NBEO Part 3 PEPS– Clinical Skills (New
2026/ 2027 Update) Questions & Answers
{Grade A} 100% Correct (Verified
Solutions)
Preseptal Cellulitis - Testing - Correct answer Lid eversion, Temp (-), EOMs (-pain),
Exophthalmometry (-), Pupils (-APD), DFE (-ONH edema)
Preseptal Cellulitis - Treatment - Correct answer Cephalexin 500mg qid or
Clindamycin 450mg tid (PCN allergy) 1-2 weeks, Warm compresses
Preseptal Cellulitis - FU - Correct answer 24-36 hours
Preseptal Cellulitis - Education - Correct answer You've got an infection of the front
tissues of your eye. It may have started as an infected oil gland, lacrimal gland, or an
infection to the drainage system of the eye. I'm going to give you an oral antibiotic to
take. I also recommend doing warm compresses. I'd like to see you back tomorrow to
make sure the infection does not spread to behind the eye, which would be much more
serious. RTO or call sooner if you begin to feel pain or a fever.
,Episcleritis - Testing - Correct answer 2.5% Phenylephrine (blanches in 5-10 min),
NaFl, Bloodwork if recurrent (HLAB27, ANA, RF, ESR, CRP, CBC with differential)
Episcleritis - Treatment - Correct answer PFATs, Loteprednol 0.5% qid and/or
Ibuprofen 400mg tid, PCP referral if chronic
Episcleritis - FU - Correct answer 2-3 weeks
Episcleritis - Education - Correct answer You have an inflammation of the white part of
your eye. This inflammation typically resolves on its own, but anti-inflammatory
medication can help with comfort. I am prescribing you an eye drop to use four times
per day, and you may also take Ibuprofen throughout the day. PFATs may also provide
some relief. If this recurs again, we may need to run blood work to see what is causing
this inflammation. I'd like to see you back in a few weeks to make sure it is resolved.
Scleritis - Testing - Correct answer Phenyl 2.5% (no blanching), NaFl, DFE, Bloodwork
(HLAB27, ANA, RF, ESR, CRP, CBC with diff, Uric acid levels)
,Scleritis - Treatment - Correct answer PFATs, Naproxen Sodium 500mg bid 1-2 weeks,
Refer to rheumatology for steroids or immunosuppressants if necrotizing
Scleritis - FU - Correct answer 1 day - 1 week
Scleritis - Education - Correct answer You have inflammation of the white part of your
eye. This kind of inflammation may be caused by a systemic inflammatory disease, so I
am going to refer you for blood work and to rheumatology to rule that out. I am also
going to give you an oral anti-inflammatory medication and recommend the frequent
use of PFATs for comfort. I'd like to see you back within a week to make sure this is
resolving and not getting worse.
Pterygium - Testing - Correct answer NaFl, A-seg photo to document growth
Pterygium - Treatment - Correct answer Monitor, UV protection, PFATs and ointments
if dellen, Loteprednol 0.5% qid if inflamed, Refer for sx removal if encroaching on the
visual axis or before cataract sx
, Pterygium - FU - Correct answer 1 year OR 3-4 weeks for steroid
Pterygium - Education - Correct answer You have a growth on the white part of your
eye that is caused by sun exposure. It is beginning to grow onto the cornea, which may
impact your vision down the line. It is important to wear UV protection when outside to
prevent it from getting worse. If it starts to grow into the center of your cornea, or if
you are interested in cataract surgery, we may have to pursue surgery. Until then, I'll
continue to monitor it yearly.
Subconj Heme - Testing - Correct answer BP, Bloodwork if recurrent (PT, PTT, Protein
C and S, CBC with differential)
Subconj Heme - Treatment - Correct answer Cool compress and PFATs
Subconj Heme - FU - Correct answer 1 year, or 2-4 weeks if no resolution
2026/ 2027 Update) Questions & Answers
{Grade A} 100% Correct (Verified
Solutions)
Preseptal Cellulitis - Testing - Correct answer Lid eversion, Temp (-), EOMs (-pain),
Exophthalmometry (-), Pupils (-APD), DFE (-ONH edema)
Preseptal Cellulitis - Treatment - Correct answer Cephalexin 500mg qid or
Clindamycin 450mg tid (PCN allergy) 1-2 weeks, Warm compresses
Preseptal Cellulitis - FU - Correct answer 24-36 hours
Preseptal Cellulitis - Education - Correct answer You've got an infection of the front
tissues of your eye. It may have started as an infected oil gland, lacrimal gland, or an
infection to the drainage system of the eye. I'm going to give you an oral antibiotic to
take. I also recommend doing warm compresses. I'd like to see you back tomorrow to
make sure the infection does not spread to behind the eye, which would be much more
serious. RTO or call sooner if you begin to feel pain or a fever.
,Episcleritis - Testing - Correct answer 2.5% Phenylephrine (blanches in 5-10 min),
NaFl, Bloodwork if recurrent (HLAB27, ANA, RF, ESR, CRP, CBC with differential)
Episcleritis - Treatment - Correct answer PFATs, Loteprednol 0.5% qid and/or
Ibuprofen 400mg tid, PCP referral if chronic
Episcleritis - FU - Correct answer 2-3 weeks
Episcleritis - Education - Correct answer You have an inflammation of the white part of
your eye. This inflammation typically resolves on its own, but anti-inflammatory
medication can help with comfort. I am prescribing you an eye drop to use four times
per day, and you may also take Ibuprofen throughout the day. PFATs may also provide
some relief. If this recurs again, we may need to run blood work to see what is causing
this inflammation. I'd like to see you back in a few weeks to make sure it is resolved.
Scleritis - Testing - Correct answer Phenyl 2.5% (no blanching), NaFl, DFE, Bloodwork
(HLAB27, ANA, RF, ESR, CRP, CBC with diff, Uric acid levels)
,Scleritis - Treatment - Correct answer PFATs, Naproxen Sodium 500mg bid 1-2 weeks,
Refer to rheumatology for steroids or immunosuppressants if necrotizing
Scleritis - FU - Correct answer 1 day - 1 week
Scleritis - Education - Correct answer You have inflammation of the white part of your
eye. This kind of inflammation may be caused by a systemic inflammatory disease, so I
am going to refer you for blood work and to rheumatology to rule that out. I am also
going to give you an oral anti-inflammatory medication and recommend the frequent
use of PFATs for comfort. I'd like to see you back within a week to make sure this is
resolving and not getting worse.
Pterygium - Testing - Correct answer NaFl, A-seg photo to document growth
Pterygium - Treatment - Correct answer Monitor, UV protection, PFATs and ointments
if dellen, Loteprednol 0.5% qid if inflamed, Refer for sx removal if encroaching on the
visual axis or before cataract sx
, Pterygium - FU - Correct answer 1 year OR 3-4 weeks for steroid
Pterygium - Education - Correct answer You have a growth on the white part of your
eye that is caused by sun exposure. It is beginning to grow onto the cornea, which may
impact your vision down the line. It is important to wear UV protection when outside to
prevent it from getting worse. If it starts to grow into the center of your cornea, or if
you are interested in cataract surgery, we may have to pursue surgery. Until then, I'll
continue to monitor it yearly.
Subconj Heme - Testing - Correct answer BP, Bloodwork if recurrent (PT, PTT, Protein
C and S, CBC with differential)
Subconj Heme - Treatment - Correct answer Cool compress and PFATs
Subconj Heme - FU - Correct answer 1 year, or 2-4 weeks if no resolution
