ABO NOCE Basic Opticianry Spectacle Dispensing and Fitting 2

Question 1

A patient's frame sits too low on the nose, causing the optical centers to be above the patient's pupils. What adjustment is most appropriate?

Accepted Answer

Raise the nose pads

Answer

Increase pantoscopic tilt

Answer

Widen the temples

Answer

Decrease the vertex distance

Question 2

When measuring pupillary distance (PD) for a patient with significant facial asymmetry, which method is most accurate?

Accepted Answer

Monocular PD from each eye to the nose bridge

Answer

Binocular PD only

Answer

Average of three binocular measurements

Answer

Distance PD minus 3mm for near

Question 3

A patient complains of a 'swim' sensation after receiving new progressive lenses. The most likely cause is:

Accepted Answer

All of the above

Answer

Incorrect PD

Answer

Excessive pantoscopic tilt

Answer

Improper fitting height

Question 4

The standard vertex distance used when prescribing trial frame refraction is:

Accepted Answer

12mm

Answer

10mm

Answer

14mm

Answer

16mm

Question 5

Which temple style provides the most secure fit for an active patient?

Accepted Answer

Cable (riding bow) temple

Answer

Skull temple

Answer

Convertible temple

Answer

Library (straight) temple

Question 6

When adjusting a frame with a high minus prescription, the optician should ensure the vertex distance is:

Accepted Answer

Minimized to reduce effective power (less minus)

Answer

Maximized to reduce magnification

Answer

Minimized to increase effective power

Answer

Exactly 20mm for standardization

Question 7

A patient's frame shows unequal temple pressure, with one side tighter than the other. The optician should first:

Accepted Answer

Adjust the bend of the tighter temple

Answer

Replace the frame entirely

Answer

Add temple cushions to both sides

Answer

Recommend a different frame style