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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] _____________
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NCLE - AC Advanced NCLE Certification
Exam Review Questions and Answers |
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NCLEAC National Contact Lens Examiners
Advanced Certification
NCLE - AC Advanced NCLE Certification
Exam
Read All Instructions Carefully and Answer All the Questions Correctly Good Luck: - Ch1-1. Which layer of the cornea makes up 10% of the structure's total thickness? A. Epithelium B. Bowman's membrane C. Endothelium D. Stroma - =Answer>> D. Stroma Ch1-2. The vertical measurement of the palpebral fissure for an average eye is A. 5mm. B. 10mm. 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 Ch1-6. The refractive index of the tear film is A. 0.1336. B. 1.336. C. 13.36. D. The tear film does not have an index of refraction. - =Answer>> B. 1. Ch1-7. The most common manifestation of keratoconjunctivitis sicca is A. Riley-Day Syndrome. B. Sjogren's Syndrome. C. Aqueous Tear Deficiency. D. Mucin Deficiency. - =Answer>> C. Aqueous Tear Deficiency Ch1-8. Contact lens wear has been associated with decreased tear production most possibly due to A. The pressure from the lens on the lacrimal gland. B. Decreased corneal sensation associated with contact lens wear. C. Increased bacteria found in the tear film from contact lens use. 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 D. The lens absorbing the tear film. - =Answer>> B. Decreased corneal sensation associated with contact lens wear. Ch1-9. Mucin deficiency is most commonly caused by A. vitamin A deficiency. B. an abundance of aqueous. C. a decrease in production by the Krause and Wolfring glands. D. lid abnormality. - =Answer>> A. vitamin A deficiency. Ch1-10. A condition associated with scales and crusting at the base of the lashes, redness, and irritation of the lid margins and a possible loss of lashes is called A. Stevens-Johnson syndrome. B. lipid abnormality. C. blepharitis. D. ocular dandruff. - =Answer>> C. blepharitis. Ch1-11. Therapy for and prevention of blepharitis can be accomplished by A. oral antibiotics. 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 B. Ectropion. C. Entropion. D. Trichiasis. - =Answer>> D. Trichiasis. Ch1-15. If the lids are unable to close completely, this may result in A. increased tear film evaporation. B. disruption of the mucin layer. C. ocular surface breakdown. D. All of the above. - =Answer>> D. All of the above Ch1-16. Ptosis can be the result of A. interference with the nerve supply to a muscle. B. long-term rigid lens wear. C. dehiscence of the levator muscle. D. All of the above. - =Answer>> D. All of the above. Ch1-17. Keratoconus, as a condition, has been recognized for approximately A. 200 years. B. 150 years. C. 100 years. 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 D. 50 years. - =Answer>> A. 200 years. Ch1-18. Rizzuti's sign is A. iron deposits surrounding the base of the cone. B. fine vertical stress lines within the stroma. C. a conical reflection on the nasal cornea if a penlight is shone from the temporal side. D. scissoring of the retinoscope reflex. - =Answer>> C. a conical reflection on the nasal cornea if a penlight is shone from the temporal side. Ch1-19. Approximatelyhowmanypatients with rheumatoid arthritis will develop keratoconjunctivitis sicca? A. 10% B. 20% C. 50% D. 70% - =Answer>> B. 20% Ch1-20. Diabetes mellitus is a condition in which the ____ does not produce sufficient amounts of ___ A. pancreas, glucose. B. pancreas, insulin. 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 D. infrequent blinks. - =Answer>> B. blepharospasm Ch1-24. Contact lenses worn by patients suffering from allergic rhinitis should be A. made from a rigid material only. B. made from soft lens materials over 55% water only. C. kept as wet as possible regardless of material. D. never worn by these patients. - =Answer>> C. kept as wet as possible regardless of material. Ch1-25. Drugs that cause a reduction in blink rate include A. antihistamines. B. muscle relaxants. C. anti-depressants. D. All of the above. - =Answer>> D. All of the above Ch2-1. Assuring that the ocular surface is healthy and able to support soft contact lenses, gas permeable lenses, or scleral lenses will benefit the patient by A. minimizing potential complications associated with contact lens wear. B. maximizing potential complications associated with contact lens wear. 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 C. changing their spectacle Rx to more plus. D. reducing photophobic effects. - =Answer>> A. minimizing potential complications associated with contact lens wear. Ch2-2. The ocular surface comprises all of the following, except A. the epithelium of the cornea and conjunctiva. B. the main and accessory lacrimal glands. C. the supporting adnexal structures of the eyelids. D. the sensory eyelash nerves. - =Answer>> D. the sensory eyelash nerves. Ch2-3. Prior ocular surgery, including refractive surgery A. can lessen pre-existing dry eye. B. can worsen pre-existing dry eye. C. has no impact on pre-existing dry eye. D. is of no concern regarding pre-existing dry eye. - =Answer>> B. can worsen pre-existing dry eye. Ch2-4. Recent studies indicate that the precorneal tear film is approximately ____ microns thick. A. one 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 C. 5mm D. 0.1mm - =Answer>> B. 1mm Ch2-8. A tear break-up time (TBUT) of less than _____ seconds is considered abnormal. A. 10 B. 12 C. 14 D. 16 - =Answer>> A. 10 Ch2-9. Slit-lamp biomicroscopic examination of the conjunctiva and cornea prior to contact lens fitting is appropriate to examine for any signs of the following except A. inflammation and corneal dryness. B. chemosis. C. retinal detachment. D. corneal infiltrates. - =Answer>> C. retinal detachment. Ch2-10. ___________ are the two most common dye tests for evaluation of the cornea and conjunctiva! surfaces. A. Fluorescein and Royal Blue 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 B. Fluorescein and Rose Bengal C. Rose Bengal and Cobalt Blue D. Rose Bengal and Cobalt Blue - =Answer>> B. Fluorescein and Rose Bengal Ch2-11. Which of the following is thought to be the central condition that leads to the ocular surface damage and symptoms seen in dry eye? A. Decreased tear osmolarity B. Increased tear volume C. Excessive meibomian gland function D. Increased tear osmolarity - =Answer>> D. Increased tear osmolarity Ch2-12. Dry eye has been divided into _ _ __major subtypes based on etiology. A. two B. three C. four D. five - =Answer>> A. two Ch2-13. Sjogren dry eye syndrome is a-an _____ disease affecting the lacrimal and salivary glands. 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. longer durations than B. shorter durations than C. much shorter durations than D. equal durations as - =Answer>> A. longer durations than Ch2-17. Punctal occlusion is _____ in cases of aqueous tear deficiency dry eye. A. not beneficial B. beneficial C. not useful D. not considered - =Answer>> B. beneficial Ch2-18. Topical cyclosporin A and topical corticosteroids A. have neither been found to be clinically beneficial in the treatment of dry eye. B. have not been studied in the treatment of dry eye. C. need to be used together in the treatment of dry eye. D. have both been found to be clinically beneficial in the treatment of dry eye. - =Answer>> D. have both been found to be clinically beneficial in the treatment of dry eye. 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 Ch3-1. Custom soft contact lenses are lenses manufactured for a specific patient with parameters that are typically ______ that range of standard, mass- produced, inventorial lenses. A. individually, within B. mass, outside C. mass, within D. uniquely, outside - =Answer>> D. uniquely, outside Ch3-2. Most mass-produced lenses have standard diameters set at approximately A. 11.5-11.Smm. B. 12.0-12.3mm. C. 14.0-14.2mm. D. 14.8-15.lmm. - =Answer>> C. 14.0-14.2mm. Ch3-3. In a study done at Pacific University, researchers topographically measured the HVIDs of 200 corneas and found the average corneal diameter to be __ and __ to be the most frequent diameter. A. 11.8mm, 12.0mm B. 12.3mm, 12.5mm C. 12.8mm, 13.0mm 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. design, closely B. diameter, somewhat C. base curve, somewhat D. flexure, closely - =Answer>> A. design, closely Ch3-7. The primary soft contact lens parameter by which we enhance visual acuity in the irregular astigmat, beyond customary sphere and cylinder power, is ____ contact lens thickness. A. peripheral B. edge C. central D. mid-peripheral - =Answer>> C. central Ch3-8. In a standard off the rack contact lens, the average center thickness ranges from A. 2.0mm to 2.5mm. B. 1.0mm to 1.5mm. C. 0.8mm to 1.3mm. D. 0.08mm to 0.18mm. - =Answer>> D. 0.08mm to 0.18mm. Ch3-9. The central optic zone traditionally encompasses the central ____ of the contact 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 A. 11.0mm B. 10.0mm C. 9.0mm D. 8.0mm - =Answer>> D. 8.0mm Ch3-10. Soft contact lens designs for corneal ectasia include all of the following except, A. Flexlens Tri-Curve. B. Hydrokone. C. Keraclear B1. D. Kerasoft IC. - =Answer>> C. Keraclear B1. Ch4-1. In the early l 970's, __ pioneered the idea of placing a gas permeable lens (then PMMA) over a hydrogel soft lens in keratoconic patients. This concept would be known as piggybacking. A. Joseph A. Baldone, MD B. Whitney G. Sampson, MD C. Oliver H Dabezies, Jr., MD D. Samuel Jackson, MD - =Answer>> A. Joseph A. Baldone, MD Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
