NOCE Spectacle Dispensing Procedures Questions and Answers

Question 1

A patient returns complaining their new glasses cause the floor to appear tilted and "bowed." The prescription and pupillary distance measurements have been verified as correct.
Which of the following frame adjustments is most likely to resolve this complaint?

Accepted Answer

Increase the pantoscopic tilt.

Answer

Decrease the face form (wrap) of the frame.

Answer

Ensure both temples are level with each other.

Answer

Widen the nose pads for a lower fit.

Question 2

When dispensing new polarized sunglasses, what is the most accurate explanation of their primary benefit to the patient?

Accepted Answer

They reduce blinding glare from horizontal surfaces like water and pavement.

Answer

They automatically darken in bright sunlight and lighten indoors.

Answer

They provide superior scratch resistance compared to standard lenses.

Answer

They block a higher percentage of UV light than non-polarized lenses.

Question 3

An optician is fitting a patient with a high-wrap sports frame that will have a prescription. To ensure the laboratory can accurately compensate the prescription for the frame's curvature, which measurement is most critical to provide in addition to the PD and fitting height?

Accepted Answer

Face form angle

Answer

Temple length

Answer

DBC (distance between centers)

Answer

B measurement of the lens

Question 4

A long-time single-vision wearer is trying their first pair of progressive addition lenses and complains of peripheral distortion and a "swimming" sensation when they turn their head. What is the most appropriate first step for the optician?

Accepted Answer

Re-verify the monocular PDs and fitting heights are correctly positioned in the frame.

Answer

Tell the patient this is a normal part of adaptation and to return in two weeks.

Answer

Immediately order a different, 'softer' progressive lens design.

Answer

Offer to remake the glasses into a lined bifocal.

Question 5

When adjusting a zyl (cellulose acetate) frame that is fitting too wide for the patient, what is the proper procedure?

Accepted Answer

Heat the bridge and gently push inward to narrow the fit.

Answer

Bend the end pieces inward without applying any heat.

Answer

File down the inside of the bridge for a narrower fit.

Answer

Increase the curve of the temple bends behind the ears.

Question 6

During the final dispensing appointment, which of the following is the most crucial instruction for ensuring a new progressive lens wearer adapts successfully?

Accepted Answer

"Point your nose and turn your head to look at objects, rather than just moving your eyes."

Answer

"Be sure to clean your lenses daily with the provided microfiber cloth."

Answer

"Alternate wearing your new glasses with your old glasses for the first week."

Answer

"If the frames feel loose, you can tighten the screws at the hinges yourself."

A patient returns complaining their new glasses cause the floor to appear tilted and "bowed." The prescription and pupillary distance measurements have been verified as correct.Which of the following frame adjustments is most likely to resolve this complaint?

A patient returns complaining their new glasses cause the floor to appear tilted and "bowed." The prescription and pupillary distance measurements have been verified as correct.
Which of the following frame adjustments is most likely to resolve this complaint?