which circumstance is most clearly a ground for discipline by the Idaho Board of Optometry?
- The optometrist declines to treat a condition outside optometric scope.
- The optometrist practices while impaired by alcohol or controlled substances. Correct answer.
- The optometrist belongs to a national optometric association.
- The optometrist advertises the office's standard examination fee.
Explanation
Impairment while practicing is a disciplinary ground because it endangers patients and violates professional standards. Advertising lawful fees, declining care outside one's scope, and joining a professional association are not misconduct. The Board's disciplinary authority protects the public from unfit or unsafe practice.
Question 9Idaho Optometry Practice Act, statutes and administrative rules
An Idaho optometrist's license expires on December 31. Three months later, the optometrist has not renewed and has received no extension, yet continues seeing patients. What is the legal status of that practice?
- It is permitted if the optometrist posts a bond with the Board.
- It is permitted for a 90-day grace period without any conditions.
- It is unlicensed practice, even if renewal is later completed. Correct answer.
- It is permitted because renewal is a ministerial tax payment.
Explanation
Practicing after a license expires is unlicensed practice unless the Board has granted an extension or the statute provides a grace period. A late renewal does not retroactively authorize patient care given while the license was expired. Continuing to see patients exposes the optometrist to disciplinary and civil consequences.
Question 10Idaho Optometry Practice Act, statutes and administrative rules
An Idaho optometrist places an advertisement claiming 'guaranteed 20/20 vision or your money back.' Under Idaho law, which is the primary concern?
- The advertisement is automatically valid because it includes a refund.
- The claim may be deceptive if outcomes cannot be guaranteed. Correct answer.
- Only the Idaho Medical Board may review optometric advertising.
- Advertising is prohibited for all optometrists.
Explanation
Professional advertising is permitted, but it may not be false, deceptive, or misleading. A guarantee of a specific visual outcome is problematic because results depend on individual clinical factors. The Board, not the medical board, enforces optometry advertising standards.
Question 11Idaho Optometry Practice Act, statutes and administrative rules
The Idaho Board of Optometry adopts a rule that purports to authorize a procedure not included in the Optometry Practice Act. A licensee asks whether the rule alone makes the procedure lawful. Which principle governs?
- The statute controls only if the Board omitted public comment.
- The rule controls if it was published in the Idaho Administrative Bulletin.
- The rule controls because the Board has technical expertise in optometry.
- The statute controls because an agency rule cannot expand statutory authority. Correct answer.
Explanation
An administrative board has only the authority delegated to it by statute. A rule that conflicts with or exceeds the Optometry Practice Act is invalid, even if the rule was properly published. Publication does not cure a lack of statutory authority.
Question 12Idaho Optometry Practice Act, statutes and administrative rules
Which qualification is required for an applicant seeking an Idaho optometry license by examination?
- Two years working as an optical laboratory technician.
- A bachelor's degree from an Idaho university in any field of study.
- Graduation from an accredited optometry school and required exams. Correct answer.
- Active membership in the Idaho Optometric Association.
Explanation
Idaho licensure by examination requires graduation from an accredited optometry school and passage of the examinations required by the Board. Professional association membership and optical technician experience are not statutory licensure qualifications.
Question 13Idaho Optometry Practice Act, statutes and administrative rules
An Idaho optometrist holds an active license and wants to keep it current. Which obligation is most directly required?
- Maintain a separate optical dispensary in the county.
- Join a professional liability insurance panel each year.
- Submit an annual audit of all patient fees to the Board.
- Complete Board-required continuing education and renew before expiration. Correct answer.
Explanation
Active license renewal depends on timely renewal and completion of the continuing education required by Board rules. Insurance, dispensary ownership, and fee audits are not general conditions of licensure.
Question 14Idaho Optometry Practice Act, statutes and administrative rules
An Idaho optometrist moves a primary practice location to a new city but keeps the same license. What is the most appropriate licensing step?
- Apply for a new license because the old license lapses on moving.
- Notify only the federal Drug Enforcement Administration of the move.
- Notify the Board of the address change as required by its rules. Correct answer.
- Wait until the next renewal to report the new practice address.
Explanation
Licensees are responsible for keeping Board contact and practice information current under Board rules. A move does not require a new license, and waiting until renewal can leave Board records inaccurate.
Question 15Idaho Optometry Practice Act, statutes and administrative rules
The Idaho Board of Optometry seeks to revoke an optometrist's license based on alleged misconduct. Which procedural protection must the Board provide before imposing revocation?
- Publication of the charges before any hearing occurs.
- A jury trial in the licensee's county of residence.
- A recommendation from the Idaho Optometric Association.
- Notice of the charges and an opportunity for a hearing. Correct answer.
Explanation
Administrative license discipline requires due process, typically notice and a contested-case hearing under the Idaho Administrative Procedure Act. A professional association recommendation or a jury trial is not the required procedure.
Question 16Idaho Optometry Practice Act, statutes and administrative rules
An Idaho optometrist's license is suspended by the Board while an appeal is pending. What is the licensee's practice status during the suspension?
- The licensee may practice if patients sign a disclosure form.
- The licensee may not practice optometry while the suspension is in effect. Correct answer.
- The licensee may practice only in a hospital setting.
- The licensee may practice under another optometrist's license number.
Explanation
A suspension removes the right to practice optometry for its duration unless the Board or a court stays the order. Patient consent or the practice setting does not restore licensure.
Question 17Idaho Optometry Practice Act, statutes and administrative rules
The Idaho Board of Optometry wants to adopt a new rule governing optometric practice. Which procedural step is most consistent with Idaho administrative law?
- Submit the rule directly to the legislature for a veto.
- Publish the rule only after it has taken effect.
- Adopt the rule by a vote of licensees at the annual meeting.
- Provide required notice and public comment before adoption. Correct answer.
Explanation
Idaho agencies generally must follow Administrative Procedure Act requirements, including notice and comment, when adopting rules. Licensee votes and direct legislative veto are not the ordinary rulemaking process.
Question 18Idaho Optometry Practice Act, statutes and administrative rules
Which procedure is outside the scope of optometric practice in Idaho, even for a licensed optometrist with a therapeutic license?
- Fitting a patient with contact lenses after an examination.
- Performing a refraction to determine refractive error.
- Prescribing a topical antibiotic for an eye infection.
- Performing laser refractive surgery to reshape the cornea. Correct answer.
Explanation
Idaho optometrists may examine, diagnose, treat, and prescribe within optometric scope, including contact lenses and appropriate medications. Laser refractive surgery is a surgical procedure outside optometric licensure.
Question 19Idaho Optometry Practice Act, statutes and administrative rules
The Board asks an Idaho optometrist to verify continuing education completed during the prior renewal period. What should the licensee be able to provide?
- Documentation showing completion of the required continuing education. Correct answer.
- A copy of the licensee's malpractice insurance policy.
- A letter from a colleague confirming attendance at a conference.
- A list of patients seen during the renewal period.
Explanation
Licensees should retain certificates or other evidence of continuing education completion in case of a Board audit. A colleague's letter, insurance policy, or patient list does not establish continuing education compliance.
Question 20Idaho Optometry Practice Act, statutes and administrative rules
An optometrist licensed in another state moves to Idaho and wants to examine patients in Idaho. What is required before beginning practice?
- The optometrist may practice if supervised by an Idaho licensee.
- The optometrist may practice for 90 days while applying.
- The optometrist must first obtain an Idaho optometry license. Correct answer.
- The optometrist may practice after posting a bond with the Board.
Explanation
Idaho requires a license to practice optometry in the state; an out-of-state license does not by itself authorize Idaho practice. Temporary practice, supervision, or bonding does not replace Idaho licensure unless a specific rule allows it.
Question 21Idaho Optometry Practice Act, statutes and administrative rules
Who appoints the members of the Idaho Board of Optometry?
- The Idaho Optometric Association
- The Governor of Idaho Correct answer.
- The Idaho Legislature
- The Secretary of State
Explanation
Idaho professional licensing boards are appointed by the Governor, who selects members to administer the practice act and represent the public interest.
Question 22Idaho Optometry Practice Act, statutes and administrative rules
An optometrist licensed in Idaho travels to another state to provide care at a temporary clinic. Which statement is correct?
- The optometrist must satisfy that state's licensure requirements before practicing there. Correct answer.
- The optometrist may practice there if the clinic is open fewer than 30 days.
- The Idaho Board can extend the Idaho license to the other state on request.
- The Idaho license authorizes practice in any state that recognizes optometry.
Explanation
An Idaho optometry license is territorial and authorizes practice only in Idaho; another state's clinic is governed by that state's licensure law.
Question 23Idaho Optometry Practice Act, statutes and administrative rules
Which sanction is within the Idaho Board of Optometry's authority after finding unprofessional conduct?
- Awarding damages to the patient.
- Ordering incarceration.
- Revoking a license issued by another state.
- Imposing probation with conditions. Correct answer.
Explanation
The Board's disciplinary authority is professional, allowing probation, suspension, revocation, or reprimand, but not jail, damages, or another state's license.
Question 24Idaho Optometry Practice Act, statutes and administrative rules
An optometry student enrolled in an accredited program wants to perform patient care in an Idaho clinic. What is the most appropriate requirement?
- The student may practice independently with a licensed optometrist's signature.
- The student may practice if the patient signs a waiver.
- The student must practice under Board-recognized supervision. Correct answer.
- The student must first obtain a full Idaho optometry license.
Explanation
Optometry students may participate in supervised clinical training, but independent patient care requires an Idaho license; a patient waiver does not substitute.
Question 25Idaho Optometry Practice Act, statutes and administrative rules
Which procedure is most clearly within the scope of optometric practice in Idaho for a properly licensed optometrist?
- Removing a superficial corneal foreign body. Correct answer.
- Injecting a corticosteroid into the vitreous.
- Performing laser-assisted in situ keratomileusis (LASIK).
- Performing cataract extraction with lens implantation.
Explanation
Removing a superficial corneal foreign body is a recognized non-surgical optometric procedure; LASIK, cataract surgery, and intravitreal injection are surgical or injection procedures outside optometry.
Question 26Idaho Optometry Practice Act, statutes and administrative rules
The Board sends an Idaho optometrist a subpoena for patient records related to a complaint. What is the optometrist's best response?
- Refuse because patient records are confidential.
- Destroy the records before the Board can review them.
- Produce the relevant records as lawfully required. Correct answer.
- Provide records only after public notice.
Explanation
Licensees must cooperate with lawful Board investigations; a subpoena can require relevant records despite confidentiality, and destroying records may obstruct the investigation.
Question 27Idaho Optometry Practice Act, statutes and administrative rules
An Idaho optometrist fails to complete the continuing education required for renewal. Which consequence is most consistent with the Board's authority?
- The optometrist may cure the deficiency only by retaking the licensing exam.
- The license automatically becomes permanent and cannot be questioned.
- The Board may deny renewal or impose discipline. Correct answer.
- The Board has no authority over CE after renewal.
Explanation
Continuing education is a condition of renewal; missing required hours can lead to denial of renewal or discipline, not automatic permanent licensure or a licensing exam requirement.
Question 28Idaho Optometry Practice Act, statutes and administrative rules
After the Board issues a final order revoking an optometrist's license, what is the licensee's primary route for review?
- Ask the Idaho Optometric Association to reverse it.
- File a malpractice claim against the Board.
- Request repeated rehearings before the Board.
- Seek judicial review under the Idaho APA. Correct answer.
Explanation
Final agency action is reviewed by the courts under the Idaho Administrative Procedure Act; the professional association and repeated Board rehearings are not the review route.
Question 29Idaho Optometry Practice Act, statutes and administrative rules
What must a Board disciplinary order include to support meaningful judicial review?
- A jury verdict from a criminal trial.
- Only a summary statement that misconduct occurred.
- Findings of fact and conclusions of law. Correct answer.
- A recommendation from the Idaho Optometric Association.
Explanation
An administrative disciplinary order must contain findings of fact and conclusions of law so a reviewing court can assess whether the decision is supported and lawful.
Question 30Idaho Optometry Practice Act, statutes and administrative rules
When may the Board summarily suspend an Idaho optometry license without a prior hearing?
- When the Board finds an imminent danger to the public. Correct answer.
- Whenever a patient files any complaint, regardless of evidence.
- When the licensee requests a suspension to avoid CE.
- Only after a criminal conviction becomes final.
Explanation
Emergency suspension may be used when the Board finds an imminent threat to public health, safety, or welfare, with a hearing to follow; a mere complaint is not enough.
Question 31Idaho Optometry Practice Act, statutes and administrative rules
An individual who does not hold an Idaho optometry license fits a customer with contact lenses and charges a fee. How should this activity be characterized under the Idaho Optometry Practice Act?
- It is prohibited because fitting contact lenses is part of practicing optometry. Correct answer.
- It is permitted because contact lenses are sold as ordinary retail products.
- It is permitted if the customer signs a waiver of an eye examination.
- It is permitted if a licensed physician is in the building.
Explanation
The Idaho Optometry Practice Act defines optometry to include the fitting and adaptation of lenses, including contact lenses, for the correction or relief of visual conditions. A person must hold an Idaho optometry license to perform that activity. Unlicensed practice is subject to enforcement by the Board and other lawful remedies.
Question 32Idaho Optometry Practice Act, statutes and administrative rules
An Idaho-licensed optometrist advertises that patients will receive 'the most accurate eye exam in the state, guaranteed.' Which standard applies to this advertisement?
- The claim is allowed if it appears in a newspaper rather than online.
- The claim is allowed only if the optometrist pays a separate advertising fee to the Board.
- The claim must be truthful and not misleading; superlatives implying guaranteed superiority may violate Board standards. Correct answer.
- All advertising by Idaho optometrists is prohibited.
Explanation
Idaho optometrists are subject to Board standards prohibiting false, deceptive, or misleading advertising. A claim of guaranteed superior accuracy can mislead patients if it cannot be substantiated. The medium of the advertisement does not change the underlying truthfulness requirement.
Question 33Idaho Optometry Practice Act, statutes and administrative rules
Which designation may be used in Idaho only by a person holding a valid optometry license?
- Optometrist Correct answer.
- Vision screener
- Dispensing optician
- Optical technician
Explanation
The title 'optometrist' is reserved for persons licensed by the Idaho Board of Optometry. Unlicensed use of the title tends to mislead the public about the person's authority to examine eyes and prescribe corrective lenses. Other titles are not equivalent to an optometry license.
Question 34Idaho Optometry Practice Act, statutes and administrative rules
An Idaho optometrist examines a patient and suspects an acute retinal detachment. The optometrist does not provide surgical repair. What is the most appropriate next step?
- Arrange urgent referral to an ophthalmologist or emergency eye care and document the referral. Correct answer.
- Record the finding and take no further action because surgery is outside optometry.
- Tell the patient to return only if vision worsens.
- Prescribe a stronger spectacle prescription and recheck in six months.
Explanation
An Idaho optometrist must recognize conditions that exceed the optometrist's ability to treat and must arrange appropriate referral without delay. Acute retinal detachment is a sight-threatening emergency requiring prompt ophthalmologic evaluation. The optometrist should document the finding, the recommendation, and the referral.
Question 35Idaho Optometry Practice Act, statutes and administrative rules
An Idaho optometrist begins taking a medication that causes drowsiness and impaired judgment. What is the most appropriate professional response?
- Disclose the impairment to each patient and continue all duties.
- Increase continuing education hours to offset the impairment.
- Continue seeing patients but ask staff to double-check all prescriptions.
- Limit or stop patient-care duties until the impairment resolves and safe practice can be assured. Correct answer.
Explanation
A licensee must practice in a manner that protects patient safety and must not provide care while impaired. If medication affects alertness or judgment, the optometrist should refrain from patient care until the effect resolves or is appropriately managed. Practicing while impaired can also expose the licensee to Board discipline.
Question 36Idaho Optometry Practice Act, statutes and administrative rules
An Idaho optometrist plans to close a solo practice permanently. Which action best addresses the optometrist's professional obligations to current patients?
- Destroy all patient records immediately to protect privacy.
- Provide reasonable notice and arrange for patient records to be available or transferred as authorized. Correct answer.
- Keep the records indefinitely without telling patients where to request them.
- Post a notice on the office door one day before closing.
Explanation
Closing a practice does not eliminate the optometrist's obligations to patients, including continuity of care and access to records. The optometrist should give reasonable notice and make arrangements for records to be available or transferred consistent with patient authorization and applicable law. Abrupt closure without those arrangements may amount to patient abandonment or a records violation.
Question 37Idaho Optometry Practice Act, statutes and administrative rules
Which task may an unlicensed assistant perform in an Idaho optometry practice without violating the Optometry Practice Act?
- Perform administrative duties such as scheduling and billing. Correct answer.
- Diagnose glaucoma from imaging.
- Determine the final contact lens prescription.
- Perform a comprehensive eye examination and diagnosis.
Explanation
Unlicensed personnel may perform clerical and administrative tasks that do not require optometric judgment. Activities such as diagnosing disease, performing a comprehensive examination, or finalizing a prescription involve the practice of optometry and must be performed by a licensee. The Board may also impose limits on what tasks may be delegated.
Question 38Idaho Optometry Practice Act, statutes and administrative rules
Before prescribing a therapeutic medication for an eye condition, what does the Idaho optometrist's professional duty require?
- Obtain the Board's prior written approval for every prescription.
- Use the medication only if the patient requests it by name.
- Obtain informed consent and provide appropriate information about risks, benefits, and alternatives. Correct answer.
- Prescribe without discussion to avoid confusing the patient.
Explanation
Prescribing a therapeutic medication is a clinical decision that requires appropriate patient involvement and informed consent. The optometrist should discuss the reason for treatment, material risks, expected benefits, and reasonable alternatives, and should document that discussion. Routine prescriptions do not require prior Board approval.
Question 39Idaho Optometry Practice Act, statutes and administrative rules
An Idaho optometrist employed by a retail optical chain is pressured by a manager to meet a sales quota by prescribing lenses that are not clinically indicated. Which principle should guide the optometrist?
- The optometrist may comply if the extra lenses are discounted.
- The optometrist's clinical judgment must not be overridden by an employer's sales goal; the prescription must be based on patient needs. Correct answer.
- The optometrist should comply if the patient is not likely to notice the difference.
- The manager's instruction controls because the employer holds the business license.
Explanation
An Idaho optometry license is held by the individual optometrist, and the licensee remains responsible for clinical decisions. An employer's sales quota cannot justify prescribing lenses that are not clinically indicated or otherwise compromising patient care. Pressure to do so may also raise professional discipline and employment-law issues.
Question 40Idaho Optometry Practice Act, statutes and administrative rules
An Idaho optometrist wants to begin performing a procedure that falls within the statutory scope of optometry but for which the optometrist has no formal training or experience. What is the most appropriate action?
- Perform the procedure once and decide afterward whether to continue.
- Obtain appropriate training and demonstrate competence before offering the procedure, or refer the patient. Correct answer.
- Advertise the procedure but tell patients the results are not guaranteed.
- Delegate the procedure to an unlicensed assistant while the optometrist observes.
Explanation
Falling within the statutory scope of optometry does not by itself establish that an individual optometrist is competent to perform a particular procedure. The optometrist should obtain appropriate training and demonstrate competence before offering it, or refer the patient to an authorized provider. Practicing beyond one's competence can violate Board standards and harm patients.
Question 41Scope of practice and permitted procedures
Seorang optometris melakukan pemeriksaan refraksi dan menetapkan resep kacamata. Tindakan ini termasuk dalam kategori apa?
- Kewenangan mandiri dalam praktik optometri Correct answer.
- Tindakan yang hanya boleh dilakukan setelah konsultasi dengan apoteker
- Prosedur bedah minor yang memerlukan izin khusus
- Tindakan medis yang hanya boleh dilakukan dokter spesialis mata
Explanation
Pemeriksaan refraksi dan penetapan resep kacamata merupakan inti kewenangan optometri yang dapat dilakukan secara mandiri sesuai kompetensi. Tindakan ini bukan prosedur bedah dan tidak memerlukan izin khusus di luar kewenangan praktik.
Question 42Scope of practice and permitted procedures
Dokumentasi hasil pemeriksaan refraksi, tajam penglihatan, dan tindak lanjut pasien dalam rekam medis merupakan apa?
- Tugas administrasi yang dapat didelegasikan tanpa supervisi
- Hanya diperlukan untuk pasien yang akan dirujuk
- Opsional jika pasien tidak meminta salinan
- Kewajiban profesional yang mendukung keselamatan pasien Correct answer.
Explanation
Rekam medis merupakan kewajiban profesional dan alat komunikasi serta perlindungan hukum. Dokumentasi memuat hasil pemeriksaan, tindakan, dan rencana tindak lanjut, termasuk alasan rujukan.
Question 43Scope of practice and permitted procedures
Dalam praktik optometri, peresepan antibiotik oral untuk infeksi mata berada di luar kewenangan karena apa?
- Prosedur rutin yang dapat didelegasikan kepada asisten optometri terlatih
- Kewenangan dokter dengan diagnosis dan pemantauan medis Correct answer.
- Tidak diatur dalam praktik optometri karena semua pasien dengan infeksi selalu dirujuk ke rumah sakit
- Hanya boleh dilakukan oleh apoteker setelah mendapat izin khusus dari dinas kesehatan
Explanation
Peresepan antibiotik oral memerlukan diagnosis medis, pemantauan efek samping, dan kewenangan dokter. Optometris yang menemukan infeksi mata harus menilai tanda bahaya dan merujuk bila di luar kompetensinya.
Question 44Scope of practice and permitted procedures
Pasien datang dengan keluhan kilatan cahaya, floaters yang bertambah, dan defek lapang pandang. Setelah refraksi selesai, tindakan paling tepat adalah apa?
- Memberikan kacamata baru dan menjadwalkan kontrol rutin satu bulan
- Menunda rujukan sampai gejala menetap selama satu minggu
- Merujuk segera ke dokter mata untuk evaluasi retina Correct answer.
- Melakukan kompres hangat dan memberikan tetes mata pelembap
Explanation
Kilatan cahaya, floaters yang bertambah, dan defek lapang pandang merupakan tanda bahaya yang mengarah pada robekan atau ablasi retina. Optometris wajib merujuk segera karena penundaan dapat memperburuk prognosis.
Question 45Scope of practice and permitted procedures
Seorang optometris meminta asisten melakukan tonometri non-contact pada pasien baru, tetapi asisten belum pernah dilatih. Prinsip delegasi yang benar adalah apa?
- Delegasi diperbolehkan karena tonometer non-contact bekerja secara otomatis
- Hanya jika asisten kompeten dan di bawah supervisi Correct answer.
- Asisten boleh melakukan semua pemeriksaan ketika optometris sedang sibuk
- Delegasi tonometri dilarang mutlak dalam praktik optometri
Explanation
Delegasi hanya sah bila penerima tugas memiliki kompetensi, pelatihan, dan berada di bawah supervisi optometris. Alat otomatis tidak menghapus kebutuhan penilaian dan tanggung jawab profesional.
Question 46Scope of practice and permitted procedures
Saat melakukan pemasangan lensa kontak, tindakan apa yang wajib menjadi bagian dari layanan optometri?
- Rujukan ke dokter mata untuk setiap pasien lensa kontak
- Pemeriksaan topografi kornea yang wajib dilakukan pada semua pasien
- Resep lensa kontak tanpa perlu evaluasi lanjutan setelah pemasangan
- Penilaian fitting, edukasi kebersihan, dan jadwal kontrol Correct answer.
Explanation
Pemasangan lensa kontak mencakup penilaian fitting, edukasi kebersihan dan perawatan, serta jadwal kontrol untuk memantau komplikasi. Topografi dan rujukan dilakukan bila ada indikasi, bukan rutin untuk semua pasien.
Question 47Scope of practice and permitted procedures
Pasien menolak dilatasi pupil karena harus menyetir. Optometris tetap dapat melakukan pemeriksaan dasar. Bagaimana prinsip informed consent diterapkan?
- Persetujuan pasien hanya diperlukan untuk tindakan bedah
- Optometris boleh melakukan tindakan tanpa persetujuan demi kebaikan pasien
- Penolakan dihormati dan didokumentasikan setelah penjelasan risiko Correct answer.
- Persetujuan lisan tidak pernah sah dalam praktik optometri
Explanation
Informed consent mengharuskan pasien memahami tujuan, risiko, dan alternatif tindakan. Penolakan pasien yang kompeten harus dihormati dan didokumentasikan, termasuk penjelasan risiko serta rencana alternatif.
Question 48Scope of practice and permitted procedures
Seorang pasien mengalami paparan cairan kimia alkali di mata. Tindakan pertama yang paling tepat sebelum rujukan adalah apa?
- Menunggu nyeri reda sebelum melakukan pemeriksaan refraksi lengkap
- Memberikan tetes mata anestesi lalu menutup mata dengan kasa steril
- Irigasi mata dengan air bersih segera dan rujuk Correct answer.
- Mengoleskan salep antibiotik tanpa melakukan pembilasan awal
Explanation
Paparan alkali merupakan emergensi oftalmik yang memerlukan irigasi segera untuk mengurangi cedera jaringan. Setelah pembilasan awal, pasien harus dirujuk segera ke fasilitas yang mampu menangani cedera kimia.
Question 49Scope of practice and permitted procedures
Optometris mempromosikan layanan pengobatan mata minus tanpa kacamata secara permanen dengan klaim pasti. Ditinjau dari etika dan batas kewenangan, bagaimana penilaian yang tepat?
- Iklan layanan optometri tidak diatur dalam kode etik profesi
- Klaim terapi permanen boleh karena termasuk terapi visual
- Klaim boleh dilakukan asalkan pasien merasa puas dengan hasil layanan
- Promosi akurat, tidak menyesatkan, dan sesuai kewenangan Correct answer.
Explanation
Promosi layanan harus akurat, berbasis bukti, dan tidak menyesatkan pasien mengenai hasil yang dapat dicapai. Klaim terapi permanen di luar kewenangan berisiko melanggar etika profesi dan hukum perlindungan konsumen.
Question 50Scope of practice and permitted procedures
Optometris dan dokter mata bekerja di klinik yang sama. Pasien menunjukkan tanda glaukoma suspek saat pemeriksaan rutin. Bagaimana pembagian kewenangan yang tepat?
- Dokter mata harus melakukan semua pemeriksaan refraksi di klinik
- Optometris menegakkan diagnosis glaukoma dan memulai terapi obat
- Deteksi awal lalu rujuk untuk diagnosis definitif Correct answer.
- Optometris cukup mencatat temuan tanpa perlu merujuk pasien
Explanation
Optometris berperan dalam deteksi awal dan pemantauan, sedangkan diagnosis definitif serta tata laksana glaukoma berada dalam kewenangan dokter mata. Kolaborasi interprofesional memastikan pasien mendapat penanganan yang tepat tanpa melewati batas kewenangan.