Contacts (NACOR) Exam Questions & Answers, Exams of Advanced Education

Contacts (NACOR) Exam Questions & Answers

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2025/2026

Available from 05/05/2026

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Contacts (NACOR) Exam Questions &
Answers4
After wearing a contact lens all day, patient complains of photophobia (light
sensitivity), redness, and tearing.
Slit lamp with fluorescein shows STAINING around LIMBUS and BLOOD
VESSELS on the conjunctiva. very LITTLE MOVEMENT of cl, on eye . Patient
not experiencing any problems with solution. - ANSWERS-tight fitting lens-
cease wear, refit lens
Patient is no longer using the prescribed solution; she switched to a cheaper
brand. complains of redness and mild discomfort. k's are slightly changed.
slit lamp exam shows superficial punctate keratitis of the corneas outer layer
- ANSWERS-toxic reaction to solution, swithc back to old solution
patient complains of sudden onset of pain without contacts. slit lamp shows
with flourescein a zigzag stain on the center cornea of the OS which also
involves the epithelium.
VA with lenses
od20/20
os20/40 - ANSWERS-corneal abrassion- see doctor for treatment/antibiotic
drops
An older man is complaining of dry eye, redness and irritation. also states his
lenses are uncomfortable and vision is degraded. tear layer appears full of
debris. pressure on lower lid expresses a think purulent discharge. -
ANSWERS-miebomian gland dysfunction
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Contacts (NACOR) Exam Questions &

Answers

After wearing a contact lens all day, patient complains of photophobia (light sensitivity), redness, and tearing. Slit lamp with fluorescein shows STAINING around LIMBUS and BLOOD VESSELS on the conjunctiva. very LITTLE MOVEMENT of cl, on eye. Patient not experiencing any problems with solution. - ANSWERS-tight fitting lens- cease wear, refit lens Patient is no longer using the prescribed solution; she switched to a cheaper brand. complains of redness and mild discomfort. k's are slightly changed. slit lamp exam shows superficial punctate keratitis of the corneas outer layer

  • ANSWERS-toxic reaction to solution, swithc back to old solution patient complains of sudden onset of pain without contacts. slit lamp shows with flourescein a zigzag stain on the center cornea of the OS which also involves the epithelium. VA with lenses od20/ os20/40 - ANSWERS-corneal abrassion- see doctor for treatment/antibiotic drops An older man is complaining of dry eye, redness and irritation. also states his lenses are uncomfortable and vision is degraded. tear layer appears full of debris. pressure on lower lid expresses a think purulent discharge. - ANSWERS-miebomian gland dysfunction

patient come to office complaining he see halos around lights. also experiences blurry vision for a few hours after lens removal. slit lamp exam shows central pooling with cl in place and fold in descemets membrane. k readings og: od43.00/44.75@90 new od43.50/45.00@ os42.50/44.75@90 os43.62/45.12@90 - ANSWERS-tight/steep fitting lens- stop wear, refit with new lens Patient had been wearing soft yearly cl for 2 years, today she is complaining of itching, redness, and a feeling of sand in her eyes. can only wear them or a few hours the lenses seem coated and move around. slit lamp shows lenses excessively move on eye and are riding up over the inferior libus with blink. mild injection and swelling of the conjunctiva. patient has been experiencing a mucoid discharge. upon eye life inversion, the eyelids have a cobblestone appearance. upon lens inspection, lenses are coated and slightly discolored even though they are only 6 months old. - ANSWERS-GPC- stop wearing cls forr few weeks, apx2, check back after patient is complaining of itchy eyelids that appear greasy and crusty. he has worn soft lenses for years with no problem. on slit lamp exam his eye lids appear to be thick. - ANSWERS-blepharitits- see doctor for ointments/drops patient had worn lenses for one year occasionally for sports. comes in not wearing lenses bc there seems to be something on the lens. lenses have been stores in clear care. she keeps her solution in the washroom. upon exam of lens under magnification a ferlike growth is seen on the lens surface

  • ANSWERS-Contamination - throw away lens and clear care, start fresh, don't store in bathroom A previous patient has a problem with her cl. she recently picked up a replacment pair. she has been wearing the same lenses for one year with no problems. her VA was 20/20 before and not its 20/25. slit lamp shows well fitting clean lenses, - ANSWERS-switched lens in eye. (right for left, left for right)

a previous RGP wearer wants to try soft lenses. with the soft lenses as well as with her glasses the patients VA is down, but she sees well with RGPS. k readings : od 43.50@175/49.75@ os45.00@180/48.50@75 - ANSWERS-(k readings show) irregular astigmatism and spectacle blur a patient returned for a two-week check up, using floursciene and slit lamp you find staining around limbus. k's orignal od43.50@180/43.75@90 os43.75@180/44.00@ new od44.00@180/44.25@90 os 44.50@180/44.75@90 - ANSWERS-edema, from a tight fitting lens, refit lens and cease wear of this lens