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3: REFRACTIVE STATUS 1. The eye is said to have a refractive error when __________. a. light rays do not bend properly to form a singlepoint focus on the retina b. a person is unable to wear contact lenses c. parallel light rays are appropriately refracted to focus on the retina d. light rays are unable to pass through the cornea 2. The index of refraction is abbreviated by the symbol ________. a. i b. n c. r d. v 3. A light ray traveling from one medium to another medium that has a higher index of refraction will be ____________. a. bent away from the normal b. perpendicular c. bent toward the normal d. unaffected 4. Divergence occurs when the light rays _________. a. bend toward the midline b. do not bend c. enter “optical infinity” d. bend away from the midline 5. There is no refraction of light at _________. a. the optical center b. the index of refraction c. 20 feet d. the angle of incidence 6. Light rays assume a virtually parallel course, or “optical infinity,” at approximately a. 20 m b. 20 miles c. 20 cm d. 20 feet 7. Convex lenses are also referred to as _________. a. plano lenses b. plus lenses c. minus lenses d. astigmatism lenses 8. A lens in which the center is thinner than its edges is known as ____________. a. concave b. compound c. convex d. plano 9. Light rays entering the eye must first pass through the _____________. a. retina b. limbus c. crystalline lens d. cornea 10. Which structure contributes approximately 70% of the optical power of the eye? a. crystalline lens b. retina c. posterior pole d. cornea 14. The number of diopters of power is equal to the reciprocal of the focal length of a lens in ________. a. meters b. centimeters c. inches d. feet 11. Combining front and back surface powers, the total power of the cornea averages approximately __________. a. 12.00 D b. 22.00 D c. 32.00 D d. 42.00 D 15. A 3.00 D lens has the focal length of _______. a. 3 m b. 0.50 m c. 50 cm d. 33 cm 12. Which part of the eye is biconvex, normally transparent, and sits just behind the iris? a. retina b. cornea c. crystalline lens d. sclera 13. Accommodation is defined as _____________. a. light rays entering the eye b. the act of the crystalline lens changing its shape to focus for objects at varying distances c. the refracting power of the cornea d. a reductions of visual acuity with no apparent cause 16. The ability of the crystalline lens to focus is known as ______________. a. accommodative reserve b. amplitude of accommodation c. refractive error d. accommodative insufficiency 17. Accommodative reserve is the difference between _____________. a. supply and demand b. distance and diopters c. convergence and divergence d. power and refraction 18. There are approximately 130 million of which of the following in the human retina? a. parallel rays b. rods c. diopters d. cones 19. Cones in the human retina provide which of the following? a. peripheral vision b. scotopic vision c. color vision d. depth perception 24. Myopia is commonly called __________. a. Farsightedness b. Pincushion c. Nearsightedness d. refractive index 20. The area of the retina that provides the most acute vision is the _________. a. Posterior pole b. Crystalline lens c. Optic disc d. Fovea centralis 25. Concave lenses would be used to correct __________. a. Emmetropia b. Myopia c. Hyperopia d. presbyopia 21. What is the length of the eyeball from the cornea to the posterior pole known as? a. foveal length b. axial length c. emmetropic length d. ametropic length 22. Axial length discrepancies will result in producing a (n) ___________. a. refractive error b. decrease in rods c. accommodative reserve d. electrophysiologic impulse 23. In an emmetropic eye, where are parallel light rays affected? a. behind the retina b. in front of and behind the retina c. on the retina d. in front of the retina 26. Minus lenses may cause _____________. a. magnified distortion b. pincushion distortion c. no distortion d. barrel distortion 27. How are light rays refracted in hyperopia? a. in front of the retina b. directly on the retina c. behind the retina d. both in front and on the retina 28. Hyperopia is closely connected with which one of the following? a. astigmatism b. retinoscopy c. accommodation d. anisometropia 29. Treatment for hyperopia is usually with which one of the following? a. toric lenses b. convex lenses c. concave lenses d. complex lenses 33. What type of lens is used for correction of compound astigmatism? a. Spherocylinder b. Concave c. Bifocal d. Convex 30. What is the distance called between two lines of focus called? a. interval of meridian b. interval of Sturm c. circle of least confusion d. axial length 34. A normal reduction in the ability to accommodate is known as ___________. a. Myopia b. Presbyopia c. Emmetropia d. Hyperopia 31. The difference between total ocular astigmatism and corneal astigmatism is called ___________. a. against-the-rule astigmatism b. residual astigmatism c. keratoconus astigmatism d. irregular astigmatism 35. What is the distinction between hyperopia and presbyopia? a. accommodative reserve b. axial length c. accommodative amplitude d. refractive error 32. In mixed astigmatism, the focal lines are ________________. a. both on the retina b. both behind the retina c. located one in front of the retina and one behind the retina d. located one on the retina and one in front of the retina 36. Who is credited with inventing bifocals? a. John Adams b. Benjamin Franklin c. Alexander Graham Bell d. Thomas Edison 37. What is the most prevalent type of cataract? a. traumatic b. congenital c. secondary d. senile 38. What is aphakia a. the presence of refractive error b. the presence of a cataract c. the absence of the crystalline d. the absence of accommodation 39. Which of the following is not a treatment method for aphakia? a. spectacle lens correction b. corneal transplant c. contact lenses d. intraocular lens implant 40. What is the condition of an unequal refractive state of two eyes known as? a. Antimetropia b. Anisometropia c. Emmetropia d. Aniseikonia 41. Which is not a type of anisometropia? a. simple b. unequal c. compound d. mixed 42. How is refractive anisometropia best corrected? a. contact lenses b. vision therapy c. surgery d. spectacle lenses 43. What instrument is used in the clinical measurement of aniseikonia? a. eikonometer b. keratometer c. phoropter d. tonometer 44. The difference in the size of two retinal images is known as ___________. a. antimetropia b. anisometropia c. anisocoria d. aniseikonia 45. Lenses specifically designed to alleviate aniseikonia are called __________. a. isotonic lenses b. aphakic lenses c. keratoconic lenses d. iseikonic lenses 46. Which is not a major category of amblyopia? a. refractive amblyopia b. traumatic amblyopia c. organic amblyopia d. strabismic amblyopia 47. Strabismic amblyopia, or “lazy eye,” is most likely the result of which one of the following? a. Cataracts b. Trauma c. inherent aniseikonia d. abnormal binocularity 48. What is another name for strabismic amblyopia? a. Abnormal binocularity b. Refractive amblyopia c. Amblyopia ex anopsia d. hemanopsia 49. Refractive amblyopia is associated with what? a. Uncorrected Exotropia b. Uncorrected refractive error c. Corrected Esotropia d. Corrected Anisocoria 50. In the absence of stimuli which of the following may occur? a. Receptors may not develop properly b. Full visual capability may not be achieved c. None of the above d. All of the above