NCLE ADVANCED CERTIFICATION EXAM LATEST 2026 UPDATED
QUESTIONS AND VERIFIED 100% SOLUTIONS (2026/2027)
GRADE: A+|STATUS: GUARANTEED PASS
D. Stroma - Answers -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
D. 20mm. - Answers -Ch1-2. The vertical measurement of the palpebral fissure for an average
eye is
A. 5mm.
B. 10mm.
C. 15mm.
D. 20mm.
A. dilator pupillae - Answers -Ch1-3. The eyelid muscle responsible for closure of the lids is the
A. dilator pupillae.
B. orbicularis oculi.
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,C. levator superioris.
D. pectoral blephari.
C. Aqueous humor - Answers -Ch1-4. The anterior cornea's main source of oxygen is the
A. atmosphere.
B. short posterior ciliary arteries.
C. aqueous humor.
D. central retinal vein.
B. nebula - Answers -Ch1-5. A dense opacity of the cornea is called a
A. dendrite.
B. nebula.
C. fovea.
D. leukoma.
B. 1.336 - Answers -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.
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,C. Aqueous Tear Deficiency - Answers -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.
B. Decreased corneal sensation associated with
contact lens wear. - Answers -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.
D. The lens absorbing the tear film.
A. vitamin A deficiency. - Answers -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.
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, C. blepharitis. - Answers -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.
D. routine lid hygiene. - Answers -Ch1-11. Therapy for and prevention of blepharitis can be
accomplished by
A. oral antibiotics.
B. topical antibiotics.
C. vitamin A.
D. routine lid hygiene.
C. Entropion. - Answers -Ch1-12. The condition in which the lid margin rotates in toward the
globe is called
A. Distichiasis.
B. Ectropion.
C. Entropion.
D. Trichiasis.
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QUESTIONS AND VERIFIED 100% SOLUTIONS (2026/2027)
GRADE: A+|STATUS: GUARANTEED PASS
D. Stroma - Answers -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
D. 20mm. - Answers -Ch1-2. The vertical measurement of the palpebral fissure for an average
eye is
A. 5mm.
B. 10mm.
C. 15mm.
D. 20mm.
A. dilator pupillae - Answers -Ch1-3. The eyelid muscle responsible for closure of the lids is the
A. dilator pupillae.
B. orbicularis oculi.
1|Page
,C. levator superioris.
D. pectoral blephari.
C. Aqueous humor - Answers -Ch1-4. The anterior cornea's main source of oxygen is the
A. atmosphere.
B. short posterior ciliary arteries.
C. aqueous humor.
D. central retinal vein.
B. nebula - Answers -Ch1-5. A dense opacity of the cornea is called a
A. dendrite.
B. nebula.
C. fovea.
D. leukoma.
B. 1.336 - Answers -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.
2|Page
,C. Aqueous Tear Deficiency - Answers -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.
B. Decreased corneal sensation associated with
contact lens wear. - Answers -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.
D. The lens absorbing the tear film.
A. vitamin A deficiency. - Answers -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.
3|Page
, C. blepharitis. - Answers -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.
D. routine lid hygiene. - Answers -Ch1-11. Therapy for and prevention of blepharitis can be
accomplished by
A. oral antibiotics.
B. topical antibiotics.
C. vitamin A.
D. routine lid hygiene.
C. Entropion. - Answers -Ch1-12. The condition in which the lid margin rotates in toward the
globe is called
A. Distichiasis.
B. Ectropion.
C. Entropion.
D. Trichiasis.
4|Page
