CA Optometry Law Exam (Referral And Consult
Guidelines)- Q’s And A’s
When does an OD need to refer a traumatic iritis case? Right Ans - Must
refer if patient is still on meds in one week
When must an OD consult with an OMD regarding a traumatic iritis case?
Right Ans - Must consult if condition is worse in 72 hours
When must an OD consult with an OMD regarding a peripheral keratitis
(excluding Mooren's and Terrien's diseases)? Right Ans - Must consult if
condition worse in 72 hours
When must an OD consult with an OMD regarding an idiopathic iritis case?
Right Ans - Must consult if condition is worse in 72 hours or if inflammation is
still present in 3 weeks.
When must an OD refer to an OMD regarding an idiopathic iritis case?
Right Ans - Must refer if patient is still on meds in 6 weeks
When must an OD consult with an OMD regarding an episcleritis case?
Right Ans - Must consult if condition is worse in 72 hours or if inflammation is
still present in 3 weeks
When must an OD refer to an OMD regarding an episcleritis case? Right
Ans - Must refer if still on meds in 6 weeks
When must an OD consult with an OMD after prescribing topical anti-allergy
agents? Right Ans - Must consult if condition is worse in 21 days after
diagnosis
When must an OD refer a patient to an OMD after prescribing topical and/or
oral anti-glaucoma agents? Right Ans - Must refer if patient requests a
referral or if angle closure glaucoma develops.
What additional requirements are implemented in managing glaucoma in a
diabetic patient? Right Ans - Must consult in writing with physician in
developong glaucoma treatment plan or when changing meds.
, When should an OD refer a patient with a central corneal ulcer to an OMD?
Right Ans - Must refer if no improvement within 48 hours
When must an OD refer a patient with a preseptal cellulitis or dacryocystitis to
an OMD? Right Ans - Must refer if no improvement within 48 hours
When must an OD refer a patient with viral keratitis (herpes simplex, herpes
zoster) to an OMD? Right Ans - Must refer if no improvement in keratitis in
7 days, or if condition is not resolved in 3 weeks
When must an OD consult with an OMD regarding a patient with viral
conjunctivitis or dermatitis? Right Ans - Must refer if condition is worse in
7 days
When must an OD refer a patient with viral conjunctivitis or dermatitis to an
OMD? Right Ans - Must refer if condition is not resolved within 3 weeks
What limitations are imposed when an OD prescribes codeine and
hydrocodone with compounds? Right Ans - Limited to 3 days use, must
refer to an OMD if pain persists.
If managing post surgical ocular inflammation and pain...? Right Ans - Co-
manage with surgeon
When treating ocular allergies with steroids, when must OD consult? Right
Ans - IF WORSE in 21 days
Idiopathic iritis, not resolved. Timeframe and action? Right Ans - At 3
weeks, consult
When must an idiopathic iritis be referred? Right Ans - If still on meds in 6
weeks, or if recurrance within 1 year. Must refer any case in pt younger than
18 yrs old.
When must you consult for idiopathic iritis? Right Ans - If worse in 72
hours, if not resolved in 3 weeks
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