Download NCLEAC Advanced Certification Exam: Contact Lens Fitting and Care and more Exams Optics in PDF only on Docsity!
National Certification Organization
for Opticians
NCLEAC National Contact Lens Examiners
Advanced Certification
NCLE - AC Advanced NCLE Certification
Exam
Course Title and Number: NCLEAC Advanced Certification Exam Exam Title: Advanced Certification Exam Exam Date: Exam 2025- 2026 Instructor: ____ [Insert Instructor’s Name] _______ Student Name: ___ [Insert Student’s Name] _____ Student ID: ____ [Insert Student ID] _____________
Examination
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NCLE-AC National Contact Lens Examiners
Advanced Certification
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Read All Instructions Carefully and Answer All the Questions Correctly Good Luck: - A _________ stain is a staining pattern that is indicative of poor lens insertion or recentering technique - =Answer>> Arcuate Prolonged use of digital devices at near may lead to lens discomfort due to: - =Answer>> Decreased blinking HEMA - =Answer>> hydroxyethyl methacrylate Ellipses have an e value of_______ - =Answer>> 0 (zero) Parabolas have have an e value of _______ - =Answer>> 0.1-0. Hyperbolas have an e value of ________ - =Answer>> Greater than 1. Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔 Ctrl + Click Here To 📑ORDER NOW 📑 Follow Link 🤔 ORDER NOW 🤔 🎓 TO GET INSTANT EXPERT HELP 🎓 🤔 ORDER NOW 🤔
🤔Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 🤔 Chat with us here : 🤔 Hybridgrades101@gmail.com When using MPS (multi-purpose solution) the wearer should rub for at least - =Answer>> 20 seconds If the length of time for soaking a lens is not given by the manufacturer, contacts should be soaked for a minimum of ___________ hours. - =Answer>> 4 The primary purpose of a surfactant cleaner is to: - =Answer>> remove loose debris from the lens surface A ________________ based system is the most likely to shorten the lifespan of a soft contact lens. - =Answer>> heat When delivering lenses to a patient, the contact lens fitter should provide a(n) _________________ wearing schedule. - =Answer>> verbal and written A(n) ____________________ is the most effective way to rinse cleaning residue from a gas permeable lens surface. - =Answer>> saline The condition known as _________________ occurs when the patient experiences blurry vision while wearing eyeglasses after the removal of contact lenses. - =Answer>> spectical blur A common preservative found in gas permeable solutions, called __________ can cause serious problems for users of soft contact lenses.
- =Answer>> benzalkonium chloride Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
🤔Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 🤔 Chat with us here : 🤔 Hybridgrades101@gmail.com Patients should clean lenses with a surfactant cleaner: - =Answer>> after removal Changing the ________________ would result in increased lens movement. - =Answer>> peripheral curves to be wider The largest drawback of contact lens materials containing silicone is: - =Answer>> wettability Which of the following contact lens materials are most likely to need a weekly enzymer? - =Answer>> gas permeable lens ____________ is a mercury-based preservative. - =Answer>> thimerosal Mucin balls are more commonly seen with ___________ contact lenses. - =Answer>> silicone hydrogel extended wear Which of the following preservatives are least likely to cause a negative impact on the corneal surface? - =Answer>> sorbic acid If an established contact lens wearer complains of sudden onset pain one afternoon, the cause is most likely: - =Answer>> a damaged lens According to the FDA, extended wear contacts are good for overnight or continuous wear ranging from one to six nights, or up to _________days. - =Answer>> 30 Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
🤔Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 🤔 Chat with us here : 🤔 Hybridgrades101@gmail.com Which preservative is least likely to cause discolored lenses in certain concentrations? - =Answer>> trimethoprim Incorrect gas permeable recentering techniques can create ____________ staining. - =Answer>> arcuate If a patient experiences poor vision after removing their gas permeable lenses and putting on their eyeglasses, this is called: - =Answer>> spectacle blur A contact lens wearer complains of burning, stinging, and redness. The fitter looks at her file and sees that the wearer is using a hydrogen peroxide system. What is the most likely cause of the symptoms? - =Answer>> did not soak for at least 6 hrs ______________ is an adequate disinfectant for contact lens wear. - =Answer>> multi-purpose solution A contact lens wearer should not expose their contacts to ____________ while wearing them. - =Answer>> water When not properly neutralized, hydrogen peroxide solutions can cause: - =Answer>> epithelial damage The practice of _____________ old solution left in the lens case reduces effective lens disinfection and could lead to severe infection, vision loss, or blindness. - =Answer>> topping-off Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
🤔Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 🤔 Chat with us here : 🤔 Hybridgrades101@gmail.com The _______________ date refers to the time that the patient can safely use contact lens care product after the bottle has been opened. - =Answer>> discard After cleaning a contact lens case, it is best that the case is rinsed with fresh: - =Answer>> disinfecting solution When utilizing hydrogen peroxide solution, the wearer must: - =Answer>> use the contact lens case with the solution How often should the contact lens wearer replace the contact lens case? - =Answer>> quarterly A ____________ contact lens will center itself with the blink upon insertion. - =Answer>> soft toric Which of the following is a method of removal for a soft contact lens? - =Answer>> roll or pinch method If a lens has a high-water content, it will fit ________ as it dehydrates. - =Answer>> tighter The two-hand method for removing gas permeable contacts is also called the - =Answer>> scissor Dimple veiling are indentations of epithelium resulting from ______________ trapped under the surface of a soft contact lens. - =Answer>> air bubbles Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
🤔Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 🤔 Chat with us here : 🤔 Hybridgrades101@gmail.com Punctate staining superiorly for a lens wearer is an indication of: - =Answer>> poor insertion and removal techniques With the typical fitting standard for a soft contact lens, the lens will exhibit: - =Answer>> 3 point touch A patient with a high degree of with-the-rule astigmatism is inadvertently fitted with a spherical gas permeable lens. This will show touch along the: - =Answer>> horizontal meridian Blepharitis - =Answer>> An inflammation of the lid margins Chalazion - =Answer>> A blockage or inflammation of the meibomian glands Ectropion - =Answer>> Outward turning of the eyelids Entropion - =Answer>> inward turning of the eyelid Logophthalmos - =Answer>> Incomplete lid closure Patosos - =Answer>> Drooping of the upper lid Stye - =Answer>> Inflammation of a Zeis gland Trichiasis - =Answer>> Inward turning of the eyelashes so they rub against the globe Nevus - =Answer>> Eye freckle Small growth that may be raised Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
🤔Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 🤔 Chat with us here : 🤔 Hybridgrades101@gmail.com Pingecula - =Answer>> Raised yellow bump on congunctiva From spending a lot of time outside Pterygium - =Answer>> Surfers eye Triangular growth of pink fleshy tissue on the conjunctiva that typically starts nasally and grows towards the temple subconjunctival hemorrhage - =Answer>> bleeding between the conjunctiva and the sclera Lateral rectus - =Answer>> Moves eye out away from nose Medial rectus - =Answer>> Moves eye in towards nose Superior rectus - =Answer>> Moves eye up and slightly out Inferior rectus - =Answer>> Moves eye down and slightly inward Superior oblique - =Answer>> Moves eye out and down Inferior oblique - =Answer>> Moves the eye outward and upward Supraversion - =Answer>> The movement of both eyes up Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
🤔Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 🤔 Chat with us here : 🤔 Hybridgrades101@gmail.com Tears oh - =Answer>> 7. First refractive medium of the eye - =Answer>> Tears What are the 3 layers of the tear body - =Answer>> Lipid, mucin, aqueous Where is lipid layer secreted from - =Answer>> Meibomian glands What is the thickest layer of the tear film - =Answer>> Aqueous layer 7 microns thick Aqueous layer is secreted by - =Answer>> lacrimal glands Prevents tear evaporation - =Answer>> Lipid layer Provides antibacterial protection in tears - =Answer>> Aqueous layer Layer of tear film meant to stabilize - =Answer>> Mucin layer Mucin layer is produced by - =Answer>> Goblet cells Normal TBUT time - =Answer>> 15-30 seconds Schirmer test - =Answer>> 5mm of filter paper is placed in the lower conjunctival sac for 5 min recording the amount of tears secreted break up time test - =Answer>> Flourescein is places in conjunctiva and looked at under cobalt blue filter to see Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
🤔Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 🤔 Chat with us here : 🤔 Hybridgrades101@gmail.com the changes in tear patterns. Less than 10 sec TBUT is mucin deficiencies dacryoadenitis - =Answer>> inflammation of the lacrimal gland dacryocystitis - =Answer>> inflammation of the lacrimal sac Keratitis sicca - =Answer>> Inflammation of occupational surface due to dryness Outer tunic - =Answer>> Tough fibrous structure that gives the eye structure letters, restricts light, and provides protection. It consist of sclera, and transitional zone, called the limbus, and the cornea. Sclera - =Answer>> 5/6 of globes surface. Whites of the eye. The thickness prevents light from scattering within the globe Limbus - =Answer>> 1mm transitional zone that connects scorers to cornea Cornea IR - =Answer>> 1. Cornea diopters of power - =Answer>> +43. What is the most refractive component of the optical system - =Answer>> Cornea The cornea supplies approximately __________ of the refractive power of the eye. - =Answer>> 70% Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
🤔Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 🤔 Chat with us here : 🤔 Hybridgrades101@gmail.com Corneal ulcer - =Answer>> Erosion of corneal tissue from trauma, burns, inflammation, or infection Vascular body of the globe - =Answer>> Middle tunic aka uveal tract Mydriasis - =Answer>> Dilator muscle opens the pupil allowing more light into the eye Miosis - =Answer>> Sphincter muscle closed the pupil restricting light into the eye Aniridia - =Answer>> (congenital) absence of all or part of the iris Anisocoria - =Answer>> unequal pupil sizes Heterchromia - =Answer>> Iris 2 diff colors Iridectomy - =Answer>> Surgical removal of the iris Coloboma - =Answer>> defect in the development of a portion of the iris Iridocyclitis - =Answer>> inflammation of the iris and ciliary body Iritis - =Answer>> inflammation of the iris Uveitis - =Answer>> inflammation of the uvea Rubeosis - =Answer>> neovascularization of the iris Cateracts - =Answer>> clouding of the lens Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
🤔Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 🤔 Chat with us here : 🤔 Hybridgrades101@gmail.com Inner tunic - =Answer>> Layer of photoreceptors and neurons, nervous tunic or retina, sensory tunic Photoreceptors - =Answer>> rods and cones Diabetic retinopathy - =Answer>> Premature aging of blood vessels caused by diabetes Macular degeneration - =Answer>> loss of central vision due to damage of of the macular region Retinal detachment - =Answer>> When retinal tunic separates from the choroid tunic depriving it of blood, oxygen and nourishment Retinitis pigmentosa - =Answer>> Hereditary loss of the rods and the cones Glaucoma - =Answer>> increased intraocular pressure results in damage to the retina and optic nerve with loss of vision A social media influencer complains of intermittent blur between blinks when working on his account. The most likely cause is that he is: - =Answer>> suffering from lens dehydration from fixation An extended wear contact lens patient needs to remove their lenses overnight so that they can be cleaned and disinfected at least: - =Answer>> weekly Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
🤔Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 🤔 Chat with us here : 🤔 Hybridgrades101@gmail.com The most common way that patients are non-compliant is: - =Answer>> failure to adhere to proper wear schedule Patients should clean their contacts with a surfactant - =Answer>> upon removal The FDA requires that a contact lens disinfection solution must be effective against _______ major groups of eye pathogens. - =Answer>> 4 The first step in the insertion and removal process is to:
- =Answer>> wash hands with a lotion-free soap The soft lens material ____________ is most likely to become coated with deposits. - =Answer>> high water content ionic When contact lens patients call with complaints of redness or irritation, the fitter should instruct them to: - =Answer>> bring all their solutions and drops to their office visit Patients who overwear their soft lenses or sleep in lenses that are not intended for overnight wear may develop: - =Answer>> CLARE Corneal edema, sensations of soreness, injection, foggy vision and ghost images usually indicates a _______________ lens. - =Answer>> tight fitting Which of the following is the most effective way for a patient to remove protein from Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
🤔Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 🤔 Chat with us here : 🤔 Hybridgrades101@gmail.com a gas permeable lens surface? - =Answer>> enzymer
. A removal method in which the patient looks up, places the index finger on the edge of the contact, and then drags the contact down away from the cornea on onto the sclera in a "J" motion is called the ______________ method. - =Answer>> roll Soft lens induced limbal epithelial hypertrophy usually clears in: - =Answer>> 1 month An emerging presbyope, who is myopic, may find that being fit with contacts may make: - =Answer>> fine print may be hard to read If a gas permeable lens fits too tight, then ____________ can increase the movement of the lens. - =Answer>> decreasing the optical zone When assessing a lens for excessive steepness, which of the following is NOT a characteristic you would look for? - =Answer>> good centration When examining the fit of a gas permeable lens and it appears to be central pooling, this would be an indication of a(n) ___________ fit - =Answer>> steep A patient presents with poor initial vision and vision that fluctuates with the blink. The Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
