FREE IJCAHPO COT Exam Guide 2026: 200 Questions + 7 Skills
Video
What is the standard distance used for Snellen visual acuity testing?
Cot Visual Assessment
Question · Easy
Mydriasis, chéri
Short
COA vs COT vs COMT: Which IJCAHPO Credential Fits Your Path?
Compare COA, COT, and COMT eligibility, experience windows, exam components, and content emphasis before choosing your next ophthalmic credential.
Blog
Ciliary body
Ocular Anatomy and Physiology
Flashcard
A patient reads the 20/40 line on the Snellen chart. What does this mean?
Visual ___: the letter-reading measure of how sharply a patient sees, taken at distance and near.
Visual Assessment
Guess the Term
Introduction, Ocular Anatomy & Terminology
1.1 Exam facts, format, eligibility & study strategy
Study guide
Cheat sheet
Which instrument is used to measure intraocular pressure (IOP)?
Cot Diagnostic Testing
Read the clue and guess the term in 6 tries.
Game
Corneal endothelium
What topical anesthetic is most commonly used before Goldmann applanation tonometry?
Cot Ophthalmic Procedures
Complete FREE 2026 IJCAHPO Certified Ophthalmic Technician (COT) study guide: 200-question multiple-choice + 7-skill computer-simulated evaluation, all 22 content areas, eligibility pathways.
___ grid: a pattern of straight lines a patient studies to report areas that look wavy or have disappeared, a sign of macular disease.
Visual Field Testing
The notation 'OD' refers to which eye?
Cot Patient Care
Where the eye fluid flows
Tear film layers (outer to inner)
Which type of visual field test uses a bowl-shaped perimeter with a single stimulus of varying intensity?
Question · Medium
Swinging-light finding: both iris openings fail to hold their size when the beam swings to the eye with weaker retinal or optic-nerve signaling, marking one-sided disease.
Pupil Assessment
1.2 Ocular anatomy, physiology & ophthalmic terminology foundation
What is the normal range for intraocular pressure?
Swap tiles to line up three of the same term.
Term Match
Macula vs fovea
A lensometer is used to measure which of the following?
Abbreviation for the value a tonometer reads in millimeters of mercury; raised values are a glaucoma risk factor.
Tonometry
Which dye is used in conjunction with a cobalt blue light to evaluate corneal abrasions?
Trabecular meshwork and Schlemm's canal
What does a keratometer measure?
___ of curvature: the front-cornea value a keratometer works out from the size of a reflected image.
Keratometry
History Taking & Documentation
2.1 Patient history, chief complaint & ocular/medical history
Which of the following is the gold standard for measuring intraocular pressure?
Flip two cards at a time to find matching terms.
Term Pairs
Snellen fraction (20/40)
Visual Acuity and Assessment
During refractometry, the Jackson cross cylinder is used to refine which component of the refraction?
Eye drift that shows only under cover: the covered eye wanders, then straightens as soon as the cover comes off, while the other eye never shifts.
Ocular Motility
A patient with myopia has difficulty seeing objects at what distance?
Tumbling E and Landolt C charts
Which pupil test evaluates the afferent pathway of the pupillary light reflex?
Manifest eye turn present with both eyes open; covering the straight eye makes the turned eye move to take up fixation.
2.2 Documentation standards, HIPAA & basic ophthalmic coding
Which imaging technology uses low-coherence interferometry to produce cross-sectional images of the retina?
Find five hidden terms in a grid of letters.
Term Search
Teller acuity cards
Before dilating a patient's pupils, the technician should check for which potential contraindication?
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