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50 Cards in this Set
- Front
- Back
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Older patients prefer appointments at what time of the day?
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Mid-morning
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What is a retinomax?
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Handheld autorefractor
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What is the portable lensometer range?
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+/- 15.00D
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The perkins tonometer is basically a handheld Goldmann tonometer, so you definitely need a bottle of...
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fluorescein
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What is the iCare?
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IOP device, uses "rebound" (not applanation) technology. No anesthetic req'd, but probe actually touches cornea
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What are the components of the minimum database?
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Review "Examination" slide on pg 5
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T/F - If using a medical facility in treating a patient, the charts of your patients are your property.
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False - property of the facility
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T/F - There is a billable code for home bound visits.
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True
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T/F - You can use your office as the billing address.
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False - can't do this!
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Medicare Part A?
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Hospital insurance - pays for nursing home
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Medicare Part B?
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Medical insurance
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Medicare Part C?
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Medical advantage plan - private health insurance vs A/B
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Medicare Part D?
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Prescription drug plan
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What is the trend of traffic accidents since 1961?
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- Incr 1961-1966
- Dropped 1974 since fuel crisis and 55 mph speed limit - 1970s-80s = stable rate - Late 80s = decline |
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T/F - Accident rates with age decline but least with older population.
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True
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T/F - Older drivers drive the fewest miles and have the lowest rate of crashes per mile driven.
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False - have highest rate of crashes per mile driven
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Fatality risk of older pts at 70 yo is __x more than age 20.
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3
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Peak of age specific traffic accident deaths at what age?
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18 yo
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Total driver fatalities has (decr/incr), and drivers 65+ fatalities (decr/incr).
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decr, incr
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T/F - Younger drivers are more involved in fatal accidents than older.
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False - older drivers involved in more fatal crashes
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T/F - Older drivers are more responsible for crashes they are involved in.
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True
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T/F - Older drivers are involved in about the same number of multivehicle crashes as younger drivers.
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False - more multivehicle crashes in older
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__% of all motor vehicle crashes related to poor vision.
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50
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Vision accounts for __% of information drivers use to operate a car.
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90
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What is UFOV?
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Useful Field Of View - size of VF in which useful information can be acquired in a single glance.
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Older adults have __% reduction in UFOV.
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40
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Older adults with reduction of UFOV are __x more likely to get in a crash vs those with no reduction.
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6
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T/F - No states have laws that have UFOV requirements at this time.
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True
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T/F - Most older adult traffic fatalities with other cars are in the evening.
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False - straight roads, daylight hrs, at intersections
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Males have __x more risk of crash than females.
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2
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T/F - More crashes for older people occur at night, with bad weather and poor road conditions.
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False - few crashes in these conditions (maybe b/c elderly decide not to drive in these cond)
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T/F - Largest elderly populations tend to be more lax with driving regulations.
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True
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*What is the vision standard in CA for driving?
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- 20/40 OU with or without correction, AND
- 20/40 in one eye AND - 20/70 in the other eye - Worse than 20/200 will not be licensed to drive |
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*T/F - In CA, drivers 60 and over cannot renew by mail.
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False - 70 and over
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*T/F - In CA, must renew in person every 5 years.
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True
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What happens if you fail the vision standard?
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You get handed form DL-62, Report of Vision Examination
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T/F - The DMV has the final say of the driver's license, regardless of the exam results.
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True
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T/F - If you make a mistake on the DL-62 form, you must use a fresh new form.
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True - cannot make corrections
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Dr L. said if the patient has good vision, what should you check off for when the pt needs a new DMV exam form?
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Check off "5 years", but if worse then put less
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What is the key number in the visual field test for DL-62?
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120 degrees; if CF=FTFC, then 60 degrees per eye, 60 x 2 = 120 degrees
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T/F - Dr. L recommends that you put no more than 3 diagnoses on form DL-62.
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False - unless you must, put only one diagnosis because >1 will result in restriction
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What happens if your pt gets 20/40 with correction? If not?
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- Better than 20/40 w/ correction = restriction on license
- If not = scheduled a driving test (Supplemental Driving Performance Evaluation, Area Driving Performance Evaluation) |
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What are the two evaluations used if a patient gets worse than 20/40 with correction?
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- Supplemental Driving Performance Evaluation
- Area Driving Performance Evaluation (if SDPE not passed) |
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What is the SDPE?
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Supplemental Driving Performance Evaluation; evals multiple directions, add'l lane changes, concentration, freeway/hwy driving, destination trip.
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What is the ADPE?
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Area Driving Performance Evaluation; if SDPE not passed. Determines if person able to drive safely within restricted area, i.e. home to grocery/dept store
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Passing ADPE results in...
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- Restricted license ("ADPE")
- Limited driving to specific area - No freeways |
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T/F - For monovision, an SDPE will determine the driving safety.
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True
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T/F - Bioptic telescopes can be used during driving tests to improve VA.
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False - cannot be used during tests, but it does improve VA
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If a driver has less than 20 degrees visual field in each eye, then what action must take place?
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Requires an SDPE
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What conditions require an SDPE with no exception?
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Decreased periph vision <20 degrees, diplopia, hemianopsia, post capsule opacification, retinal damage, any VF loss
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