NACOR PREP 101 EXAM QUESTIONS
WITH COMPLETE SOLUTIONS6
A previous pt has a problem with her CL. She recently picked up a replacement pair. She has
been wearing the same CL for 1 year with no problems. Her VA was 20/20 before and now it's
20/25OU. SL eval shows a well-fitting clean lens. - ANSWERS-Switched lenses
A previous wearer is experiencing red eyes and stinging upon lens insertion. She has recently
switched solutions. - ANSWERS-Reaction to solution
An occasional wearer who uses Clear Care has noticed fungus growing on the lens. The lens
case is kept in the bathroom. - ANSWERS-Contamination
A soft lens wearer has been successfully wearing lenses for 2 years. She now complains of poor
vision and reduced comfort. Upon SL eval you find the lenses riding high under the upper lid. -
ANSWERS-Possible GPC, deposits on lens, lenses old and loosing it's retention.
A computer operator returns for a F/U visit and complains of blurred vision and lens awareness.
- ANSWERS-Lenses drying out
A previous lens wearer notices one lens is more comfortable than the other. Upon inspection,
you find the lens exhibits excessive movement on the up-gaze. The pt's VA is down in that eye. -
ANSWERS-Lens inside out
A DW pt's lenses are 1 year old. The pt notices increased lens awareness, red, itchy eyes and a
present discharge. - ANSWERS-Lens deposits, possible infection or inflammation such as GPC
, A pt who has just recovered from chicken pox complains of a gritty feeling in her eye. Using
naF1 and a SL, you notice a branch-like lesion on the cornea. - ANSWERS-Herpes simplex
A new wearer 55 yrs old is trying Multi CL. Her VA is clear, the lenses fit well. You notice a milky
white ring surrounding her iris. - ANSWERS-Arcus Senilis
A previous RGP pt wants to try soft lenses. With the soft lenses as well as with her glasses, the
pt's VA is down, but she sees well with RGP's. K's: 43.50@175/49.75@045 ->
45.00@180/48.50@075 - ANSWERS-Spectacle blur and irregular astigmatism
A pt returns for a 2 wk recheck. Using NaF1 and the SL you find staining around the limbus.
Initial K's: 43.50@180/43.75@090 -> 43.75@180/44.00@090. F/U K's: 44.00@180/44.25@090
-> 44.50@180/44.75@090. - ANSWERS-Edema from a tight fitting lens
Which series of questions should be asked to gain knowledge about the pt's current CL? -
ANSWERS-- How old are the current CL?
- How many hours/day do they wear the CL?
- Do they sleep with the CL?
- Are the CL dry at anytime during the day or end of day?
- Any problems inserting or removing?
- On a scale of 1-10, 10=Great, how comfortable are the CL?
- What solution is being used?
- Any medication changes?
- Do they uses= eyedrops, if yes, why, and what kind?
- How many unopened CL do they have left?
How would you practically perform a pt's VA/OR? - ANSWERS-1. Wash hands and clean occluder
2. Instruct pt on where to stand (20 feet) and how to hold occluder.
WITH COMPLETE SOLUTIONS6
A previous pt has a problem with her CL. She recently picked up a replacement pair. She has
been wearing the same CL for 1 year with no problems. Her VA was 20/20 before and now it's
20/25OU. SL eval shows a well-fitting clean lens. - ANSWERS-Switched lenses
A previous wearer is experiencing red eyes and stinging upon lens insertion. She has recently
switched solutions. - ANSWERS-Reaction to solution
An occasional wearer who uses Clear Care has noticed fungus growing on the lens. The lens
case is kept in the bathroom. - ANSWERS-Contamination
A soft lens wearer has been successfully wearing lenses for 2 years. She now complains of poor
vision and reduced comfort. Upon SL eval you find the lenses riding high under the upper lid. -
ANSWERS-Possible GPC, deposits on lens, lenses old and loosing it's retention.
A computer operator returns for a F/U visit and complains of blurred vision and lens awareness.
- ANSWERS-Lenses drying out
A previous lens wearer notices one lens is more comfortable than the other. Upon inspection,
you find the lens exhibits excessive movement on the up-gaze. The pt's VA is down in that eye. -
ANSWERS-Lens inside out
A DW pt's lenses are 1 year old. The pt notices increased lens awareness, red, itchy eyes and a
present discharge. - ANSWERS-Lens deposits, possible infection or inflammation such as GPC
, A pt who has just recovered from chicken pox complains of a gritty feeling in her eye. Using
naF1 and a SL, you notice a branch-like lesion on the cornea. - ANSWERS-Herpes simplex
A new wearer 55 yrs old is trying Multi CL. Her VA is clear, the lenses fit well. You notice a milky
white ring surrounding her iris. - ANSWERS-Arcus Senilis
A previous RGP pt wants to try soft lenses. With the soft lenses as well as with her glasses, the
pt's VA is down, but she sees well with RGP's. K's: 43.50@175/49.75@045 ->
45.00@180/48.50@075 - ANSWERS-Spectacle blur and irregular astigmatism
A pt returns for a 2 wk recheck. Using NaF1 and the SL you find staining around the limbus.
Initial K's: 43.50@180/43.75@090 -> 43.75@180/44.00@090. F/U K's: 44.00@180/44.25@090
-> 44.50@180/44.75@090. - ANSWERS-Edema from a tight fitting lens
Which series of questions should be asked to gain knowledge about the pt's current CL? -
ANSWERS-- How old are the current CL?
- How many hours/day do they wear the CL?
- Do they sleep with the CL?
- Are the CL dry at anytime during the day or end of day?
- Any problems inserting or removing?
- On a scale of 1-10, 10=Great, how comfortable are the CL?
- What solution is being used?
- Any medication changes?
- Do they uses= eyedrops, if yes, why, and what kind?
- How many unopened CL do they have left?
How would you practically perform a pt's VA/OR? - ANSWERS-1. Wash hands and clean occluder
2. Instruct pt on where to stand (20 feet) and how to hold occluder.
