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Exam Orbit Vision Therapy Hands-on Personal Course

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1.

During the Hirschberg test, a corneal light reflex that appears nasal to the pupil center indicates:

Exotropia
Esotropia
Hypertropia
Hypotropia
2.

Which of the following is a computerized vision therapy system used to train binocular vision?

Hart Chart
Barrel Cards
Marsden Ball
None of the above
3.

According to Hofstetter’s formula, what is the minimal expected amplitude of accommodation for a 30-year-old?

7.5 D
8.0 D
10.5 D
12.0 D
4.

All are causes of intermittent exotropia EXCEPT:

Weak fusional convergence
Fatigue
Excessive divergence
High AC/A ratio
5.

Barrel Cards are primarily used in vision therapy to improve:

Convergence in near vision tasks
Divergence in distance vision tasks
Accommodation for presbyopia
Peripheral vision awareness
6.

The Test of Visual Perceptual Skills (TVPS) is used to assess:

Binocular vision anomalies
Accommodation and convergence abilities
Visual discrimination, memory, and spatial relations
Depth perception
7.

For a patient with Divergence Excess, what is the primary therapeutic goal when using base-in prism exercises?

Increase accommodative response
Strengthen negative fusional vergence
Enhance depth perception
Improve positive fusional vergence
8.

A 4-year-old child has a history of eye turning inward, more pronounced when focusing on nearby objects. The child is hypermetropic. What is the most likely cause of this strabismus?

Convergence insufficiency
Accommodative esotropia
Duane's syndrome
Amblyopia
9.

What specific technique is employed to increase accommodative flexibility in patients with Accommodative Infacility?

Base-in prism training
Minus/plus lens flippers
Vertical prism facility
Cherioscopic tracing
10.

In the Monocular Estimation Method (MEM) retinoscopy, a pronounced "with" motion observed with low plus lenses indicates:

Normal accommodative response
Lead of accommodation
Lag of accommodation
Spasm of accommodation
11.

What is the principle behind the Cardiff Acuity Test?

Minimum angle of resolution
Preferential looking
Vanishing optotype
Minimum separable distance
12.

Horopter meaning:

Imaginary surface in space, all points of which stimulate corresponding retinal elements projected to the same position in space.
Imaginary surface in space, all points of which stimulate corresponding retinal elements projected to different positions in space.
Stimulates non-corresponding retinal elements.
All of the above.
13.

In accommodative esotropia, the AC/A ratio is typically:

Low
Normal
High
Variable
14.

Which test specifically evaluates suppression in strabismus?

Bagolini striated glasses
Worth Four Dot Test
Titmus Fly Test
Prism cover test
15.

If a patient only sees one streak while wearing Bagolini striated glasses, what does this suggest?

Simultaneous perception
Squint with ARC
Suppression
Central suppression scotoma
16.

TNO random dot test is a test for:

Fusion
Convergence
Stereopsis
Contrast sensitivity
17.

Occlusion is a treatment for:

Toxoplasmosis
Exophoria
Amblyopia
Refractive error
18.

A patient reports double vision while performing the Life Saver Card activity. This indicates difficulty with which skill?

Depth perception
Vergence control
Accommodation
Monocular fixation
19.

Which one test is used to detect sensory anomaly

Base out prism
Worth 4 dot test
PLT
Rotation test
20.

Divergence excess type of exotropia is most prominent:

At near fixation
At distance fixation
With prolonged near work
When fatigued
21.

What is the main purpose of the Tranaglyph in vision therapy?

Assessing accommodative lag
Developing depth perception and fusion
Improving near visual acuity
Measuring the near point of convergence
22.

Amblyopia can be produced by:

Strabismus.
Congenital cataract.
High refractive errors.
All the above.
23.

Your 15-year-old patient complains of eye strain at near. Based on the following information, what is your diagnosis or his complaint?

Phoria at 6 m; 1 XP

Phoria at 40 cm ; 6 EP

Phoria at 40 cm with + 1.00 add; 2 XP

Convergence insufficiency
Convergence excess
Divergence insufficiency
Divergence excess
24.

Duane's Retraction Syndrome Type 1 is characterized by:

Limited abduction
Limited adduction
Limited abduction and adduction
None of the above
25.

Which of the following is a type of horizontal deviation?

Hyper deviation
Hypo deviation
Esodeviation
Torsional deviation
26.

What is the primary advantage of using polarized vectograms over anaglyphs for vergence training?

Higher contrast
No need for color filters
Allows separate control of each eye’s input
Provides better color representation
27.

Which of the following tests is most commonly used to evaluate sensory fusion?

Bagolini striated glasses
Maddox rod test
Worth Four Dot Test
Prism cover test
28.

Ductions are used to evaluate:

Binocular motor alignment
Monocular eye movements
Conjugate eye movements
Accommodation
29.

Which of the following is a fusion tool used to train convergence?

Chris's Game
Brock String
Life Saver Cards
Bar Reader
30.

Anomalous retinal correspondence (ARC) indicates:

One eye foveal, squinting eye no foveal vision
Both squinting & non-squinting eye with foveal vision in both eyes
Both eyes (squinting/non-squinting) with non-foveal vision
None of the above
31.

Which of the following conditions is treated using minus-lens therapy?

Divergence excess exotropia
Accommodative insufficiency
Convergence excess esotropia
Basic esophoria
32.

The Hart Chart is commonly used to:

Measure the near point of accommodation
Train saccadic eye movements
Improve visual memory
Train fusion response
33.

In performing the Brock String exercise with an exotropic patient, which adjustment enhances therapeutic benefit?

Keeping the string at a fixed position
Alternating bead distances and holding fixation
Encouraging the patient to blur the beads intentionally
Using only the farthest bead for sustained viewing
34.

Panum's fusional area:

Area of single binocular vision in a zone surrounding points on the horopter line on which objects are seen as single.
Area surrounding the horopter where objects are seen as double.
Area surrounding the horopter where objects are seen as triple.
None of the above.
35.

In using the Barrel Card, which direction should the patient move the card to challenge convergence?

Away from the nose
Toward the nose
To the right side of fixation
To the left side of fixation
36.

The prism cover test is used to measure:

Fusional reserves
The magnitude of deviation
Stereopsis
Suppression
37.
 
Which device would be contraindicated for a patient with accommodative excess during the initial phase of vision therapy?
Minus lens flippers
Brock String
Life Saver Cards
Pegboard Rotator
38.

What does the Marsden Ball train?

Depth perception
Saccadic eye movements and visual tracking
Suppression in one eye
Near-to-far accommodation
39.

What does the CSM method in visual acuity testing stand for?

Central, Steady, Maintained
Centered, Steady, Maintained
Central, Secure, Maintained
Centered, Secure, Maintained
40.

Exophoria can be improved by exercising with ------------- therapeutic prisms.

Base-in prism
Base-out prism
Oblique prism
Vertical prism
41.

Dissociated vertical deviation (DVD) is characterized by:

Alternating hypertropia under dissociation
Constant exotropia under fixation
Simultaneous hypertropia and exotropia
Vertical deviation with limited ocular motility
42.

Which test uses preferential looking to determine visual acuity in children?

CSM method
Teller Acuity Cards
Snellen's Chart
Allen's Picture Cards
43.

According to Hering's law:

In conjugate eye movements, simultaneous and equal innervation flow to antagonist muscles.
In conjugate eye movements, simultaneous and equal innervation flow to yoke muscles.
Unequal innervations to antagonist muscles.
Different innervations to yoke muscles.
44.

Which of the following is true about convergence insufficiency (CI)?

Normal near point of convergence
High AC/A ratio
Normal fusional convergence at distance, reduced at near
Increased negative fusional vergence
45.

A 10-year-old female complains of near blur and eye strain with increased near demands in school. Her entering VA is 20/20 OD and OS without any correction. She is 2 EP at distance and 6 EP at near. Accommodative amplitude was 10D OD and OS. During retinoscopy, her pupils were unstable and constricted and dilated frequently. Cycloplegic retinoscopy revealed + 4.00 DS OD and OS. What is your tentative diagnosis to explain her complaints?

Esophoria
Convergence excess
Accommodative insufficiency
Latent hyperopia
46.

Which device is primarily used to measure fusional vergence limits?

Brock String
Prism Bar
Stereoscope
Life Saver Cards
47.

Fusion Cards are used to train:

Accommodation
Depth perception
Fusional vergence
Eye alignment
48.

Which tool is typically used for assessing and improving accommodation?

Barrel Cards
Accommodative Flippers
Fusion Cards
Chris's Game
49.

In the Krimsky test, what indicates the angle of deviation?

The power of the prism at which the corneal reflex in the deviated eye aligns with the center of the cornea
The position of the corneal light reflex of a spotlight placed 33 cm away
The amount of cyclodeviation measured in degrees
The movement observed during the cover-uncover test
50.

Which condition is addressed by convergence insufficiency vision therapy techniques?

Divergence excess
Inability to maintain binocular alignment during near tasks
Suppression in the dominant eye
Difficulty with saccadic eye movements
51.

Which of the following is NOT an indication of anomalous retinal correspondence (ARC)?

Present in constant strabismus
Eliminates diplopia
Binocular vision with normal retinal correspondence
Developed as an adaptation to strabismus
52.

Crowding phenomenon in amblyopic types indicates better visual acuity when:

Single letter is projected.
One line is projected.
One paragraph is projected.
Letters appear crowded.
53.

Barrel Cards are used for which type of exercises?

Stereopsis training
Suppression training
Convergence training
Visual acuity testing
54.

Normal fusional capacity for vertical squint is?

4 D
6 D
8 D
10 D
55.

Which test is most appropriate for measuring the facility of accommodation?

Push-up method
Minus lens test
RAF rule
Lens flipper test
56.

Amblyopia therapy primarily aims to:

Correct refractive errors
Improve visual acuity and eliminate suppression
Strengthen saccadic eye movements
Enhance color perception
57.

The angle of anomaly in Anomalous Retinal Correspondence (ARC) is:

The difference between the objective and subjective angle of deviation
The angle of deviation when the eyes are perfectly aligned
The angle at which diplopia occurs
Always equal to zero
58.

Barrel Cards are primarily used to train:

Divergence
Stereopsis
Accommodative facility
Fusion & Convergence
59.

In the Hirschberg test, 1 mm of displacement of the corneal light reflex corresponds to:

7 degrees of deviation
15 prism diopters
22 degrees of deviation
30 prism diopters
60.

The cover test results are as follows. What is the calculated AC/A ratio? 15 XP at 6 m Orthophoria at 40 cm Pupillary distance 50/47.

4/1
8/1
11/1
61.

Virtual Reality (VR) in vision therapy is primarily used to:

Measure stereopsis
Provide immersive exercises for visual-motor skills and binocular vision
Diagnose refractive errors
Perform accommodative lag testing
62.

A prism is placed in the Krimsky test to:

Align the corneal light reflex in the deviated eye
Neutralize diplopia
Determine the AC/A ratio
Measure stereopsis
63.

Chris’s Game is most useful for:

Training anti-suppression
Measuring stereopsis
Improving accommodative amplitude
Testing peripheral vision
64.

The main purpose of using Chris's Game in vision therapy is to:

Strengthen accommodation
Promote stereopsis
Reduce suppression and improve visual coordination
Improve eye muscle alignment
65.

The use of Accommodative Flippers at a rate of 20 cycles per minute in therapy primarily targets which visual function?

Depth perception
Accommodation facility
Saccadic movement
Fusion flexibility
66.

Physiologic diplopia is manifest in case of an object situated:

On the horopter
Within Panum's space
Outside Panum's space
All of the above
67.

Which of the following conditions may cause vertical diplopia?

Sixth nerve palsy
Fourth nerve palsy
Convergence insufficiency
Divergence excess exotropia
68.

Angle Kappa is:

Angle between the visual axis and anatomical axis
Angle between the visual axis and optical axis
Angle between anatomical and optical axis
None of the above
69.

Vision Therapy for eso deviations typically includes:

Divergence training exercises
Fusion and convergence exercises
Near-point saccadic training
VR-based suppression therapy
70.

Amount of esophoria for distance is more than near fixation in:

Convergence excess
Divergence weakness
Divergence excess
Basic type
71.

The primary purpose of the Brock String in vision therapy is:

To measure visual acuity
To train convergence and divergence skills
To assess depth perception
To test accommodative flexibility
72.

Suppression is an adaptation in squinting children that is produced subconsciously by an active neglect:

Of the vision in the squinting eye.
Of the vision in the fixating eye.
Of the vision in both eyes.
None of the above.
73.

The primary use of red/green glasses in a vision therapy clinic is to:

Improve monocular vision
Facilitate anti-suppression therapy
Assess stereopsis
Correct refractive error
74.

Accommodative disorders are best managed with techniques that:

Reduce suppression
Enhance accommodation amplitude and flexibility
Improve eye-hand coordination
Correct strabismic deviations
75.

The three-step test is commonly used to diagnose:

Sixth nerve palsy
Fourth nerve palsy
Divergence insufficiency
Convergence excess
76.

The presence of crossed diplopia in a patient suggests which type of ocular alignment anomaly?

Esotropia
Exotropia
Hypertropia
Horizontal heterophoria
77.

In which of the following conditions is the near point of convergence (NPC) commonly found to be abnormal?

Convergence insufficiency
Accommodative esotropia
Duane's syndrome
Exotropia
78.

The normal range of AC/A ratio is?

3-5:1
3-1:5
5-3:1
1-3:5
79.

Latent nystagmus is typically associated with:

Esotropia
Exotropia
Intermittent strabismus
Sensory deprivation
80.

Vision therapy for exo deviations often includes exercises to improve:

Divergence amplitude
Convergence amplitude
Stereopsis only
Distance acuity
81.

Life Saver Cards are used to:

Train accommodative flexibility
Improve stereopsis and fusion skills
Test color vision
Enhance visual memory
82.

What does the presence of a small central scotoma in the 4Δ prism test usually correlate with?

High degree of astigmatism
Macular diseases
Monofixation syndrome
Normal visual acuity
83.

When measuring vergence facility, a patient shows greater difficulty with base-out prisms. This suggests a possible issue with which type of vergence?

Positive fusional vergence
Negative fusional vergence
Vertical vergence
Cyclovergence
84.
 
Which tool is most appropriate for assessing and training convergence in a patient with Convergence Insufficiency (CI)?
Dot Card
Mirror Stereoscope
Rotation Trainer
Cheiroscope
85.

The Maddox rod test is primarily used to evaluate:

Fusional vergence
Stereopsis
Ocular alignment and phorias
Depth perception
86.

Which of the following is NOT a test for stereopsis?

Titmus Fly Test
Lang Stereo Test
Bagolini striated glasses
TNO test
87.

For patients with Divergence Insufficiency, which therapeutic exercise is most likely to improve symptoms?

Base-out prism exercises
Base-in prism exercises
Accommodative amplitude training
Saccadic exercises
88.

Life Saver Cards are primarily used for which of the following?

Teaching accommodative techniques
Improving fusional vergence
Training eye muscle strength
Developing stereopsis and fusion
89.

Hirschberg test is related to:

Image reflex on the anterior surface of the cornea, which indicates approximate deviation in degrees
Image reflex on the posterior surface of the cornea
Image reflex on the anterior surface of the lens
Image reflex on the posterior surface of the lens
90.

Pseudoesotropia in children is caused by:

High hypermetropia
Broad epicanthal folds
Lateral displacement of the fovea
Vertical misalignment
91.

Which of the following conditions could be identified using visual evoked potentials (VEP) in a pediatric assessment?

Convergence insufficiency
Amblyopia due to suppression
Retinal detachment
Optic nerve abnormalities
92.

In the context of the Mirror Stereoscope, what is the primary challenge it poses for patients with strabismus?

Fixation instability due to high demand for fusional vergence
The difficulty of maintaining monocular vision while perceiving depth
The challenge of fusing images presented with the use of mirrors
The intensity of accommodative demand due to rapid near-to-far focusing
93.

Which of the following is an anti-suppression tool?

Aperture Rule
Bar Reader
Mirror Stereoscope
Hart Chart
94.

During a vergence facility test with prism flippers, a patient exhibits difficulty when switching to base-out prism. This suggests a deficiency in which type of vergence?

Divergence
Convergence
Vertical vergence
Accommodative vergence
95.

Which tool is used in vision therapy to assess and improve stereopsis?

Life Saver Cards
Fusion Cards
Titmus Fly Test
Convergence Cards
96.

What is the role of polarized vectograms in anti-suppression therapy?

To separate visual input to each eye
To train convergence exclusively
To provide high-contrast targets for low-vision patients
To engage only the dominant eye in vision therapy
97.

1º deviation is equal to how many prism diopters?

3 D
2 D
2.5 D
3.5 D
98.

The primary advantage of the Marsden Ball over traditional near point exercises is its ability to:

Provide fixed targets for convergence training
Train dynamic, real-life saccadic eye movements for visual tracking
Increase visual acuity in strabismic patients
Improve accommodation flexibility for patients with presbyopia
99.

Which test is used to assess the sensory status and presence of anomalous retinal correspondence (ARC)?

Worth Four Dot test
Cover test
Hirschberg test
Bagolini striated glasses
100.

Which tool is specifically designed for improving fusional vergence through a single or double aperture?

Tranaglyphs
Aperture Rule
Saccadic Sticks
Brock String
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