NOCE Contact Lens Fitting and Dispensing 3

Question 1

When fitting a patient for monovision contact lenses, which eye is conventionally corrected for distance vision?

Accepted Answer

The dominant eye

Answer

The non-dominant eye

Answer

The eye with the lower prescription

Answer

Either eye based solely on patient preference

Question 2

Which multifocal contact lens design features alternating concentric rings of distance and near powers?

Accepted Answer

Concentric (annular) simultaneous vision design

Answer

Translating (alternating vision) bifocal design

Answer

Aspheric simultaneous vision design

Answer

Prism-ballasted toric design

Question 3

What is the recommended replacement schedule for daily disposable contact lenses?

Accepted Answer

Discard after each single use

Answer

Replace every two weeks

Answer

Replace every month

Answer

Replace every three months

Question 4

Which contact lens care concern has been associated with certain multipurpose solutions and silicone hydrogel lens materials?

Accepted Answer

Decreased surface wettability due to preservative interaction

Answer

Increased oxygen transmissibility

Answer

Improved disinfection efficacy

Answer

Reduced lens dehydration

Question 5

When instructing a new contact lens wearer on lens insertion, what is the correct sequence of steps?

Accepted Answer

Wash hands, verify lens orientation, then insert lens

Answer

Insert lens, wash hands, then verify lens orientation

Answer

Verify lens orientation, insert lens, then wash hands

Answer

Insert lens, verify orientation, wash hands

Question 6

A patient wearing extended wear contact lenses presents with a red, painful eye and photophobia. What is the MOST critical first step?

Accepted Answer

Remove the lens immediately and refer for urgent medical evaluation

Answer

Instill rewetting drops and recheck in 24 hours

Answer

Switch the patient to daily disposable lenses immediately

Answer

Increase the frequency of lens replacement going forward

Question 7

What does the 'push-up test' evaluate during a soft contact lens fitting?

Accepted Answer

The movement and tightness (mobility) of the soft lens on the eye

Answer

The optical power accuracy of the contact lens

Answer

The fluorescein pattern beneath the lens

Answer

The patient's ability to self-insert lenses