Ophthalmic Scribe Certification Exam Prep
Free practice questions

Free OSC Practice Questions

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.

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These 10 free OSC questions are organized by exam domain, so you can see how each part of the Ophthalmic Scribe Certification blueprint is tested. Reveal the answer and explanation under each question.

Domain 1: Electronic Health Records

Question 1

Yesterday's signed injection note says "left eye." The ophthalmologist confirms that the injection was given in the right eye, consistent with the consent and medication administration record. No treatment error occurred. What is the appropriate way to correct the note?

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Correct answer: B - Use a current-dated, authenticated correction that preserves the original note.

Question 2

The signed assessment for a patient with neovascular AMD reads, "Recommend intravitreal aflibercept OD." The EHR contains a pending order but no medication administration entry or procedure note. Before clarifying whether treatment occurred, which statement is supported by the available documentation?

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Correct answer: A - Right-eye aflibercept recommended; administration is unconfirmed.

Domain 2: History Taking

Question 3

"I see a second image beside road signs," a patient reports. The second image remains when the left eye is covered but disappears when the right eye is covered. Repeating each maneuver gives the same result. How should this symptom be characterized in the history?

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Correct answer: A - Monocular diplopia of the right eye

Question 4

While preparing a cataract-surgery history, a scribe asks about tamsulosin. The patient replies, "I stopped it eight months ago, so it is not on my current medication list." The accurate response to this information is to:

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Correct answer: C - Document prior use and alert the surgeon to the history.

Domain 3: Ophthalmic Abbreviations

Question 5

The technician reports, "Distance VA cc: OD 20/80, improving to 20/30 with PH; OS 20/25." No refraction was performed. Choose the sentence that preserves the distinction between the right-eye measurements.

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Correct answer: C - With correction, right-eye acuity was 20/80 and improved to 20/30 with pinhole.

Domain 4: Ophthalmic Acronyms

Question 6

For a patient being evaluated for glaucoma, the assessment and plan reads "OCT RNFL and HVF." The scribe needs to distinguish the purposes of the two orders. Which pairing is accurate?

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Correct answer: D - OCT RNFL assesses nerve-fiber structure; HVF measures visual-field function.

Domain 5: Ophthalmic Anatomy

Question 7

A draft note places the aqueous-filled posterior chamber behind the crystalline lens. To correct the anatomical description, where should that chamber be located?

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Correct answer: D - Behind the iris and in front of the lens

Domain 6: Ophthalmic Instruments

Question 8

A dense cataract prevents the ophthalmologist from seeing the fundus. Before surgical planning proceeds, a two-dimensional assessment of the posterior segment is requested. The test to document is:

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Correct answer: B - B-scan ultrasonography

Domain 7: Ophthalmic Patient Services

Question 9

At a routine vision screen, a cooperative 43-month-old identifies four of five optotypes on the 20/40 line with each eye tested separately. Red reflexes and the alignment screen are normal, and no other referral indication is present. Under AAPOS recommendations, how should this acuity screen be recorded?

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Correct answer: A - Passed; the results meet the age-specific acuity requirement.

Domain 8: Ophthalmic Pharmacology

Question 10

An ophthalmologist is evaluating new wheezing and a slow pulse in a patient with asthma. The scribe confirms use of the four ophthalmic products below. Which medication entry is most relevant to flag as a possible contributor?

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Correct answer: D - Dorzolamide-timolol combination drops

The rest of the OSC blueprint

The OSC exam also covers these domains. Drill them in the full free practice test:

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