NBEO PART 3 – PEPS LATEST
EXAM QUESTIONS AND
ANSWERS 2026 - 2027
Corneal Foreign Body - Testing - ANSWERS-NaFl, Lid eversion,
Retroillumination
Corneal Foreign Body - Treatment - ANSWERS-Remove foreign body
with cotton-tipped applicator, or instill Proparacaine and remove with
instrument, remove rust ring with Alger brush, place BCL if large
epithelial defect, Moxifloxacin 0.5% qid x1 wk, Ketorolac 0.5% qid if
pain, frequent PFATs
Corneal Foreign Body - FU - ANSWERS-1 day if BCL, otherwise 1 wk
Corneal Foreign Body - Education - ANSWERS-You have a piece of
metal in your that we have removed. We placed a bandage lens on your
eye to help your cornea heal, so you need to return tomorrow so that we
can remove it. We've given you an antibiotic to use 4x per day, and we
also rcmnd using PFATs 6-8x throughout the next several days. In the
future, it is important to remember to wear safety glasses when working
with metal.
RCE/EBMD - Testing - ANSWERS-NaFl, Lid eversion
END OF
PAGE
1
, NBEO PART 3 – PEPS LATEST
EXAM QUESTIONS AND
ANSWERS 2026 - 2027
RCE/EBMD - Treatment - ANSWERS-Propraracaine and debride 1-
2mm beyond lesion, Place BCL if not a previous CL wearer,
Moxifloxacin 0.5% qid x1 wk, Nacl 5% soln qid x2 wk then taper to qhs
for 3 months, frequent PFATs
RCE/EBMD - FU - ANSWERS-1 day for BCL, Otherwise 3-4 weeks
RCE/EBMD - Education - ANSWERS-You have a condition called
EBMD, in which the top layer of your cornea does not adhere well to the
bottom layers. Sometimes, this can lead to the top layer of the cornea
being ripped off, leaving a large abrasion. (OR - Because of a past
trauma to your eye, the top layer of your cornea has difficulty staying
adhered to the bottom layers). We removed some of the top layer of your
cornea so that it can heal properly, and placed a bandage lens to speed
up the healing process. We also gave you an antibiotic to prevent any
infection while this heals, and a drop that helps to dehydrate the cornea.
This drop can help to prevent this from happening again, but may need
to be continued for the next few months. If this recurs, you should return
to our office.
END OF
PAGE
2
, NBEO PART 3 – PEPS LATEST
EXAM QUESTIONS AND
ANSWERS 2026 - 2027
Chemical Burn - Testing - ANSWERS-Irrigation for 15 mins, lid
eversion and irrigation/swabbing of fornices, Testing PH with litmus
paper after 5 minutes (normal is 7-7.4), NaFl
Chemical Burn - Treatment - ANSWERS-Debridement of any loose
epithelium, Moxifloxacin 0.5% qid x1 week, Prednisolone Acetate 1%
qid x1 week then taper, frequent PFATs
Chemical Burn - FU - ANSWERS-1 day
Chemical Burn - Education - ANSWERS-You have gotten a chemical
into your eye which has burned a layer of your cornea. I've removed all
of the loose corneal tissue to help the corneal heal better. I have given
you an antibiotic drop to prevent any infection, as well as a steroid to
help with swelling and inflammation. You should use PFATs 6-8x per
day while this heals. I'd like to see you tomorrow to make sure your eye
is healing well. In the future, it is important to use safety eye wear while
dealing with dangerous chemicals.
END OF
PAGE
3
, NBEO PART 3 – PEPS LATEST
EXAM QUESTIONS AND
ANSWERS 2026 - 2027
IIH - Testing - ANSWERS-RNFL OCT, VF (enlarged BS), FAF (r/o
ONH drusen), Red cap, BP, Order urgent MRI/MRV and LP with CSF
analysis
IIH - Treatment - ANSWERS-MRI & MRV of brain and orbit ASAP,
LP if MRI/MRV normal, and oral CAIs. Refer to PCP/OBGYN to
discuss weight loss and d/c of birth control.
IIH - FU - ANSWERS-3-4 weeks
IIH - Education - ANSWERS-You have IIH, which is a condition in
which there is increased pressure inside the brain. This also puts
pressure on the optic nerve, causing it to swell and leading to visual
changes, headaches and nausea. This increased pressure may be due to
being overweight, or due to your birth control. First, it is important that
we rule out any other causes of increased pressure in the brain, so I am
referring you for an urgent MRI and LP. I am also referring you back to
your PCP who can offer different treatments to help bring down the
pressure and may recommend you d/c your birth control. I'd like to see
you back in about a month to make sure your nerve swelling is returning
to normal.
END OF
PAGE
4
EXAM QUESTIONS AND
ANSWERS 2026 - 2027
Corneal Foreign Body - Testing - ANSWERS-NaFl, Lid eversion,
Retroillumination
Corneal Foreign Body - Treatment - ANSWERS-Remove foreign body
with cotton-tipped applicator, or instill Proparacaine and remove with
instrument, remove rust ring with Alger brush, place BCL if large
epithelial defect, Moxifloxacin 0.5% qid x1 wk, Ketorolac 0.5% qid if
pain, frequent PFATs
Corneal Foreign Body - FU - ANSWERS-1 day if BCL, otherwise 1 wk
Corneal Foreign Body - Education - ANSWERS-You have a piece of
metal in your that we have removed. We placed a bandage lens on your
eye to help your cornea heal, so you need to return tomorrow so that we
can remove it. We've given you an antibiotic to use 4x per day, and we
also rcmnd using PFATs 6-8x throughout the next several days. In the
future, it is important to remember to wear safety glasses when working
with metal.
RCE/EBMD - Testing - ANSWERS-NaFl, Lid eversion
END OF
PAGE
1
, NBEO PART 3 – PEPS LATEST
EXAM QUESTIONS AND
ANSWERS 2026 - 2027
RCE/EBMD - Treatment - ANSWERS-Propraracaine and debride 1-
2mm beyond lesion, Place BCL if not a previous CL wearer,
Moxifloxacin 0.5% qid x1 wk, Nacl 5% soln qid x2 wk then taper to qhs
for 3 months, frequent PFATs
RCE/EBMD - FU - ANSWERS-1 day for BCL, Otherwise 3-4 weeks
RCE/EBMD - Education - ANSWERS-You have a condition called
EBMD, in which the top layer of your cornea does not adhere well to the
bottom layers. Sometimes, this can lead to the top layer of the cornea
being ripped off, leaving a large abrasion. (OR - Because of a past
trauma to your eye, the top layer of your cornea has difficulty staying
adhered to the bottom layers). We removed some of the top layer of your
cornea so that it can heal properly, and placed a bandage lens to speed
up the healing process. We also gave you an antibiotic to prevent any
infection while this heals, and a drop that helps to dehydrate the cornea.
This drop can help to prevent this from happening again, but may need
to be continued for the next few months. If this recurs, you should return
to our office.
END OF
PAGE
2
, NBEO PART 3 – PEPS LATEST
EXAM QUESTIONS AND
ANSWERS 2026 - 2027
Chemical Burn - Testing - ANSWERS-Irrigation for 15 mins, lid
eversion and irrigation/swabbing of fornices, Testing PH with litmus
paper after 5 minutes (normal is 7-7.4), NaFl
Chemical Burn - Treatment - ANSWERS-Debridement of any loose
epithelium, Moxifloxacin 0.5% qid x1 week, Prednisolone Acetate 1%
qid x1 week then taper, frequent PFATs
Chemical Burn - FU - ANSWERS-1 day
Chemical Burn - Education - ANSWERS-You have gotten a chemical
into your eye which has burned a layer of your cornea. I've removed all
of the loose corneal tissue to help the corneal heal better. I have given
you an antibiotic drop to prevent any infection, as well as a steroid to
help with swelling and inflammation. You should use PFATs 6-8x per
day while this heals. I'd like to see you tomorrow to make sure your eye
is healing well. In the future, it is important to use safety eye wear while
dealing with dangerous chemicals.
END OF
PAGE
3
, NBEO PART 3 – PEPS LATEST
EXAM QUESTIONS AND
ANSWERS 2026 - 2027
IIH - Testing - ANSWERS-RNFL OCT, VF (enlarged BS), FAF (r/o
ONH drusen), Red cap, BP, Order urgent MRI/MRV and LP with CSF
analysis
IIH - Treatment - ANSWERS-MRI & MRV of brain and orbit ASAP,
LP if MRI/MRV normal, and oral CAIs. Refer to PCP/OBGYN to
discuss weight loss and d/c of birth control.
IIH - FU - ANSWERS-3-4 weeks
IIH - Education - ANSWERS-You have IIH, which is a condition in
which there is increased pressure inside the brain. This also puts
pressure on the optic nerve, causing it to swell and leading to visual
changes, headaches and nausea. This increased pressure may be due to
being overweight, or due to your birth control. First, it is important that
we rule out any other causes of increased pressure in the brain, so I am
referring you for an urgent MRI and LP. I am also referring you back to
your PCP who can offer different treatments to help bring down the
pressure and may recommend you d/c your birth control. I'd like to see
you back in about a month to make sure your nerve swelling is returning
to normal.
END OF
PAGE
4
