On this page, prominently positioned at the top, you’ll find a button that provides full access to the American Board of Optometry (ABO) practice test. Directly below, there’s an opportunity to engage with a comprehensive practice test tailored for a thorough review. Leveraging these tests serves as a remarkable strategy to demonstrate your skills, pinpoint areas for enhancement, and refine your study tactics. 

To augment your preparation further, particularly in topics requiring extra attention, we’ve developed specialized quizzes. These quizzes are carefully crafted to focus on distinct aspects of the ABO exam, offering a more focused and efficient study journey.

American Board of Optometry Exam Domain Exams

The ABO exam is structured to test the comprehensive knowledge base of practicing optometrists, focusing on both foundational concepts and advanced clinical skills necessary for high-quality patient care. 

Here’s a more detailed look into the exam domains:

Domain 1: Ametropia/Ophthalmic Optics

  • Exam Percentage: 12%
  • Focus: This section tests knowledge of the principles of light, optics, and refraction, and their application in diagnosing and managing refractive errors. Topics include the understanding of ametropia types (myopia, hyperopia, astigmatism), presbyopia correction, and the optical properties of corrective lenses.

Welcome to your ABO Domain 1: Ametropia/Ophthalmic Optics

Domain 2: Contact Lenses

  • Exam Percentage: 6%
  • Focus: This domain assesses the ability to fit, prescribe, and manage contact lens wearers, including soft and rigid gas-permeable lenses, specialty contact lenses for conditions like keratoconus, and the management of contact lens-related complications.

Welcome to your ABO Domain 2: Contact Lenses

Domain 3: Refractive and Cataract Surgery

  • Exam Percentage: 9%
  • Focus: Questions in this area evaluate the optometrist’s knowledge of indications, contraindications, pre-operative assessment, and post-operative care for refractive surgeries (e.g., LASIK, PRK) and cataract surgeries, including the understanding of intraocular lenses (IOLs) and surgical complications.

Welcome to your ABO Domain 3: Refractive and Cataract Surgery

Domain 4: Binocular Vision/Pediatrics/Vision Therapy

  • Exam Percentage: 9%
  • Focus: This section covers the diagnosis and management of binocular vision disorders, pediatric optometry, and the principles and application of vision therapy. Topics include strabismus, amblyopia, developmental vision issues, and rehabilitative therapy following brain injury.

Welcome to your ABO Domain 4: Binocular Vision/Pediatrics/Vision Therapy

Domain 5: Anterior Segment

  • Exam Percentage: 24%
  • Focus: The emphasis here is on the diagnosis, treatment, and management of diseases and conditions affecting the anterior segment of the eye, such as conjunctivitis, keratitis, dry eye syndrome, and other corneal and external eye diseases.

Welcome to your ABO Domain 5: Anterior Segment

Domain 6: Posterior Segment

  • Exam Percentage: 15%
  • Focus: This domain delves into the evaluation and management of diseases affecting the posterior segment, including the retina and optic nerve. Topics include diabetic retinopathy, age-related macular degeneration, retinal detachment, and glaucoma.

Welcome to your ABO Domain 6: Posterior Segment

Domain 7: Glaucoma

  • Exam Percentage: 9%
  • Focus: Specifically targeting the understanding of glaucoma, this section tests knowledge on the types of glaucoma, diagnostic techniques (including tonometry, perimetry, and imaging), and the medical and surgical management of the disease.

Welcome to your ABO Domain 7: Glaucoma

Domain 8: Neuro-Ophthalmic Disorders

  • Exam Percentage: 7%
  • Focus: Questions assess the optometrist’s ability to recognize and manage neuro-ophthalmic conditions, including optic neuritis, papilledema, cranial nerve palsies, and visual field defects related to neurological diseases.

Welcome to your ABO Domain 8: Neuro-Ophthalmic Disorders

Domain 9: Systemic Health

  • Exam Percentage: 9%
  • Focus: This area evaluates the optometrist’s knowledge of the impact of systemic diseases on the eye and the importance of interdisciplinary care. Topics include hypertension, diabetes, autoimmune disorders, and the ocular manifestations of systemic medications.

Welcome to your ABO Domain 9: Systemic Health

Exam Domain% of ExamFocus
Ametropia/Ophthalmic Optics12%Principles of light, optics, and their application in refractive errors.
Contact Lenses6%Fitting, prescribing, and managing contact lenses, including specialty lenses.
Refractive and Cataract Surgery9%Pre- and post-operative care of refractive and cataract surgeries.
Binocular Vision/Pediatrics/Vision Therapy9%Management of binocular vision disorders, pediatric optometry, and vision therapy.
Anterior Segment24%Diseases and conditions of the anterior segment of the eye.
Posterior Segment15%Evaluation and Management of posterior segment diseases.
Glaucoma9%Understanding and management of glaucoma.
Neuro-Ophthalmic Disorders7%Recognition and management of neuro-ophthalmic conditions.
Systemic Health9%Impact of systemic diseases on the eye and interdisciplinary care.

Exam Structure and Preparation

  • Exam Length and Format: The ABO exam consists of a mix of multiple-choice questions and case-based scenarios, designed to test both theoretical knowledge and practical application.
  • Preparation Resources: The ABO provides a range of study materials, including a detailed exam blueprint, recommended readings, and self-assessment tools. Candidates need to review the latest clinical guidelines, textbooks, and journal articles in optometry and ophthalmology.

Important Considerations

  • Continuing Education: The ABO emphasizes the importance of lifelong learning and requires board-certified optometrists to participate in continuing education to maintain their certification.
  • Ethics and Professionalism: Understanding the ethical considerations in optometric practice is crucial, as questions related to professional conduct may also be included in the exam.

American Board of Optometry (ABO) Exam Breakdown

The American Board of Optometry (ABO) Exam is a comprehensive examination designed for optometrists seeking board certification to demonstrate their expertise and commitment to providing a higher level of patient care. Board certification through the ABO is recognized as a significant professional achievement that distinguishes an optometrist in the field of eye care and optometry. The ABO is committed to maintaining high standards of practice and continuing education among optometrists.

Breakdown of the ABO Exam

1. Eligibility:

  • Optometrists must have a Doctor of Optometry degree from an accredited school of optometry and be licensed to practice optometry in the United States.
  • They must also meet specific practice requirements and continue their professional development through continuing education.

2. Exam Structure:

  • The ABO Board Certification Exam covers a broad range of topics relevant to optometry practice, including patient assessment and diagnosis, clinical management, and understanding of systemic diseases.
  • The exam format typically includes multiple-choice questions that test both theoretical knowledge and practical application.

3. Preparation and Study Resources:

  • The ABO provides a variety of study resources, including study guides, recommended reading lists, and practice exams.
  • Candidates are encouraged to review a wide range of materials, including current optometric literature and guidelines, to prepare for the exam.

4. Exam Schedule and Registration:

  • The ABO exam is offered at various times throughout the year. Candidates can register for the exam through the ABO website, where they can also find detailed information about exam dates, locations, and fees.

5. Recertification:

  • Board certification through the ABO is valid for a specific period, after which optometrists must undergo recertification. This process includes completing continuing education requirements and passing a recertification exam to ensure they remain up-to-date with the latest advancements in optometry.

How to Become ABO Certified

To become certified by the American Board of Optometry (ABO), you must follow a structured process that demonstrates your competence, commitment to lifelong learning, and adherence to high standards in patient care. Here’s an overview of the steps you need to take:

  • Complete an Online Application and Pay the Fee: Initially, you’ll need to fill out an application online and submit a $300 application fee. This application requires information about your educational background, specifically the name of the ACOE-accredited school or college of optometry you graduated from, your license information, and authorization to search the National Practitioner Data Bank​​.
  • Verification and Active Candidate Status: After submitting your application, the ABO will verify the provided information, usually within 30 days. Once verified, you’ll be granted Active Candidate status for three years, during which you must meet the requirements to sit for the Board Certification exam​​.
  • Earning Points for Exam Eligibility: To be eligible for the exam, you must accumulate 150 points under the “residency or equivalent” rule. Points can be earned through ACOE-accredited residency, active clinical practice, fellowships, being a diplomate of a section of the American Academy of Optometry, graduate degrees, and continuing education​​.
  • Scheduling and Taking the Exam: Upon meeting post-graduate requirements, you can pay the exam fee and schedule your Board Certification exam. The exam, which is computer-based, focuses on clinical knowledge and skills. It is held twice annually, in February/March and July/August, at Meazure Learning Test Centers worldwide​​​​.
  • Maintenance of Certification (MOC): After passing the exam and becoming a Diplomate, maintaining your certification is crucial. The ABO requires Diplomates to participate in a Continuous Assessment Program (CAP) to keep their certification current. This involves engaging in ongoing learning and professional development activities​​.

For detailed information about the certification process, exam guide, FAQs, and maintaining your certification, please visit the American Board of Optometry’s official website.

Our Experience Teaching ABO Candidates To Pass The Exam

At Career Employer, creating our American Board of Optometry (ABO) practice tests has been an extraordinary journey filled with achievements and hurdles. This endeavor was influenced by the broad range of topics encompassed in the exam and tailored specifically to meet the distinct requirements of our learners. 

We have meticulously designed each facet of our methodology to guarantee that every student is thoroughly equipped to succeed in the exam. Our dedication to offering a holistic educational experience shines through in the extensive and detailed nature of our practice materials, underscoring our commitment to the success of our students.

Teaching for the American Board of Optometry (ABO) certification involves guiding optometry professionals through a comprehensive learning process that covers the extensive scope of optometric practice. From a lecturer’s perspective, this requires not only a deep understanding of the subject matter but also an ability to engage with students at various levels of expertise and learning styles. The ABO certification process aims to validate an optometrist’s proficiency in delivering primary eye care, emphasizing evidence-based practices.

Key Components of Teaching for ABO Certification

1. Curriculum Development

The curriculum must be meticulously designed to cover all the domains outlined by the ABO, including patient assessment and diagnosis, treatment and management of eye diseases, and interprofessional collaboration. Lecturers must stay updated with the latest advancements in optometry to incorporate current best practices into their teaching.

2. Resource Integration

Utilizing a variety of educational resources is crucial. This includes textbooks, peer-reviewed journals, online modules, and case studies. The American Academy of Optometry and the Association of Schools and Colleges of Optometry offer valuable materials. Additionally, the ABO itself provides study guides and practice exams on its website.

3. Interactive Learning

Engaging students through interactive lectures, workshops, and clinical simulations enhances understanding and retention. Techniques such as problem-based learning and the use of virtual reality in simulating eye conditions can be particularly effective.

4. Assessment and Feedback

Frequent assessments help track progress, while constructive feedback guides improvement. Mock exams tailored to the ABO’s format and difficulty level are essential in preparing students for the certification exam.

5. Professional Development

Encouraging participation in conferences, webinars, and continuing education courses offered by professional bodies like the American Optometric Association (AOA) aids in professional growth and networking.

At Career Employer, our expert team, endowed with deep insights and vast experience in American Board of Optometry (ABO) exam preparation, has carefully developed the ABO certification practice tests. Leveraging their substantial expertise in the domain, they have adeptly steered over 1000 Optometrists, who specialize in optometry, toward achieving their ABO certification. 

Our team consists of highly experienced optometry professionals, each with over a decade of specialized knowledge in optometry. This guarantees that our practice materials are not only informed by experts but are also exceptionally potent in preparing candidates for success on their certification path.

Effective Study Strategies and Methods

Preparing for the American Board of Optometry (ABO) exam requires a comprehensive approach, combining thorough review of key concepts, practical application through practice questions, and understanding the exam format and rules. Here are some effective study strategies and resources that can help you in your preparation:

  • Understand the Exam Format and Content: The ABO exam comprises 160 single-response multiple-choice questions, focusing on patient assessment and management. Out of these, only 140 questions are scored, with the rest being non-scored pilot questions. You have four hours to complete the exam, with the option to take breaks, although the clock will continue to run. A passing score is 70%​​.
  • Familiarize Yourself with Permitted Items and Accommodations: It’s crucial to know what items you can bring into the exam room and what accommodations are available. For example, comfort aids like eyeglasses, hearing aids, and certain medical devices are allowed, as well as tissues, dry-erase boards, and calculators provided by Meazure Learning. Personal items like phones, food, and beverages are not permitted. If you require special accommodations, ensure to request them in advance by contacting the ABO​​.
  • Utilize a Variety of Study Materials: A wide range of study materials and resources are available to aid your preparation. This includes workbooks covering ocular anatomy, ophthalmic optics, products, instrumentation, and dispensing, as well as cheat sheets and comprehensive guides like the Laramy-K Optician Works Ultimate ABO Study Guide and the OpenOptix ABO Study Guide. Video resources and online training programs can also be beneficial, providing a visual and interactive way to learn​​.
  • Practice, Practice, Practice: Familiarity with the exam format and types of questions is key. Make use of online quizzes, flashcard systems, and practice tests to gauge your understanding and readiness for the exam. Resources like Quizlet, Pass Your Optical Boards, and the National Opticianry Competency Exam Flashcard Study System offer extensive practice questions and review materials​​.
  • Adopt Effective Study Strategies: Tailor your study approach to what works best for you, whether that’s group study, self-study, or a mix of different methods. Remember to memorize vital information, practice drawing out prism questions, and leverage all available study resources, including books, online courses, and flashcards. The importance of passive learning through storytelling, as suggested by resources like “PASSive: A Novel Approach,” can also be a unique and effective way to internalize complex concepts​​​​.
  • Engage with Online Forums and Communities: Joining online forums and communities can provide additional support, allowing you to share study tips, get clarifications on difficult topics, and stay motivated through interaction with peers who are also preparing for the exam.

Remember, thorough preparation and a strategic approach to studying are key to passing the ABO exam. Utilize the resources mentioned, and don’t hesitate to reach out for help or clarification on topics you find challenging.


Fee TypeAmountDetails
Application Fee$300Initial application process fee.
Standard Exam Fee$950Fee for taking the board certification exam. Reduced fees may be available for recent graduates and residents.
Annual MOC Fee$250Annual fee for Maintenance of Certification program participation.

The cost of the American Board of Optometry (ABO) board certification exam and the associated fees can be broken down into several parts:

  • Application Fee: To begin the process, there’s a $300 application fee. This fee covers the initial steps of verifying your eligibility and granting you Active Candidate status​​.
  • Exam Fee: Once you’re an Active Candidate and have met the requirements, you will need to pay the standard exam fee of $950 to schedule your exam. There is a mention of a reduced fee for recent graduates and residents, so it’s advisable to contact the ABO office to see if you qualify​​.
  • Maintenance of Certification (MOC) Fees: After successfully passing the exam and becoming board certified, you will need to participate in the Maintenance of Certification program. This program requires an annual fee of $250 due each January 1st. This fee supports various aspects of the program, including access to COPE-accredited quarterly webinars, educational modules, and more​​.

The ABO does not provide exam review courses or materials directly. However, they offer an exam outline and a reference guide listing review references by topic area. For special accommodations, such as those needed for disabilities, the ABO adheres to ADA guidelines, and candidates must submit a request and provide documentation for such accommodations​​.

Remember, the entire certification process is not just about passing an exam. It includes accumulating points through a combination of ACOE-accredited residency, active clinical practice, fellowships, and other educational activities before being eligible to take the exam. After certification, maintaining your status involves continuing education and participation in the MOC program​​​​.

For the most current and detailed information on fees, requirements, and processes, it’s best to consult the American Board of Optometry’s official resources and contact them directly if you have specific questions or circumstances that might affect your fees or eligibility.

Reliable Study Materials and Resources

To prepare for the American Board of Optometry (ABO) certification exam, there are several resources available online that cater to different learning styles, including books, courses, and study materials:

  • American Board of Optometry Exam Guide: The ABO offers an exam guide that includes scheduling information, exam day details, admittance policies, an exam outline, and FAQs. They also provide a reference guide listing review references by topic area, although they do not offer review courses or materials directly​​.
  • National Academy of Opticianry (NAO): Offers a range of materials, including the Certification Exam Review Tutorial (C.E.R.T.), which is designed for those who need a comprehensive step-by-step approach to prepare for the ABO exam. The NAO provides a detailed curriculum covering basic optical principles, ophthalmic lenses, dispensing spectacles, and more. They also offer flashcards and review books for self-assessment and to define areas where more study is needed​​.
  • Optician Now: Recommends various resources, including workbooks, cheat sheets, and comprehensive study guides like the Laramy-K Ultimate ABO Study Guide and the OpenOptix ABO Study Guide. These resources cover the basics of optical principles, lens materials, frame fitting, and more. They also mention programs and quizzes for ABO test preparation offered by entities like Optical Nerd and the Optical Training Institute​​.
  • Optical Training Institute: Provides self-study courses for ABO and NCLE exam preparation, including six workbooks and audio recordings covering anatomy, physiology, optical principles, lens materials, multifocal designs, and ophthalmic frames. These comprehensive courses are designed for those with minimal optical background to ensure quick and confident learning​​.

For the best preparation, consider using a combination of these resources to cover different aspects of the exam. The American Board of Optometry’s website itself is a good starting point for official exam information and guidelines. The National Academy of Opticianry’s materials can provide in-depth technical knowledge, while resources from Optician Now and the Optical Training Institute offer practical, self-paced study options. Remember, successful exam preparation often involves engaging with a variety of materials to ensure a well-rounded understanding of the subject matter.

Tips for Exam Day

To ensure your best performance on the American Board of Optometry (ABO) exam, here are some comprehensive tips and insights, drawing from various authoritative sources on the subject.

Preparation and Exam Structure:

  • The ABO exam is tailored to assess competence beyond entry-level, focusing on practical clinical experience and judgment rather than mere memorization. It includes a general practice section and two out of six areas of emphasis that candidates can choose based on their interests and strengths. This approach helps ensure the exam is relevant to your daily practice as an optometrist​​.
  • Familiarize yourself with the computer-based testing format by reviewing the ABO Candidate Guide, which offers a detailed content outline and an online tutorial to get comfortable with the testing system​​.

On Exam Day:

  • You’re allowed to bring certain items into the exam room for comfort and necessity, such as eyeglasses, hearing aids, sweaters (without pockets or hoods), and medical devices like insulin pumps. However, personal items like mobile phones, food, and beverages must be stored in lockers​​.
  • Make use of provided materials such as dry erase boards and markers for notes and a calculator on each computer. Bringing your own materials, however, is not permitted​​.
  • Be mindful of the exam environment. Earplugs or headphones are available to minimize distractions from keyboard noise or other candidates, ensuring you can concentrate on your exam​​.

Accommodations and Support:

  • The ABO provides reasonable accommodations for candidates with documented disabilities, adhering to the Americans with Disabilities Act (ADA). These accommodations are granted on a case-by-case basis without compromising the exam’s integrity or imposing undue burdens​​.
  • It’s vital to request any necessary accommodations well in advance of the exam date to allow sufficient time for the ABO to review and implement them​​.

Study Strategies and Mindset:

  • Engage in regular study sessions, focusing on standard care publications and recognized textbooks in optometry. Tailor your study to these resources, setting aside 45 to 60 minutes per night for several months before your test date. This disciplined approach is often reported by successful candidates to significantly enrich their exam preparation​​.
  • Approach the exam with confidence, knowing that it is designed to reflect and evaluate real-world optometric practice. The structure allows for plenty of time to complete all sections, accommodating various testing styles and paces​​.

The ABO exam represents a significant milestone in the professional development of optometrists, offering an opportunity to demonstrate competence beyond entry-level and a commitment to lifelong learning and high-quality patient care​​.

For detailed guidelines and more information, refer directly to the American Board of Optometry’s official resources and the exam guide available on their website. These sources provide essential insights into the certification process, exam preparation, and what to expect on exam day, ensuring you’re well-prepared and informed.

Post-Exam: Next Steps

After completing the American Board of Optometry (ABO) exam, there are several strategies and steps you can take to reflect on your performance and prepare for the next stages of your career.

  • Reflect on Your Exam Performance: Utilize a post-exam reflection worksheet to critically assess how you performed on the exam. This reflection can help identify areas of strength and areas needing improvement. Reflecting on your exam strategies, study habits, and test-taking techniques can provide insights that will be beneficial for future exams or professional development​​.
  • Evaluate Your Exam Preparation and Writing Strategies: Assess the strategies you used for preparing for the exam. Did you understand how you would be assessed, and did you adjust your learning strategies accordingly? A study skills inventory can be a useful tool to evaluate the effectiveness of your learning strategies and habits. It’s important to personalize your exam preparation approach based on what you learn about your strengths and weaknesses from this inventory. Adopting, applying, and adapting new strategies that enhance, extend, and empower your learning can be beneficial​​.
  • Gather Feedback and Learn from Others: Engaging with online forums or communities of professionals who have taken the ABO exam can provide valuable insights and advice. For example, discussions about the challenges faced during the exam and strategies that worked for others can be enlightening. These forums can also be a source of moral support and can help you connect with peers who are going through the same process​​.
  • Plan for Continuous Learning and Professional Development: After the exam, focus on areas for continuous learning and improvement. Whether it’s through formal continuing education, self-study, or professional experiences, identifying and pursuing growth opportunities is essential. This could involve deepening your knowledge in specific areas of optometry, improving patient care skills, or staying updated with the latest research and technologies in the field.
  • Prepare for Certification and Licensure Requirements: Familiarize yourself with the next steps towards certification and licensure, including any additional exams, practical experience requirements, or application processes. The ABO website and professional optometry organizations can provide detailed information on these requirements.
  • Network and Seek Mentorship: Building a professional network and seeking mentorship from experienced optometrists can offer guidance, career advice, and opportunities for collaboration. Attend professional meetings, conferences, and workshops to connect with colleagues and leaders in the field.
  • Focus on Well-being: It’s also important to take care of your physical and mental well-being after the exam. Engaging in activities that you enjoy, spending time with family and friends, and practicing stress-relief techniques can help you recharge and maintain a balanced lifestyle.

By taking these steps, you can effectively transition from the exam preparation phase to focusing on your professional growth and development in the field of optometry.


  1. “Home.” American Board of Optometry, https://www.americanboardofoptometry.org/.
  2. “Certification Process.” American Board of Optometry, https://americanboardofoptometry.org/become-certified/certification-process/.
  3. “Exam Guide.” American Board of Optometry, https://americanboardofoptometry.org/become-certified/exam-guide/.
  4. “What Is Board Certification?” American Board of Optometry, https://americanboardofoptometry.org/become-certified/what-is-board-certification/.
  5. “FAQs.” American Board of Optometry, https://americanboardofoptometry.org/become-certified/faqs/.
  6. “Home.” American Academy of Optometry, https://www.aaopt.org/.
  7. “Home.” Association of Schools and Colleges of Optometry, https://optometriceducation.org/.
  8. “Is the ABO Test Hard?” Conquer Your Exam, https://www.conqueryourexam.com/is-the-abo-test-hard/.
  9. “ABO Exam Study Material.” Optician Now, https://opticiannow.com/education/abo-exam-study-material/.
  10. “Exam Dates, Fees & Registration.” American Board of Optometry, https://americanboardofoptometry.org/become-certified/exam-dates-fees-registration/.
  11. “FAQs.” American Board of Optometry, https://americanboardofoptometry.org/maintain-certification/faqs/.
  12. “EPA.” National Academy of Opticianry, https://www.nao.org/etm/epa/.
  13. “Exam Prep.” Optical Training Institute, https://opticaltraining.com/exam-prep/.
  14. “Exam Myths Explained.” American Board of Optometry, https://americanboardofoptometry.org/exam-myths-explained/.
  15. “Become Certified.” American Board of Optometry, https://americanboardofoptometry.org/become-certified/.
  16. “Post-Exam Reflection Worksheet.” Washington University in St. Louis, The Teaching Center, https://ctl.wustl.edu/learningcenter/resources/post-exam-reflection-worksheet/.
  17. “Exam Writing and Prep.” University of Saskatchewan, https://libguides.usask.ca/StudySkillsAndLearningStrategies/ExamWriting_and_Prep.
  18. “How I Passed My RD Exam.” The Lean Green Bean, https://www.theleangreenbean.com/how-i-passed-my-rd-exam/.
  19. “Study materials for ABO exam.” Reddit, https://www.reddit.com/r/optometry/comments/63mjb2/study_materials_for_abo_exam/.
  20. “Need to take ABO exam in less than a month.” Reddit, https://www.reddit.com/r/optician/comments/cbzisz/need_to_take_abo_exam_in_less_than_a_month/.
  21. “ABO Exam Prep – Expect the Unexpected.” Pass Your Optical Boards, https://www.passyouropticalboards.com/abo-exam-prep-expect-the-unexpected/.
  22. “Dr. Rand Paul: Not All Board Certifications Are Created Equal.” Society of Hospital Medicine, https://blog.hospitalmedicine.org/dr-rand-paul-not-all-board-certifications-are-created-equal/.

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