10 exam-style questions with answers and explanations, straight from our 1,030-question bank. Tap an answer to check yourself. When you're ready, take the scored version in the free practice test.
The CCOA exam has 200 questions and runs 3 hours.
These 10 free CCOA questions are organized by exam domain, so you can see how each part of the Corporate Certified Ophthalmic Assistant blueprint is tested. Reveal the answer and explanation under each question.
Before cataract surgery, which medication exposure should be flagged specifically because of its association with intraoperative floppy iris syndrome?
Correct answer: C - Tamsulosin, discontinued several months ago
A child completes the Randot Preschool matching demonstration correctly. Testing at 40 cm with polarized viewers and the prescribed refractive correction yields 3 of 3 correct shapes at 100 arcsec, 3 of 3 at 60 arcsec, and 1 of 3 at 40 arcsec. A level requires at least 2 of 3 correct. What stereoacuity should be recorded?
Correct answer: B - 60 arcsec
"I notice some flashes only faintly. Should I ignore those?" asks a patient practicing automated threshold perimetry. The assistant should give which instruction?
Correct answer: C - Keep looking at the center and press when you detect a flash, even a dim one.
With distant fixation and comparable illumination, both pupils constrict when the right eye is illuminated. Both partially redilate when the light moves to the left eye and constrict again when it returns to the right. Baseline pupil sizes are equal. The pupil record should identify:
Correct answer: C - Left relative afferent pupillary defect
A patient without eye pain, redness, or a new visual change holds their breath and squeezes their eyelids during Goldmann tonometry. Three readings are 26, 28, and 27 mmHg. What should the assistant do before accepting these as reliable pressure measurements?
Correct answer: A - Repeat without squeezing, breath-holding, or external globe pressure.
A spectacle prescription reads +2.50 −1.75 × 145. During verification, the lensometer displays plus-cylinder notation. Which reading represents the prescribed correction?
Correct answer: D - +0.75 +1.75 × 055
A 72-year-old develops recurrent hazy vision several months after successful cataract surgery. Examination leads the ophthalmologist to recommend an Nd:YAG posterior capsulotomy. What will the laser do?
Correct answer: A - Open the cloudy capsule remaining behind the implanted lens.
Liquid alkaline cleaner splashes into an employee's eye without impact or flying debris. A working eyewash station is immediately available, and a colleague is calling for medical help. What takes priority while help is being summoned?
Correct answer: A - Begin copious irrigation at the eyewash station.
While reviewing a prescribed drop regimen, a patient correctly repeats 'one drop in the left eye' but points to the right eye when asked to show where the drop will go. What would best establish that the instruction has been understood?
Correct answer: D - Clarify laterality and have the patient point again.
A patient describes eyelid drooping and binocular double vision that become more noticeable late in the day and improve after rest. The pupils remain equal and reactive. Which condition best fits this combination?
Correct answer: B - Myasthenia gravis
The CCOA exam also covers these domains. Drill them in the full free practice test:
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