Practice questions and plain-English guides for the ABO, NCLE, and COA exams.
Original questions written for opticians and ophthalmic assistants, with full explanations, optics calculators, and a state licensing guide. Free, no account.
Independent: not affiliated with ABO-NCLE or IJCAHPO. Last reviewed Oct 8, 2026.
A patient wears a +3.00 D spherical lens. Their pupil sits 4 mm away from the lens optical center. How much prism is induced at the pupil?
Show the worked answer
Answer: B, 1.20Δ
Δ = c × F = 0.4 cm × 3.00 D = 1.20Δ
Prentice's Rule: prism (Δ) = decentration in centimeters × lens power in diopters. Convert 4 mm to 0.4 cm, then 0.4 × 3.00 = 1.20Δ. The classic mistake is leaving decentration in millimeters (4 × 3 = 12), which overstates the prism tenfold. Base direction depends on lens sign: a plus lens behaves like two prisms base-to-base, so the base points toward the optical center.
The three exams
Formats from ABO-NCLE and IJCAHPO. Each guide links to the official source.
| Exam | Who it’s for | Format | Content areas | Study |
|---|---|---|---|---|
| ABO Basic NOCE | Opticians who dispense eyeglasses | 125 q · 2 h | 6 domains: optics, products, dispensing, standards | Guide to the ABO Basic exam Practice ABO Basic questions FAQ about the ABO Basic exam |
| NCLE Basic CLRE | Opticians and technicians who fit contact lenses | 125 q · 2 h | 8 domains: prefitting, fitting, dispensing, follow-up | Guide to the NCLE Basic exam Practice NCLE Basic questions FAQ about the NCLE Basic exam |
| COA® IJCAHPO | Ophthalmic assistants working with an ophthalmologist | 200 q · 180 min | 22 content areas, history-taking to tonometry | Guide to the COA® exam Practice COA® questions FAQ about the COA® exam |
Study topics
Guides with worked examples, each paired with practice questions.
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Prentice’s Rule
Induced prism from lens power and decentration, base direction, vertical imbalance.
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Lens transposition
Plus- and minus-cylinder form, power crosses, spherical equivalent.
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Keratometry basics
Reading K values, millimeter-to-diopter conversion, corneal astigmatism.
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COA study plan
A plan weighted by IJCAHPO’s 22 content areas, with an example 8-week schedule.
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Exam fees and passing score
The 2026 ABO and NCLE fee, retake and change costs, and how passing is decided.
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Careers in eye care
How people become opticians and ophthalmic assistants.
See the optics
Two concepts every candidate meets, as diagrams you can operate.
How a lens bends light
The duochrome (red-green) test
Calculators
- Prentice’s Rule calculator Prism and base direction from lens power and decentration, with the working shown.
- Transposition calculator Plus- and minus-cylinder form, with the power cross.
Does your state license opticians?
The ABO-NCLE licensing-board directory lists 21 states plus Puerto Rico that license opticians. Search our state guide for the board name, the official link, and how each entry was sourced.