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COT contact lens review questions with detailed verified answers

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This document contains a comprehensive set of Certified Ophthalmic Technician (COT) practice test questions with detailed, verified answers, aligned with exam standards. It covers optics, anatomy, pharmacology, diagnostic testing, surgical assisting, patient care, emergencies, and ophthalmic procedures, making it a reliable resource for exam preparation. The material has already been graded and reflects exam-ready accuracy for 2026 candidates.

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COT CONTACT LENS REVIEW QUESTIONS
WITH DETAILED VERIFIED ANSWERS


A bifocal lens in which the power gradually changes from the
central area of the lens to a periphery is known as - correct
answer- An aspheric lens


A good example of a bifocal contact lens that may rotate
without vision impairment is - correct answer- Aspheric


A non wetting gas permeable lens may cause? - correct answer-
Hazy, filmy vision, Lens awareness, and Dryness or grittiness


A normal tear break-up time is: - correct answer- 10-12
seconds


A patient is diagnostically fit with a gas permeable lens with the
following parameters 42.50 -3.00 9.5. If you wish to flatten the
lens to cornea relationship, which of the following lenses would
you order? - correct answer- 42.50 -3.00 9.0

,A patient with a high degree of with the rule astigmatism fitted
with a spherical gas permeable lens will show touch - correct
answer- On the horizontal meridian


A patient's K reading are 43.50 @ .50 @ 90. A spherical
GP lens can be expected to - correct answer- Displace down
and in, or down and out with each blink


A pre-presbyopic myopic patient who is still able to read with
single vision glasses may find that: - correct answer- They
are unable to see fine print when fit with contact lenses


A prism ballast GP lens requires how much prism for proper
orientation? - correct answer- 0.75 to 1.50 D


A rigid contact lens measures + 15.00 D BVP. The FVP will
measure - correct answer- A lesser dioptric reading


A rigid lens correct astigmatism by - correct answer- Forming
a new spherical refracting surface in front of the cornea

,A rigid lens showing a band shaped area of touch on the flattest
meridian is an indication of a lens fit on - correct answer-
Astigmatic cornea


A rigid lens showing apical touch is an indication of ? - correct
answer- A flat fit


A rigid lens showing central vaulting is indicative of - correct
answer- Apical clearance fit


A rigid lens showing excessive apical pooling is an indication of?
- correct answer- A steep fit


A rigid lens shows two curves on the convex surface when
measured with the radiuscope. On the lensometer, it shows one
power. What type of lens is this? - correct answer- Warped


A Soft contact lens that is too loose may show all of the
following EXCEPT? - correct answer- LImbal compression


A soft lens has edge lift when observed on a cornea. How can
this be corrected? - correct answer- Steepen the base curve

, A soft toric lens will correct - correct answer- Residual
Astigmatism, Moderate Astigmatism, Low Astigmatism


A technician can perform a preliminary evaluation of soft
contact lens movement by? - correct answer- Observing the
movement of the lens edge in relation to position of a
conjunctival vessel, Having the patient look up and blink,
Observing movement and lens lag in upward and lateral gaze
with a penlight


A warped lens will show __________ base curves, on the
radiuscope and a ______________ power on the lensometer -
correct answer- Two / Spherical


A whitish haze in the peripheral corneal stroma which does not
stain and is often seen in the elderly is know as: - correct
answer- Arcus Senilus


All of the following will enable the practitioner to verify the
overall gas permeable lens diameter except - correct answer-
Radiuscope

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