Certified Ophthalmic Medical Technologist (COMT) Practice Exam

Which of the following describes the "push up" method of NPA assessment?

1. Using a moving target while recording distance only

2. Starting the target from one meter and moving towards the patient

3. Testing with both eyes open and bright lighting only

4. Using colored targets for better visibility

The correct answer is: Starting the target from one meter and moving towards the patient

The "push up" method of near point accommodation (NPA) assessment involves starting with a target at a distance, typically one meter away, and gradually moving it closer to the patient until they can no longer focus on it clearly. This method effectively measures the closest point of clear vision, which is an essential aspect of assessing visual acuity and accommodation. By beginning at a standard distance and bringing the target closer, the clinician is able to observe the patient's accommodative response. This dynamic approach allows for a practical assessment of how well the eyes can adjust focus as the target nears, providing valuable information about the patient's visual capabilities and possible underlying issues. This method differs from solely focusing on distance measurement, testing lighting conditions, or using colored targets, which do not accurately represent the standard procedure for NPA assessment. Such variables may contribute to the overall evaluation of vision but are not characteristic of the "push up" technique itself.