NBEO Part II case studies
NBEO Part II · Put your knowledge to work in context.
NBEO Part II, Patient Assessment and Management (PAM), is the second computer-based component of the National Board of Examiners in Optometry examination sequence. It is designed for candidates who have completed the basic science portion of the boards and are moving into clinical training or are close to graduation. The NBEO Part II case studies are 5 cases and about 3,741 words.
1Asymptomatic Patient with a Disc Hemorrhage, Thin Corneas, and Sleep Apnea
A 58-year-old software engineer presents for a routine examination. He has no ocular complaints.
737 words, about 4 min2A 31-Year-Old with Daily Headaches, Advanced Near Work, and a Low Plus Refraction
A 31-year-old paralegal presents with 8 months of daily late-afternoon frontal headaches, blurred distance vision after long screen sessions, and occasional diplopia when reading in bed. She wears −0.50 DS OU spectacles prescribed 3 years ago.
750 words, about 4 min3On-Call Telephone Triage: Contact Lens Wearer with a Corneal Opacity
A 26-year-old graduate student who wears monthly silicone hydrogel lenses with occasional overnight use calls the on-call line at 1:40 a.m. She reports 2 days of a scratchy right eye that became acutely painful 6 hours ago, with photophobia, tearing, and a foreign-body sensation.
768 words, about 4 min4Friday Afternoon Headache, Jaw Claudication, and Transient Monocular Vision Loss
A 74-year-old retired teacher presents urgently at 3:45 p.m. on a Friday with a 5-day history of right-sided temporal headache, scalp tenderness when combing her hair, and jaw pain after chewing a sandwich.
716 words, about 4 min5A 5-Year-Old with Intermittent Esotropia, High Hyperopia, and a Resistant Preschooler
A 5-year-old boy is brought in by his mother, who reports that he sometimes 'turns one eye in' when looking at picture books, particularly when tired, and that he has begun tilting his head to the right. He has no prior eye examination; his pediatrician's photoscreening at age 4 was 'borderline.' Cycloplegic retinoscopy after cyclopentolate 1% and tropicamide 1% is +4.50 DS OU.
770 words, about 4 min