Name: _________________________________________
Building Healthy Futures Vision Pre-Screening Quiz:
Snellen Chart
____ 1. The chart must be how far away from the examiner?
a. 10 feet
b. 15 feet
c. 20 feet
d. 25 feet
____ 2. The purpose of the Snellen chart is to screen for:
a. Visual acuity- how far they can see at a distance
b. visual acuity- how far they can see up close
c. color blindness
____ 3. What results warrant a referral?
a. 20/30
b. 20/40
c. 20/20
d. 20/50
Snellen with Diopter Lenses
____ 4. This exam utilizes what strength diopter lenses?
a. +1
b. +1.5
c. +2
d. +2.5
____ 5. What line do we use for screening?
a. 20/20
b. 20/30 c. 20/40
d. 20/50
____ 6. What result warrants a referral?
a. Ability to get 50 % of the letters correct while wearing the diopter glasses
b. Ability to get 25 % of the letters correct while wearing diopter glasses
c. Inability to recognize any of the letters correctly while wearing the diopter glasses
Rosenbaum Pocket Screener:
____ 7. The near card should be placed how far away from the examiner?
a. 10 inches
b. 12 inches
c. 14 inches
d. 16 inches
____ 8. The purpose of the Rosenbaum Pocket screener is to screen for?
a. Visual acuity- how far they can see at a distance
b. b. visual acuity-how far they can see up close
c. c. color blindness
____ 9. What results warrant a referral?
a. 20/30
b. 20/40
c. 20/20
d. 20/50
Stereopsis: The Fly Stereo Acuity Test
____ 10. The Stereopsis test is used to test the ability to perceive?
a. 3-D images
b. spatial relationships
c. distance between objects
d. all of the above
____ 11. The test booklet should be held at eye level approximately ____ inches from the child.
a. 12
b. 16
c. 20
d. 10
____ 12. True or False, the child should be referred if unable to pinch the wings of the fly.
Ishihara’s Color vision screen:
____ 13. The purpose of Ishihara’s screening is to screen for?
a. Visual acuity- how far they can see at a distance
b. b. visual acuity-how far they can see up close
c. c. color blindness
____ 14. For pre-screening the plates 1 & 2 contain what?
a. Numbers
b. Letters
c. Square and Circle
d. Lines to be traced
____ 15. What warrants a passing result?
a. Ability to get 50% of the card plates correct
b. Ability to trace card plate 8 correctly, and 3 of the following plates: 3,4,6, & 7.
c. Ability to trace card plate 8 correctly, and 2 of the following plates: 3,4,6, & 7.
d. Ability to get 75% of the card plates correct.