Why the other options are wrong:

• They are the least expensive option available at the clinic.: Daily lenses are actually the more expensive option at about 90 dollars per month.
• They are covered fully by the annual eye care plan.: The care plan gives a discount on lenses but does not cover them fully.
• They correct vision better than monthly silicone lenses.: The optometrist does not say dailies correct vision better than silicone lenses.

Correct Answer: Ongoing purchases of cleaning solution.

Why this is correct: Monthly lenses require cleaning solution costing another 20 to 25 dollars monthly. This recurring expense reduces the price gap between monthly and daily lenses.

Why the other options are wrong:

• Replacement lenses for lost pairs.: Replacement for lost lenses is mentioned only in relation to the care plan, not monthly lens costs.
• Extra charges for retinal imaging.: Retinal imaging costs are part of the care plan, not a monthly lens expense.
• A higher initial fitting fee.: The optometrist gives fitting prices with and without the care plan, without identifying a higher initial fitting fee for monthly lenses.

Correct Answer: Two full eye exams and one contact lens fitting.

Why this is correct: The optometrist says the care plan costs 299 dollars per year and includes two comprehensive exams, retinal imaging, and one contact lens fitting. These are the specific items listed as part of the plan. The plan also gives a 20 percent discount on lenses.

Why the other options are wrong:

• Free daily disposable lenses for a year.: Free daily lenses for a year are not part of the plan.
• Unlimited contact lens replacements.: The plan does not cover lost lenses, so replacements are not unlimited.
• Discounted cleaning solutions only.: Discounted cleaning solutions are not mentioned as part of the plan.

Correct Answer: They allow more oxygen but may not solve dryness on their own.

Why this is correct: The optometrist says silicone hydrogel lenses let more oxygen through, which sounds helpful. However, the optometrist adds that dryness is often more about tear quality, not just oxygen flow. This means silicone hydrogel alone may not fix her dry eye problem.

Why the other options are wrong:

• They are unsuitable for people who work at computers.: The optometrist does not say they are unsuitable for computer users.
• They are only available as daily disposables.: The optometrist says silicone hydrogel lenses are usually monthly, not daily.
• They eliminate the need for eye drops.: The optometrist recommends lubricating drops for the patient’s manageable borderline dryness and does not say silicone hydrogel removes the need for them.

Correct Answer: If dry eye disease is not properly managed.

Why this is correct: The optometrist says contacts might not be recommended if a patient has unmanaged dry eye disease. This is the only situation mentioned where contacts could be a bad choice. The patient's tests look borderline but manageable with lubricating drops.

Why the other options are wrong:

• If the patient prefers glasses at work.: The provider identifies unmanaged dry eye disease as the condition that would make contacts unsuitable, rather than a preference for glasses.
• If the care plan is not purchased.: Not buying the care plan does not affect whether contacts are safe to wear.
• If the patient travels frequently between cities.: Travelling between cities is not a reason to avoid contact lenses.

Correct Answer: The clinic will order trial lenses for the woman to test.

Why this is correct: The patient agrees to try lenses first, and the optometrist says the clinic will order the trial lenses today. Ordering the trial lenses is the stated next action.

Why the other options are wrong:

• The optometrist will schedule retinal imaging for next month.: Retinal imaging is mentioned as part of the annual plan, not as the next step.
• The woman will immediately purchase a year's supply of lenses.: A full year's supply is not discussed; the patient wants to try them first.
• The woman will switch back to glasses permanently.: Switching back to glasses permanently is the opposite of what the patient decided.