NCLE LATEST 2026 STUDY GUIDE QUESTIONS AND
SOLUTIONS GRADED A+
✔✔Bedewing of the cornea occurs on which of the following corneal layers?
a) Bowman's membrane
b) Epithelium
c) Endothelium
d) Descemet's membrane - ✔✔c) Endothelium
✔✔Reducing the diameter of a minus lens results in:
a) increased center thickness
b) a reduction in weight
c) a steeper base curve
d) decreased center thickness - ✔✔b) a reduction in weight
✔✔To ensure follow-up recall appointments, it is important to:
a) give an appointment a year in advance
b) rely on the patient to schedule the follow up appointments
c) send a note saying that it is not possible to replace a lens unless an appointment is
scheduled in advance
d) reinforce the need for follow up care beginning with the initial contact lens fitting
appointment - ✔✔d) reinforce the need for follow up care beginning with the initial
contact lens fitting appointment
✔✔On a follow up visit, a 20 year old myopic patient reports difficulty with near vision,
although distance vision is excellent. This patient is most likely:
a) astigmatic
b) amblyopic
c) undercorrected
d) overcorrected - ✔✔d) overcorrected
✔✔A patient returns for a recheck, reporting a sudden sharp pain this morning upon
insertion of a soft daily wear lens. The fitting should suspect:
a) a damaged lens
b) improper blinking
c) a tight lens
d) edema - ✔✔a) a damaged lens
✔✔What would be the most appropriate soft lens diameter for a patient whose HVID is
12mm?
, a) 14mm
b) 13 mm
c) 15 mm
d)12 mm - ✔✔a) 14 mm
✔✔A silicone hydrogel soft lens wearer presents with a superior arculate lesion. This
indicates:
a) corneal dystrophy
b) microcysts
c) corneal edema
d) epithelial splitting - ✔✔d) epithelial splitting
✔✔With regard to a contact lens examination, the acronym SOAP stands for
a) Symptomatology, Over-refraciton, Anatomy, Physiolofy
b) Systemic disease, ocular disease, astigmatism, presbyopia
c) Sensitivity, Ophthalmometry, Acuity, Pathology
d) Subjective, Objective, Assessment, Plan - ✔✔d) Subjective, Objective, Assesment,
Plan
✔✔Which part of the eye is most sensitive to a rigid corneal contact lens during the
adaption period?
a) Lid
b) Sclera
c) Limbus
d) Conjunctiva - ✔✔a) Lid
✔✔A GP lens wearer reports a scratchy feeling upon lens insertion; the discomfort
increases with wearing time. The most likely correction would be:
a) changing the care regimen
b) removing the CN bevel
c) blending the junction zone
d) decreasing the total lens diameter - ✔✔c) blending the junction zone
✔✔If a soft lens wearer complains of awareness of the lens in the right eye only, and
the right and left parameters are identical, which of the following would be best for the
fitter to do first?
a) Put the lens in the right eye to see if the feeling subsides or alternates
b) Switch to a steeper lens on the right eye only
c) Order new lenses to see if the feeling subsides
SOLUTIONS GRADED A+
✔✔Bedewing of the cornea occurs on which of the following corneal layers?
a) Bowman's membrane
b) Epithelium
c) Endothelium
d) Descemet's membrane - ✔✔c) Endothelium
✔✔Reducing the diameter of a minus lens results in:
a) increased center thickness
b) a reduction in weight
c) a steeper base curve
d) decreased center thickness - ✔✔b) a reduction in weight
✔✔To ensure follow-up recall appointments, it is important to:
a) give an appointment a year in advance
b) rely on the patient to schedule the follow up appointments
c) send a note saying that it is not possible to replace a lens unless an appointment is
scheduled in advance
d) reinforce the need for follow up care beginning with the initial contact lens fitting
appointment - ✔✔d) reinforce the need for follow up care beginning with the initial
contact lens fitting appointment
✔✔On a follow up visit, a 20 year old myopic patient reports difficulty with near vision,
although distance vision is excellent. This patient is most likely:
a) astigmatic
b) amblyopic
c) undercorrected
d) overcorrected - ✔✔d) overcorrected
✔✔A patient returns for a recheck, reporting a sudden sharp pain this morning upon
insertion of a soft daily wear lens. The fitting should suspect:
a) a damaged lens
b) improper blinking
c) a tight lens
d) edema - ✔✔a) a damaged lens
✔✔What would be the most appropriate soft lens diameter for a patient whose HVID is
12mm?
, a) 14mm
b) 13 mm
c) 15 mm
d)12 mm - ✔✔a) 14 mm
✔✔A silicone hydrogel soft lens wearer presents with a superior arculate lesion. This
indicates:
a) corneal dystrophy
b) microcysts
c) corneal edema
d) epithelial splitting - ✔✔d) epithelial splitting
✔✔With regard to a contact lens examination, the acronym SOAP stands for
a) Symptomatology, Over-refraciton, Anatomy, Physiolofy
b) Systemic disease, ocular disease, astigmatism, presbyopia
c) Sensitivity, Ophthalmometry, Acuity, Pathology
d) Subjective, Objective, Assessment, Plan - ✔✔d) Subjective, Objective, Assesment,
Plan
✔✔Which part of the eye is most sensitive to a rigid corneal contact lens during the
adaption period?
a) Lid
b) Sclera
c) Limbus
d) Conjunctiva - ✔✔a) Lid
✔✔A GP lens wearer reports a scratchy feeling upon lens insertion; the discomfort
increases with wearing time. The most likely correction would be:
a) changing the care regimen
b) removing the CN bevel
c) blending the junction zone
d) decreasing the total lens diameter - ✔✔c) blending the junction zone
✔✔If a soft lens wearer complains of awareness of the lens in the right eye only, and
the right and left parameters are identical, which of the following would be best for the
fitter to do first?
a) Put the lens in the right eye to see if the feeling subsides or alternates
b) Switch to a steeper lens on the right eye only
c) Order new lenses to see if the feeling subsides
