Booklet  Examining PWLD: Test 2 Sections 3 and 4

Multiple Choice Tests

Please note: CET point are no longer available for this test.

There are 2 multiple choice tests relating to this article. The first test relates to sections 1 and 2, the second test relates to sections 3 and 4. Each test consists of 12 questions and a score of 8 or more correct answers is worth 2 CET points.

Test 2 (Section 2 and 3)

1. When examining a patient with learning disabilities, which of the following is true?

a) It is important to have a routine so that the patient knows what to expect

b) It is acceptable to use different acuity tests for the same patient

c) You should always measure binocular acuity before monocular

d) You should address questions directly to the carer to avoid confusion



2. Which of the following statements about uncontrolled roving eye movements is true?

a) They are common in patients with cerebral palsy

b) They are a sign of nystagmus

c) They usually indicate parietal lobe dysfunction

d) They usually suggest a poor level of vision



3. For visual acuity measurement, which of the following tests make up the most useful pack for patients with learning disabilities?

a) Bailey-Lovie chart, Kay Pictures and Lea symbols

b) LogMAR letter matching, Lea symbols and Cardiff Acuity Test

c) Snellen chart, Kay Pictures and Cardiff Acuity Test

d) Teller Acuity Cards, Cardiff Acuity Test and Kay Pictures



4. Which of the following pairs of acuity measurements are NOT equivalent?

a) Kay Pictures LogMAR 0.1 at 2m: LogMAR 0.4 at 2m

b) Keeler LogMAR letters 6/9.5 at 2m: an acuity of 2/4.8 at 2m

c) Kay Pictures LogMAR 0.5 at 6m: an acuity of LogMAR 0.2 at 6m

d) Keeler LogMAR letters 0.3 at 3m: an acuity of 6/12 at 3m



5. When measuring visual acuity, which of the following will tend to give an apparent better acuity?

a) Monocular as opposed to binocular measures

b) Crowded as opposed to single presentation

c) Preferential looking as opposed to picture matching

d) Kay Pictures at 3m as opposed to 6m



6. Which of the following statements about contrast sensitivity (CS) is true?

a) It is a measure of the patient’s ability to see large faint targets

b) It is a better predictor of mobility than visual acuity

c) All of these

d) It can be assessed using a Pelli-Robson chart



7. Which of the following statements about refractive error amongst people with learning disabilities is true?

a) The same range of errors is found as in the general population

b) A partial correction may help adaptation

c) A correction should be worn at all times to aid adaptation

d) Refractive errors should not be corrected



8. Which of the following about measuring accommodation in a patient with learning disabilities is true?

a) A simple method is to measure acuity with minus lenses

b) A typical young adult under-accommodates by 0.75D

c) You would expect an amplitude of accommodation around 3.00D

d) The push-up method, to blur, can be used as long as it is with pictures



9. Which of the following conditions is known to have a higher prevalence amongst people with Learning Disabilities?

a) Cataract

b) Glaucoma

c) Macular degeneration

d) All of the above



10. Which of the following is NOT a typical sign/symptom of parietal lobe dysfunction?

a) Difficulties coming down steps

b) Inability to recognise the colour of an object

c) Inability to cope with several visual items at once

d) Difficulty seeing in a noisy environment



11. Which of the following modifications is UNLIKELY to help a patient with poor vision in their home?

a) Colour co-ordinating all possessions so that they can be identified

b) Using striped crockery with a plain tablecloth

c) Moving the patient’s chair so that his/her back is to a window

d) Writing notes in a black felt tip pen rather than biro



12. When considering working with people with learning disabilities, which of the following statements is true?

a) You will need specialist equipment for examining the health of the eye

b) You will need a flexible approach and a longer examination time

c) You will need a portable autorefractor

d) You will need a portable field screener