Free Practice Questions for COMT

History and Documentation

Ocular, medical, medication, social, and family history taking and accurate chart documentation.

Visual Assessment

Distance and near acuity at every level (counting fingers to no light perception), special populations, pinhole, stereoacuity, near point of accommodation and convergence, AC/A ratio, magnification calculation, and low vision devices.

Visual Field Testing

Amsler grid, confrontation fields, automated static perimetry, and Goldmann kinetic perimetry.

Pupil Assessment

Measuring, comparing, and evaluating pupil size, shape, reactivity, and relative afferent pupillary defect.

Tonometry

Applanation tonometry, hand-held applanators, non-contact tonometry, and tonometer cleaning and disinfection.

Keratometry

Automated and manual keratometry.

Ocular Motility Testing

Versions, ductions, muscle functions and anomalies, near point convergence and accommodation, fusional convergence amplitudes, cover tests, prism measurement of strabismus, Worth 4-Dot, Maddox rod, Krimsky, stereoacuity, nystagmus, amblyopia therapy, and convergence training.

Lensometry

Automated and manual neutralisation of spectacles, Fresnel prism, ground-in prism, slab-off, and the Geneva lens clock.

Refraction, Retinoscopy and Refinement

Autorefraction, retinoscopy, refinement of sphere and cylinder in plus or minus cylinder, fogging, duochrome, binocular balance, vertex distance, transposition, spherical equivalent, and near add determination.

Biometry

Diagnostic/standardised A-scan and B-scan echography.

Supplemental Testing

Glare testing, potential acuity meter, slit lamp and slit lamp lenses, direct ophthalmoscopy, colour vision plates and specialised colour tests, pachymetry, anterior chamber depth, OCT and scanning laser testing, tear tests, contrast sensitivity, head and posture assessment, exophthalmometry, wavefront diagnostics, fusional amplitudes, Maddox rod, corneal sensitivity, fluorescein and ICG angiography phases, and identification of ERG, VEP, and EOG.

Microbiology

Types of microorganisms, pathways of disease transmission, assisting with conjunctival and corneal specimen collection, and Universal Precautions.

Pharmacology

Drug delivery routes, prescription components, drop and ointment instillation, and the indications, contraindications, and side effects of mydriatics, cycloplegics, glaucoma drugs, anti-infectives, allergy medications, steroids, NSAIDs, lubricants, anaesthetics, diagnostic agents, nutritional supplements, and anti-neovascular drugs.

Surgical Assisting

Instrument preparation and maintenance, aseptic technique, sterilisation, surgical site identification, refractive surgery, non-refractive laser therapy, YAG laser, intraocular injections, and laser safety.

Ophthalmic Patient Services and Education

Communication, care of diverse populations, patient education and counselling, dressings and shields, prosthetic and lens care instruction, urgency-based scheduling, first aid for acute ophthalmic emergencies, vital signs, CPR, charting, and patient flow.

General Medical Knowledge

Ocular anatomy and physiology, body systems, eye diseases by structure, ocular manifestations of systemic disease, cranial nerves III to VII, the visual pathway, medical terminology and abbreviations, and hazardous waste safety.

Optics and Spectacles

Cylinder transposition, prescriptions, vertex distance measurement and conversion, the Geneva lens clock, and progressive lens markings.

Contact Lenses

Lens types, wearing schedules, care systems, follow-up, contraindications and symptoms, fitting soft, rigid, toric, and bifocal lenses, and specialty lenses for irregular corneas, post-transplant eyes, keratoconus, cosmetic/prosthetic use, and bandage wear.

Ophthalmic Imaging

Fluorescein angiography, corneal topography, and scanning laser testing for glaucoma and retina (HRT, OCT).

Photography and Videography

Slit lamp and anterior segment photography, fundus photography, and external photography.

Equipment Maintenance and Repair

Changing instrument batteries, maintaining and calibrating equipment per manufacturer recommendations, emergency equipment, cleaning lenses and prisms, and supply inventory.

Medical Ethics, Legal and Regulatory Issues

Coding, government and institutional rules, quality assurance, ethical and legal standards, scribing, confidentiality, and informed consent.