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OH Optometry Jurisprudence study materials
OH Optometry Jurisprudence study resources

OH Optometry Jurisprudence practice questions

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Question 1Licensure, application, examination, and renewal requirements

Which Ohio body issues, renews, and disciplines optometry licenses?

  1. The Ohio State Board of Optometry Correct answer.
  2. The Ohio Board of Regents
  3. The Ohio Department of Health
  4. The Ohio Attorney General's Office

Explanation

Ohio law assigns optometry licensure, renewal, and disciplinary authority to the State Board of Optometry. The board administers the application and examination process and maintains the licensee registry. Other state agencies may assist with investigations, but they do not issue the optometry license.

Question 2Licensure, application, examination, and renewal requirements

Which educational credential is required before an initial Ohio optometry license may be issued?

  1. Completion of a two-year opticianry program approved by the board
  2. Graduation from an ACOE-accredited optometry school or college Correct answer.
  3. A bachelor's degree in any science field from an accredited university
  4. A master's degree in public health from an accredited university

Explanation

Initial Ohio optometry licensure requires graduation from an optometry school or college accredited by the Accreditation Council on Optometric Education, or a board-recognized equivalent. A general science degree or opticianry training does not substitute for the professional optometry degree. The board verifies the educational credential as part of the application.

Question 3Licensure, application, examination, and renewal requirements

Which examination specifically assesses an applicant's knowledge of Ohio optometry law and board rules?

  1. The Ohio professional ethics certification examination
  2. The National Board of Examiners in Optometry Part I
  3. The Ohio optometry jurisprudence examination Correct answer.
  4. The Optometry Admission Test

Explanation

Ohio uses a jurisprudence examination to test an applicant's knowledge of the statutes and rules governing optometry practice in the state. The national board examinations assess clinical and basic science knowledge, while the Optometry Admission Test is an admissions test for optometry school. The jurisprudence examination is Ohio-specific and tied to the licensure application.

Question 4Licensure, application, examination, and renewal requirements

Which national examination sequence must an initial Ohio optometry applicant generally pass before licensure?

  1. The Certified Ophthalmic Assistant examination offered by IJCAHPO
  2. The United States Medical Licensing Examination Step 1
  3. The National Board of Examiners in Optometry Parts I, II, and III Correct answer.
  4. The Optometry Admission Test administered by ASCO

Explanation

Ohio relies on the National Board of Examiners in Optometry examination sequence for the national clinical requirement. Applicants generally must pass the required NBEO components, along with the Ohio jurisprudence examination, before an initial license is issued. The OAT is an admissions examination, and the other examinations listed are for different professions or roles.

Question 5Licensure, application, examination, and renewal requirements

Which screening is commonly required as part of an initial Ohio optometry license application?

  1. A fingerprint-based state and federal criminal records check Correct answer.
  2. A credit history report from a nationally recognized consumer reporting agency
  3. A residency interview with the board's executive director
  4. A physical agility test administered by the board

Explanation

Ohio's health-professional licensure process commonly includes a fingerprint-based criminal records check through state and federal systems. The board uses the results as part of the licensure review. Credit history, physical agility, and a mandatory residency interview are not standard optometry licensure requirements.

Question 6Licensure, application, examination, and renewal requirements

Ohio optometry licenses are renewed on which schedule?

  1. Every three years, with expiration on June 30
  2. Biennially, with expiration on December 31 of odd-numbered years Correct answer.
  3. Biennially, with expiration on December 31 of even-numbered years
  4. Annually, with expiration on December 31 of every year

Explanation

Ohio optometry licenses are renewed biennially and expire on December 31 of odd-numbered years. The board's renewal cycle therefore recurs every two years, and licensees must submit the required renewal materials by the applicable deadline. Annual renewal and a three-year cycle do not match the optometry license term.

Question 7Licensure, application, examination, and renewal requirements

What is the total continuing education requirement for an Ohio optometry license renewal cycle?

  1. 100 hours
  2. 80 hours
  3. 40 hours Correct answer.
  4. 10 hours

Explanation

Ohio requires optometrists to complete 40 hours of continuing education during each biennial renewal cycle. Board rules may specify subject-specific minimums within that total, such as ethics or other mandated topics. Completing only 10 hours is far below the requirement, while 80 and 100 hours exceed the standard biennial total.

Question 8Licensure, application, examination, and renewal requirements

An Ohio optometrist's license expires because the renewal was not submitted on time. What must occur before the optometrist may lawfully practice again?

  1. The board must renew or reinstate the license before practice resumes Correct answer.
  2. The optometrist may continue practicing while the late renewal is pending
  3. The optometrist may resume practice after completing the next CE cycle
  4. The optometrist may practice after paying a late fee, even if the board has not acted

Explanation

Practice after expiration is unlawful until the board renews or reinstates the license. Submitting a late application or paying a fee does not by itself restore practice authority. The licensee should wait for board action confirming that the license is active again.

Question 9Licensure, application, examination, and renewal requirements

An optometrist licensed in another state applies for an Ohio license by reciprocity. Which statement best describes the board's focus?

  1. The board waives all examination and education review because reciprocity is a nondiscretionary entitlement
  2. The board requires the applicant to repeat the entire professional curriculum at an Ohio optometry school
  3. The board reviews education, examinations, and licensure history against Ohio standards Correct answer.
  4. The board issues the Ohio license automatically whenever any other state has issued a comparable license

Explanation

Reciprocity is not automatic; the board evaluates whether the applicant's education, examination history, and prior licensure are comparable to Ohio requirements. The board may also require the Ohio jurisprudence examination or other missing items. An out-of-state license alone does not compel issuance of an Ohio license.

Question 10Licensure, application, examination, and renewal requirements

An applicant has passed NBEO Parts I and II but has not yet passed Part III. How does this affect initial Ohio licensure?

  1. Ohio may issue a full license if the applicant has an out-of-state license
  2. Ohio cannot issue the initial license until all required exams are passed Correct answer.
  3. Ohio may issue a temporary license for any practice setting while Part III is pending
  4. Ohio may issue a license limited to non-invasive procedures until Part III is passed

Explanation

Initial Ohio licensure requires completion of all required examination components, including the applicable NBEO sequence and the Ohio jurisprudence examination. A partial NBEO record does not support issuance of a full or unrestricted license. The applicant must satisfy the remaining examination requirement before licensure.

Question 11Licensure, application, examination, and renewal requirements

Under Ohio optometry rules, how should an optometrist's license be maintained at the office where the optometrist practices?

  1. Stored at the licensee's residence and produced only if the Board requests it
  2. Kept in a locked file accessible only to the office manager
  3. Posted conspicuously in the office for patients to see Correct answer.
  4. Mailed to the Board each year while the optometrist practices

Explanation

Ohio requires the optometry license to be displayed conspicuously at the practice location so patients and regulators can confirm licensure. Keeping it hidden or off-site does not satisfy the display requirement. The license remains Board property subject to inspection, but the practical rule is conspicuous posting at the office.

Question 12Licensure, application, examination, and renewal requirements

Who may lawfully use the title "optometrist" while providing refractive care in Ohio?

  1. A certified ophthalmic technician working under supervision
  2. A student who has completed the first year of optometry school
  3. A person holding a current Ohio optometry license Correct answer.
  4. An optician with a registered dispensing license

Explanation

Ohio reserves the title "optometrist" for individuals who hold a current Ohio optometry license. Technicians, students, and dispensing opticians may have limited roles, but they may not hold themselves out as optometrists. Using the protected title without licensure can support disciplinary or unlawful-practice action.

Question 13Licensure, application, examination, and renewal requirements

An Ohio optical employee who is not licensed performs a full refraction and gives the customer a prescription for glasses. How is this conduct best characterized?

  1. Permissible if the employee charges no separate fee
  2. A routine optical dispensing function
  3. Permissible delegation if the optometrist is in the building
  4. Unlawful practice of optometry Correct answer.

Explanation

Performing a refraction and issuing a prescription are core optometric acts that Ohio limits to licensed optometrists or other authorized providers. An optometrist's physical presence does not automatically authorize an unlicensed employee to perform the full examination and prescribe. Dispensing glasses is different from performing refraction and prescribing.

Question 14Licensure, application, examination, and renewal requirements

An Ohio-licensed optometrist legally changes their surname. What must the licensee do regarding the Board?

  1. Wait until the next renewal to report the change
  2. Retake the Ohio jurisprudence examination under the new name
  3. Notify the Board and obtain an updated license reflecting the legal name Correct answer.
  4. Send a copy of the marriage certificate only if requested during an audit

Explanation

The Board's licensure records must match the licensee's legal identity. After a legal name change, the licensee should notify the Board and obtain an updated license rather than waiting for renewal. Retaking the jurisprudence examination is not required for a name change.

Question 15Licensure, application, examination, and renewal requirements

What is an Ohio optometrist's obligation regarding certificates of completed continuing education courses?

  1. Keep certificates only for courses taken in Ohio
  2. Retain documentation and provide it to the Board if the licensee is audited Correct answer.
  3. Submit every certificate to the Board with each renewal application
  4. Destroy certificates after the renewal is processed

Explanation

Ohio renewals generally rely on the licensee's attestation that continuing education was completed, with the Board auditing a subset of licensees. The licensee therefore must keep course documentation and furnish it on request. Certificates are not routinely filed with every renewal, and out-of-state or online courses may count if they meet Board standards.

Question 16Licensure, application, examination, and renewal requirements

An Ohio optometrist placed their license on inactive status two years ago and now wants to see patients again. What is the most appropriate first step?

  1. Ask a colleague to practice under the colleague's license
  2. Begin practicing while the Board processes the change
  3. Apply to the Board for reactivation and meet current requirements, such as fees and continuing education Correct answer.
  4. Use the inactive license to practice part-time only

Explanation

Inactive status allows a licensee to retain a Board relationship while not practicing, but it does not authorize patient care. To return to active practice, the optometrist must apply for reactivation and satisfy the Board's current reactivation requirements. Practicing before reactivation, even part-time, is not permitted.

Question 17Licensure, application, examination, and renewal requirements

An Ohio optometrist moves their practice to a new office location. What is required concerning the Board?

  1. No notice is required until the license renewal
  2. Apply for a new license by examination
  3. Only the new landlord must be notified
  4. Notify the Board of the change of address within the time required by Board rules Correct answer.

Explanation

The Board must be able to reach licensees and verify practice locations, so Ohio rules require prompt notification of an address change. A move does not require a new license by examination, and waiting until renewal is not sufficient. The exact notification period is set by Board rule, making timely notice the key obligation.

Question 18Licensure, application, examination, and renewal requirements

A current Ohio optometrist applies for licensure in another state that requires verification of Ohio licensure. What is the Ohio Board's typical role?

  1. It cannot release any information without a court order
  2. It must issue a reciprocal Ohio license to the other state automatically
  3. It administers the other state's jurisprudence examination
  4. It provides a verification of the licensee's Ohio licensure status and history Correct answer.

Explanation

When another jurisdiction requests confirmation, the Ohio Board typically verifies the licensee's status, dates, and disciplinary history. The other state then applies its own licensure requirements and makes its own decision. The Ohio Board does not administer another state's examination or automatically grant reciprocal licenses.

Question 19Licensure, application, examination, and renewal requirements

An applicant for an initial Ohio optometry license discloses a felony conviction from several years ago. Which statement best describes how the Board generally treats that disclosure?

  1. The applicant may omit the conviction if the record was sealed
  2. The Board must ignore convictions that occurred more than one year before application
  3. Any felony conviction permanently disqualifies the applicant without a hearing
  4. The Board may review the conviction and its relationship to optometry, including rehabilitation, rather than treating it as an automatic permanent bar Correct answer.

Explanation

Professional licensing boards generally examine the nature and age of a conviction, its relationship to the practice of optometry, and evidence of rehabilitation. A conviction is not automatically an absolute lifetime bar in every case, and applicants must answer licensure questions truthfully. The Board retains authority to deny or condition a license after review.

Question 20Licensure, application, examination, and renewal requirements

An Ohio optometrist signs the renewal attestation stating all continuing education was completed, but several hours were never taken. Which consequence is most consistent with Ohio licensure rules?

  1. The inaccurate attestation may support disciplinary action, and the renewal may be treated as improperly obtained Correct answer.
  2. The Board automatically voids all earlier renewals back to initial licensure
  3. No consequence if the renewal fee was paid
  4. The optometrist may cure the defect by taking the missing hours after an audit without any reporting obligation

Explanation

Renewal attestations are representations to the Board, so signing one without completing the required continuing education can be treated as misconduct. The Board may investigate, discipline the licensee, and treat the renewal as improperly obtained. Paying the fee does not cure a false attestation.

Question 21Licensure, application, examination, and renewal requirements

An applicant for an initial Ohio optometry license has graduated from an accredited optometry program and passed the required examinations. Which additional eligibility requirement must the applicant satisfy?

  1. Hold membership in a state optometric association
  2. Have practiced for at least one year in another state
  3. Be at least 18 years old and of good moral character Correct answer.
  4. Be at least 21 years old and an Ohio resident

Explanation

Ohio licensure requires an applicant to be at least 18 years old and of good moral character, in addition to satisfying education and examination requirements. Ohio residency and optometric association membership are not conditions of initial licensure.

Question 22Licensure, application, examination, and renewal requirements

An initial Ohio optometry applicant must document graduation from an accredited optometry school. How is that documentation ordinarily supplied to the Board?

  1. By providing NBEO score reports only
  2. By having a colleague certify the graduation date
  3. By arranging for the school to send an official transcript directly to the Board Correct answer.
  4. By submitting a photocopy of the diploma with the application

Explanation

The Board ordinarily requires an official transcript sent directly by the optometry school to verify graduation from an accredited program. A personal photocopy of a diploma or a colleague’s statement does not provide the same official verification.

Question 23Licensure, application, examination, and renewal requirements

An Ohio optometrist’s wall certificate is destroyed in an office fire. What is the appropriate action regarding the Board?

  1. Continue practicing and display a photocopy of the destroyed certificate
  2. Wait until the next annual renewal to request a new certificate
  3. Report the loss only if the Board audits the practice
  4. Request a duplicate or replacement certificate from the Board Correct answer.

Explanation

The licensee should request a duplicate or replacement certificate from the Board rather than substituting a photocopy. Loss of the wall certificate does not by itself invalidate the license, but the licensee should obtain an official replacement.

Question 24Licensure, application, examination, and renewal requirements

An Ohio-licensed optometrist limits practice to two days per week. How does this part-time schedule affect the annual continuing education obligation?

  1. The same CE requirement applies regardless of practice hours Correct answer.
  2. CE is waived if the optometrist sees fewer than 10 patients weekly
  3. CE is reduced proportionally to the hours worked
  4. CE is doubled for part-time licensees to maintain competence

Explanation

Ohio’s continuing education requirement applies to active licensees without proration based on practice hours. A licensee who practices part-time must still complete the full required amount of acceptable CE for each renewal cycle.

Question 25Licensure, application, examination, and renewal requirements

An Ohio optometrist moves but does not notify the Board. The renewal notice is sent to the old address, and the license lapses. Which statement is correct?

  1. The lapse is excused because the Board failed to deliver notice
  2. The licensee remains responsible for timely renewal despite not receiving notice Correct answer.
  3. The license remains valid until the licensee actually receives notice
  4. The post office must forward the renewal notice to the new address

Explanation

Licensees are responsible for keeping the Board informed of a current address and for filing renewal on time. Failure to receive a renewal notice because the licensee did not update the address does not excuse a late renewal.

Question 26Licensure, application, examination, and renewal requirements

An Ohio optometrist completes 20 hours of CE two weeks after the renewal deadline and asks that they be applied to the just-expired cycle. What is the correct treatment?

  1. The Board must accept them because the total number is correct
  2. The hours can be applied to either period at the licensee’s choice
  3. The hours automatically cure the expired license retroactively
  4. The hours generally apply to the next renewal period, not the expired one Correct answer.

Explanation

Continuing education must be completed within the licensing period to which it is credited. Hours earned after the renewal deadline generally count toward the next renewal period rather than retroactively satisfying the expired cycle.

Question 27Licensure, application, examination, and renewal requirements

An applicant for an Ohio optometry license was disciplined by another state’s optometry board three years ago. How should the applicant handle this on the Ohio application?

  1. Report it only if the Ohio Board independently asks
  2. Omit it if the discipline has already been completed
  3. Disclose the disciplinary action and provide the requested details Correct answer.
  4. Omit it because it occurred in another state

Explanation

Licensure applications require disclosure of prior disciplinary actions, including those taken by another state’s board. The Ohio Board then evaluates the disclosed information as part of the licensure review.

Question 28Licensure, application, examination, and renewal requirements

An Ohio optometrist counts six hours from a practice-management seminar that the Board does not accept for CE credit. What is the effect on the renewal requirement?

  1. All 20 hours still count because the seminar concerned practice management
  2. The six hours do not count, so the licensee is short of the required CE Correct answer.
  3. The six hours count as ethics credit automatically
  4. The Board converts them to half credit, leaving a three-hour deficit

Explanation

Only continuing education that is accepted by the Board counts toward the renewal requirement. If six hours are not accepted, the licensee has a six-hour deficiency and must complete acceptable CE to satisfy the requirement.

Question 29Licensure, application, examination, and renewal requirements

A licensed Ohio optometrist is convicted of a crime outside practice. What is the licensee’s obligation to the Board?

  1. Report it only if the Board requests information
  2. Report the conviction to the Board as required by law Correct answer.
  3. Report it only after the appeal is exhausted
  4. No report is required unless the crime involved patients

Explanation

Licensed optometrists must report criminal convictions to the Board as required, even when the offense did not occur in the practice setting. The Board may then evaluate whether the conviction affects the licensee’s fitness to continue practicing.

Question 30Licensure, application, examination, and renewal requirements

An applicant receives an initial Ohio optometry license in September. When does that license first expire?

  1. Two years after the date of issuance
  2. December 31 of the same year Correct answer.
  3. September 30 of the following year
  4. December 31 of the following year

Explanation

Ohio optometry licenses expire annually on December 31, regardless of the date the initial license was issued. A license issued in September therefore first expires on December 31 of that same year.

Question 31Scope of practice, definitions, and authorized activities

Under Ohio law, which description best fits the statutory scope of optometric practice?

  1. Fitting hearing aids and providing treatment for sinus and throat infections
  2. Diagnosing and treating eye and adnexal conditions within statutory limits Correct answer.
  3. Grinding spectacle lenses only when a physician has issued a written prescription
  4. Performing intraocular surgery and managing systemic chemotherapy for patients of any age

Explanation

Ohio's optometry statute defines practice to include examination for refractive error and the diagnosis and treatment of conditions of the eye and its adnexa, subject to statutory limits. It does not authorize intraocular surgery or unrelated systemic care.

Question 32Scope of practice, definitions, and authorized activities

Which person is lawfully authorized to use the title "optometrist" and practice optometry in Ohio?

  1. A current Ohio optometry licensee of the State Board of Optometry Correct answer.
  2. A registered dispensing optician with five years of supervised experience
  3. An ophthalmic technician employed and supervised by an ophthalmologist
  4. A student who has finished two years at an accredited optometry school

Explanation

Ohio requires a license from the State Board of Optometry to practice optometry and to use the protected title. Experience as an optician, technician, or student does not confer optometric licensure.

Question 33Scope of practice, definitions, and authorized activities

For purposes of Ohio optometric scope, which structure is part of the adnexa of the eye?

  1. The thyroid gland
  2. The eyelid Correct answer.
  3. The cerebral cortex
  4. The parotid gland

Explanation

The adnexa are the accessory structures around the eye, such as the eyelids, conjunctiva, and lacrimal apparatus. Optometric authority over adnexal conditions does not extend to unrelated glandular or central nervous system organs.

Question 34Scope of practice, definitions, and authorized activities

An adult patient has bacterial conjunctivitis. Which action is within an Ohio optometrist's statutory authority?

  1. Performing a corneal biopsy to identify the organism
  2. Prescribing a systemic antibiotic to treat the patient's pneumonia
  3. Prescribing an appropriate topical antibiotic and arranging follow-up Correct answer.
  4. Injecting a corticosteroid into the orbit

Explanation

Ohio optometrists may use therapeutic pharmaceutical agents, including topical antibiotics, to treat eye conditions within the statutory scope. Treating pneumonia systemically, corneal biopsy, and orbital injection are outside that authority.

Question 35Scope of practice, definitions, and authorized activities

An Ohio optometrist is asked to perform laser trabeculoplasty for a patient with glaucoma. What is the correct response?

  1. Perform the procedure only if the patient has already declined incisional filtering surgery
  2. Perform the procedure after obtaining written informed consent
  3. Delegate the procedure to a certified ophthalmic technician
  4. Refer to an ophthalmologist; laser surgery is outside optometric scope Correct answer.

Explanation

Ohio optometric scope does not include laser surgery or other surgical procedures. The optometrist may provide care within scope but must refer the patient for laser treatment.

Question 36Scope of practice, definitions, and authorized activities

To evaluate the peripheral retina in a patient with small pupils, an Ohio optometrist may lawfully do which of the following?

  1. Refer the patient to an emergency department for routine dilation
  2. Use a surgical laser to create a larger pupil
  3. Instill a diagnostic mydriatic agent as authorized by Ohio law Correct answer.
  4. Administer general anesthesia in the office

Explanation

Ohio optometrists may use diagnostic pharmaceutical agents, including mydriatics, to examine the eye. General anesthesia and laser pupil creation are not within optometric scope.

Question 37Scope of practice, definitions, and authorized activities

Which statement about contact lens prescribing and dispensing by an Ohio optometrist is correct?

  1. It is part of optometric practice when performed within the statutory scope Correct answer.
  2. It may be done only after an ophthalmologist performs the refraction
  3. It is limited to dispensing opticians who hold a contact lens endorsement
  4. It requires a separate contact lens license in addition to the optometry license

Explanation

Contact lenses are optical devices that optometrists may prescribe and dispense as part of optometric practice. A separate contact lens license and mandatory ophthalmologic refraction are not required by Ohio law.

Question 38Scope of practice, definitions, and authorized activities

A patient reports sudden flashes, new floaters, and a curtain over the visual field. The Ohio optometrist suspects a retinal detachment. What is the most appropriate action?

  1. Prescribe topical antibiotic drops and advise return if symptoms worsen
  2. Arrange urgent ophthalmology or retina referral and document the findings Correct answer.
  3. Perform laser retinopexy in the office and schedule a follow-up in one week
  4. Observe the patient for six months before considering referral

Explanation

A suspected retinal detachment is an urgent sight-threatening condition requiring prompt surgical evaluation. Laser retinopexy and definitive retinal surgery are outside Ohio optometric scope, so referral must not be delayed.

Question 39Scope of practice, definitions, and authorized activities

An established patient asks an Ohio optometrist to prescribe an oral antibiotic for streptococcal pharyngitis. The patient has no eye complaints. What is the optometrist's best response?

  1. Prescribe the antibiotic after performing a brief external eye examination
  2. Treat the pharyngitis because it can cause ocular complications
  3. Prescribe the antibiotic because Ohio optometrists may prescribe oral medications for any condition
  4. Decline and refer the patient to an appropriate medical provider for the throat infection Correct answer.

Explanation

Optometric pharmaceutical authority is limited to eye and adnexal conditions within the statutory scope. Treating an unrelated systemic infection such as streptococcal pharyngitis exceeds that authority and requires referral.

Question 40Scope of practice, definitions, and authorized activities

Which task may an Ohio optometrist perform that a dispensing optician may not perform?

  1. Grind lenses according to a prescription
  2. Adjust a patient's spectacle frames
  3. Diagnose and treat an eye disease within optometric scope Correct answer.
  4. Measure interpupillary distance for spectacles

Explanation

Optometrists are authorized to examine, diagnose, and treat eye and adnexal conditions, while dispensing opticians provide optical goods and related services. Frame adjustment, measurement, and lens grinding are dispensing functions, not diagnosis and treatment.

Question 41Scope of practice, definitions, and authorized activities

An Ohio optometrist provides vision therapy for a patient with convergence insufficiency. How is this service classified under Ohio law?

  1. It may be performed only by an ophthalmologist.
  2. It is outside optometric scope because vision therapy is a form of surgery.
  3. It is permitted only if the patient has a concurrent eye infection.
  4. It is within optometric scope as non-surgical treatment. Correct answer.

Explanation

Ohio's statutory definition of optometry covers non-surgical diagnosis and treatment of visual function abnormalities, including convergence insufficiency; vision therapy is therefore within scope. It is not a surgical procedure and does not require ophthalmologist supervision.

Question 42Scope of practice, definitions, and authorized activities

Which agent may an Ohio optometrist lawfully administer to anesthetize the cornea before measuring intraocular pressure?

  1. Oral acetazolamide
  2. Topical proparacaine Correct answer.
  3. Subconjunctival lidocaine injection
  4. Intravitreal bevacizumab

Explanation

Topical diagnostic agents such as proparacaine may be administered by an Ohio optometrist to facilitate examination, including tonometry. Injectable, intravitreal, and systemic agents are not authorized for this diagnostic purpose.

Question 43Scope of practice, definitions, and authorized activities

Which task may an Ohio optometrist delegate to an unlicensed optometric assistant?

  1. Diagnosing bacterial conjunctivitis
  2. Recording the patient's chief complaint and ocular history Correct answer.
  3. Administering a topical anesthetic before tonometry
  4. Performing a refraction to determine a new spectacle prescription

Explanation

Unlicensed assistants may perform preliminary non-diagnostic tasks, including recording the chief complaint and history. Refraction, diagnosis, and drug administration are reserved to the licensed optometrist and cannot be delegated.

Question 44Scope of practice, definitions, and authorized activities

An Ohio optometrist with the required certification diagnoses primary open-angle glaucoma. Which action is within the optometrist's scope?

  1. Prescribing oral amoxicillin for a systemic infection
  2. Performing trabeculectomy
  3. Performing laser peripheral iridotomy
  4. Prescribing topical latanoprost Correct answer.

Explanation

With appropriate therapeutic certification, Ohio optometrists may medically manage glaucoma, including prescribing topical ocular hypotensive agents like latanoprost. Trabeculectomy and laser iridotomy are surgical or laser procedures outside optometric scope, and systemic antibiotics for non-ocular infection are not authorized.

Question 45Scope of practice, definitions, and authorized activities

A patient has a superficial foreign body on the bulbar conjunctiva. What may the Ohio optometrist do?

  1. Perform a conjunctival biopsy
  2. Inject a steroid into the conjunctiva
  3. Apply laser to the conjunctiva
  4. Remove the superficial foreign body Correct answer.

Explanation

Removal of superficial foreign bodies from the cornea and conjunctiva is a minor procedure within Ohio optometric scope. Biopsy, injectable steroids, and laser application are not authorized optometric procedures.

Question 46Scope of practice, definitions, and authorized activities

An Ohio optometrist finds a visually significant cataract and the patient wants surgery. What is the optometrist's role?

  1. Refer for ophthalmologic surgical evaluation Correct answer.
  2. Ignore the cataract because optometrists cannot diagnose it
  3. Prescribe an oral antibiotic to dissolve the cataract
  4. Perform the cataract surgery personally

Explanation

Optometrists diagnose and manage eye disease non-surgically; cataract surgery must be performed by an ophthalmologist. Referral for surgical evaluation, with postoperative co-management when appropriate, is the correct role.

Question 47Scope of practice, definitions, and authorized activities

A patient has acute anterior uveitis. Which action is within an Ohio optometrist's scope with appropriate certification?

  1. Performing a pars plana vitrectomy
  2. Injecting intravitreal steroids
  3. Prescribe topical steroid and cycloplegic Correct answer.
  4. Prescribing topical antibiotic for a viral infection

Explanation

With therapeutic certification, optometrists may treat anterior uveitis using topical corticosteroids and cycloplegics. Vitrectomy and intravitreal injection are surgical or injectable procedures outside scope, and antibiotics do not treat uveitis.

Question 48Scope of practice, definitions, and authorized activities

Which medication may an Ohio optometrist prescribe for a patient with allergic conjunctivitis?

  1. Intramuscular epinephrine
  2. Topical olopatadine Correct answer.
  3. Oral amoxicillin
  4. Oral metformin

Explanation

Topical antihistamine/mast-cell stabilizers such as olopatadine are within the optometric therapeutic scope for allergic conjunctivitis. Oral antibiotics, metformin, and injectable epinephrine are not prescribed by optometrists for this ocular allergy presentation.

Question 49Scope of practice, definitions, and authorized activities

An Ohio optometrist wants to administer a subconjunctival injection of corticosteroid. What is the correct conclusion?

  1. This is allowed because the injection is into the eye's appendage.
  2. This is allowed only after referral from an ophthalmologist.
  3. This is allowed if the optometrist has topical certification.
  4. This is not authorized; injectable routes are outside Ohio optometric scope. Correct answer.

Explanation

Ohio optometrists may administer topical and oral ocular medications under certification, but subconjunctival corticosteroid injection is not an authorized route. A referral or topical certification does not expand the scope to injectable drugs.

Question 50Scope of practice, definitions, and authorized activities

Which procedure is within the scope of Ohio optometric practice when performed by a licensed optometrist?

  1. Punctal occlusion Correct answer.
  2. Intravitreal injection
  3. Strabismus surgery
  4. Blepharoplasty

Explanation

Punctal occlusion is a non-surgical minor procedure that Ohio optometrists may perform. Blepharoplasty and strabismus surgery are surgical procedures, and intravitreal injection is an injectable procedure outside optometric scope.