Form Doh 662-097 - Optometrist License Application Packet Page 16

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6. What is the maximum number of days optometrists may prescribe, dispense or administer a
controlled substance in treating a particular patient for a single trauma episode, or condition
or for pain associated with or related to the trauma, episode or condition?
A. 5
B. 8
C. 10
D. 7
7. A qualified optometrist may not prescribe an oral drug within ____ days following ophthalmic
surgery unless the optometrist consults with the treating ophthalmologist.
A. 30
B. 120
C. 90
D. 0
8. A qualified optometrist can prescribe all of the following antifungal agents EXCEPT:
A. all oral forms and dosages of polyene antifungals
B. all oral forms and dosages of imidazole antifungals
C. all oral forms and dosages of triazole antifungals
D. all oral forms and dosages of allylamine antifungals
9. A qualified optometrist can prescribe all of the following anti-emetic agents EXCEPT:
A. all oral forms and dosages of prochlorperazine
B. all oral forms and dosages thiethylperazine
C. all oral forms and dosages of metoclopramide
D. all oral forms and dosages of promethazine
10. A qualified optometrist can prescribe the following category of diuretic agents:
A. all oral forms and dosages of loop diuretics
B. all oral forms and dosages of carbonic anhydrase inhibitors
C. all oral forms and dosages of osmotic diuretics
D. all oral forms and dosages of potassium-sparing diuretics
11. All oral forms and dosages of osmotic diuretics shall be used only in the case of:
A. primary open angle glaucoma and administered on an in-patient basis only
B. acute angle closure glaucoma administered in-office, outpatient, and/or ambulatory
procedures only
C. pigmentary dispersion glaucoma
D. narrow angle glaucoma
12. A qualified optometrist may (use) prescribe (dispense or administer) all oral forms and
dosages of nonsteroidal anti-inflammatory agents except:
A. diclofenac sodium
B. indomethacin
C. ketorolac tromethamine
D. ibuprofen
DOH 662-078 April 2017
Page 2 of 8

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