Form Doh 662-097 - Optometrist License Application Packet Page 19
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2727. Which of the following is NOT required as minimum equipment for a Washington licensed
optometrist?
A. a Biomicroscope
B. a Tonometer
C. visual field testing equipment
D. a Binocular indirect ophthalmoscope
28. Washington licensed optometrists shall maintain patient records a minimum of:
A. seven years
B. ten years
C. five years
D. eight years
29. Which is NOT included in the scope of practice of Washington licensed optometrist?
A. prescription of spectacle lenses
B. treatment of glaucoma
C. minor surgery
D. treatment of iritis
30. Which of the following is considered unprofessional conduct?
A. providing false information when applying for a license
B. misrepresentation or fraud in any aspect of the conduct of the business or profession
C. false or misleading advertising
D. all of the above
31. An authorization from a patient to a health care provider to disclose the patient’s health
information must:
A. be in writing, dated, and signed by the patient
B. identify the nature of the information to be disclosed
C. identify the person to whom the information is to be disclosed
D. all of the above
32. A Washington licensed optometrist must provide a copy of the patient’s prescription for
corrective lenses at the completion of the eye examination even when the patient purchases
the optical goods from the prescriber at the prescribers place of business and whether or not
the patient requests a copy of the prescription. A licensee may refuse to give the patient a
copy of the prescription if:
A. the lenses must be ordered
B. the patient has not paid, but only if the immediate payment is required if no ophthalmic
goods were required
C. the patient also ordered contact lenses
D. the office policy does not provide for release of spectacle prescriptions
DOH 662-078 April 2017
Page 5 of 8
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