CE Test Questions
Anatomy and Physiology for the Contact Lens Fitter

Exam Questions
1. ___________ is a controlled medical device and is regulated by the _____________ .

    A. Contact lenses; EPA
    B. Contact lenses; FDA
    C. Spectacles; OSHA
    D. Contact Lenses; ANSI
2. Contact lens fitting should be done by a trained professional because

    A. The general public is not expected to understand the physiology of the eye and the potentially damaging effects of contact lenses on the eye
    B. Anyone can fit a contact lens
    C. Legislation describes the responsibilities for spectacle and contact lens sales
    D. All of the above
3. All of the following are functions of the tear film except

    A. Lubrication of the sclera and cornea
    B. Removal of debris
    C. Oxygenation of the cornea
    D. Osmotic liquid transport between cornea and aqueous
4. The tears contribute most to clear vision because they

    A. Create a tear lens behind the contact
    B. Provide a smooth surface of refraction
    C. Protect the eye from infection
    D. Are anti bacterial
5. Dry eyes can be caused by a breakdown of which layer of the tear film?

    A. The anterior most layer, composed of lipids
    B. The middle aqueous layer
    C. The inner mucoid layer
    D. Any of the above
6. Too little lens movement or too little tear film interchange can result in

    A. A well fitted lens
    B. A lens that is too loose
    C. Corneal edema
    D. Keratoconus
7. All of the following are lid functions except

    A. Protection of the globe
    B. Corneal oxygenation
    C. Distribution of the tear film
    D. Production of tears.
8. GPC is the initials for

    A. Giant papillary conjunctivitis
    B. A cobble stone appearance of the lid underside
    C. A condition often seen on soft contact lens wearers
    D. All of the above
9. The cornea is composed of

    A. 3 layers
    B. 4 layers
    C. 5 layers
    D. 7 layers
10. The renewal of the top layers of the corneal epithelium

    A. Takes about 7 days
    B. Allows for quick repair after minor injuries
    C. Helps maintain good corneal health
    D. All of the above
11. The excessive intake of fluid into the stroma is called

    A. Corneal edema
    B. Stromal alignment
    C. Bowman's syndrome
    D. Epithelial reduction
12. The cornea must be nourished by the tears and aqueous because

    A. It requires excessive oxygenation
    B. It is avascular
    C. It requires additional fluid interchange
    D. All of the above
13. What factors significantly affect a patient's contact lens wearing schedule?

    A. dk value
    B. Lens thinness
    C. Presence of edema
    D. All of the above
14. Fitting “on K” for gas permeable lenses means fitting

    A. The steepest corneal meridian
    B. The median curve between the steepest and flattest
    C. The flattest corneal curve
    D. Can be any of the above
15. The tear lens

    A. Neutralizes corneal astigmatism
    B. Neutralizes sphere power requirements
    C. Improves contrast sensitivity
    D. Reduces contrast sensitivity
16. Keratoconus involves degeneration of the

    A. Stroma
    B. Basement membrane and Bowmen's layer.
    C. Descemet's membrane and the endothelium
    D. The endothelium
17. The conjunctiva

    A. is an interface between lid and eye
    B. has an epithelium and stromal layer
    C. Is protective of the eye and orbit
    D. All of the above
18. Contact lens wear is contraindicated in which of the following conditions?

    A. Compound myopic astigmatism
    B. Conjunctivitis
    C. Aphakia
    D. Punctum remotem
19. Too small a GP lens diameter may cause all of the following except

    A. Seeing around the optic zone produces unacceptable blurring
    B. Tinted lens edges are in the field of view
    C. Increase in the field of view
    D. Night vision and tinted lenses
20. An indication of a poorly fit lens is

    A. Conjunctival injection
    B. Corneal Edema
    C. A lens edge in the normal field of view
    D. All of the above

Evaluation Questions

21. In questions 21-25 please rate the effectiveness of how well each course met the stated learning objectives: Met the stated learning objectives?

    A. Excellent
    B. Very Good
    C. Good
    D. Fair
    E. Poor
22. Will help you improve patient care?

    A. Excellent
    B. Very Good
    C. Good
    D. Fair
    E. Poor
23. Avoided commerical bias/influence?

    A. Excellent
    B. Very Good
    C. Good
    D. Fair
    E. Poor
24. How would you rate the overall quality of the material presented?

    A. Excellent
    B. Very Good
    C. Good
    D. Fair
    E. Poor
25. How were you directed to this course?




OAA Website


NYSSO Website


Ohio Opticians Website



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