PART 3 PEPS ALL Conditions (New 2026/
2027 Update) Questions & Answers {Grade
A} 100% Correct (Verified Solutions)
Neurofibromatosis: Ancillary tests - Correct answer Fundus photo
Neurofibromatosis: plan (therapeutics) - Correct answer 1. Refer for genetic
counseling
2. Refer to internist/neuro/derm
Neurofibromatosis: RTC - Correct answer Routine
Neurofibromatosis: Patient education - Correct answer Diagnosis: Patient informed
regarding neurofibromatosis
Etiology/Patho: a neuro-ocular-cutaneous disorder characterized by abnormal
vascularized benign growths of local tissue
What is the ocular finding common alongside neurofibromatoses type 1? - Correct
answer Lisch nodules
,Myasthenia gravis: Ancillary tests - Correct answer Ice test
Rest test
Myasthenia gravis (therapeutics) - Correct answer 1. Refer to neurologist familiar with
this disease
2. Order TSH lab to rule out thyroid dysfunction
3. CT scan of the chest to rule out thymoma
4. Order ANA/RF factor and other tests to rule out autoimmune etiology
Myasthenia gravis: RTC - Correct answer 1 -3 month; closer follow up with other
appropriate medical specialists as indicated or every 6-12 months once ocular
abnormality proven to be stable
Myasthenia gravis: Patient ed (diagnosis/etiology) charting - Correct answer Patient
Education
Diagnosis: Patient informed on diagnosis and potential for systemic involvement.
,Etiology/Patho: Patient informed that Myasthenia is an autoimmune disease that may
be associated with thyroid dysfunction
Thyroid eye disease: Ancillary tests - Correct answer Exopthalmometry
Thyroid eye disease: Therapeutics (plan) - Correct answer 1. Advise smoking cessation
2. Refer to internist for management of thyroid disease
3. Treat exposure keratopathy with artificial tears or taping lids closed at night
4. Prism/occlusion therapy if diplopia
5. If orbital decompression refer to neuro opthalmologist
TED: RTC - Correct answer q3-6 months if mild w/o corneal or optic nerve involvement
TED: Patient ed/charting - Correct answer Diagnosis: Patient informed regarding TED
and systemic association
Etiology/Patho: TED is an autoimmune disease that causes inflammation to the eye. It
is associated with systemic hyperthyroidism.
, Rheumatoid Arthritis: Plan (Therapeutics) - Correct answer Order RF test
Refer to rheumatologist for systemic management/treatment
Rheumatoid Arthritis: RTC - Correct answer Routine
RA: PT ed/charting - Correct answer Patient Education
Diagnosis: patient informed regarding RA
Etiology/Patho: autoimmune disease most commonly seen in women aged 30-50
Anisocoria: Ancillary Tests - Correct answer 1. Pupil testing in light/dark to determine
if physiological aniso
2. Order CBC w differential, VDRL/FTA-ABS (argyll robertson) to r/o syphilis
3. CT of the chest to rule out apical tumor
4. MRI to rule out mass/aneurysm/demyelinating lesion
2027 Update) Questions & Answers {Grade
A} 100% Correct (Verified Solutions)
Neurofibromatosis: Ancillary tests - Correct answer Fundus photo
Neurofibromatosis: plan (therapeutics) - Correct answer 1. Refer for genetic
counseling
2. Refer to internist/neuro/derm
Neurofibromatosis: RTC - Correct answer Routine
Neurofibromatosis: Patient education - Correct answer Diagnosis: Patient informed
regarding neurofibromatosis
Etiology/Patho: a neuro-ocular-cutaneous disorder characterized by abnormal
vascularized benign growths of local tissue
What is the ocular finding common alongside neurofibromatoses type 1? - Correct
answer Lisch nodules
,Myasthenia gravis: Ancillary tests - Correct answer Ice test
Rest test
Myasthenia gravis (therapeutics) - Correct answer 1. Refer to neurologist familiar with
this disease
2. Order TSH lab to rule out thyroid dysfunction
3. CT scan of the chest to rule out thymoma
4. Order ANA/RF factor and other tests to rule out autoimmune etiology
Myasthenia gravis: RTC - Correct answer 1 -3 month; closer follow up with other
appropriate medical specialists as indicated or every 6-12 months once ocular
abnormality proven to be stable
Myasthenia gravis: Patient ed (diagnosis/etiology) charting - Correct answer Patient
Education
Diagnosis: Patient informed on diagnosis and potential for systemic involvement.
,Etiology/Patho: Patient informed that Myasthenia is an autoimmune disease that may
be associated with thyroid dysfunction
Thyroid eye disease: Ancillary tests - Correct answer Exopthalmometry
Thyroid eye disease: Therapeutics (plan) - Correct answer 1. Advise smoking cessation
2. Refer to internist for management of thyroid disease
3. Treat exposure keratopathy with artificial tears or taping lids closed at night
4. Prism/occlusion therapy if diplopia
5. If orbital decompression refer to neuro opthalmologist
TED: RTC - Correct answer q3-6 months if mild w/o corneal or optic nerve involvement
TED: Patient ed/charting - Correct answer Diagnosis: Patient informed regarding TED
and systemic association
Etiology/Patho: TED is an autoimmune disease that causes inflammation to the eye. It
is associated with systemic hyperthyroidism.
, Rheumatoid Arthritis: Plan (Therapeutics) - Correct answer Order RF test
Refer to rheumatologist for systemic management/treatment
Rheumatoid Arthritis: RTC - Correct answer Routine
RA: PT ed/charting - Correct answer Patient Education
Diagnosis: patient informed regarding RA
Etiology/Patho: autoimmune disease most commonly seen in women aged 30-50
Anisocoria: Ancillary Tests - Correct answer 1. Pupil testing in light/dark to determine
if physiological aniso
2. Order CBC w differential, VDRL/FTA-ABS (argyll robertson) to r/o syphilis
3. CT of the chest to rule out apical tumor
4. MRI to rule out mass/aneurysm/demyelinating lesion
