NBEO Part II Exam (Questions & Answers)2024/2025
(A+ Graded Verified)
Antibiotic Treatment of Dacryocystitis - ANSWER Augmentin 500 mg PO TID x 10 days or
Bactrim (sulfamethoxazole+trimethoprim) 1 double strength tablet PO BID x 10 days if penicillin
allegories
Describe difference of papillae appearance in AKC vs VKC - ANSWER AKC - small papillae
inf palpebral conj
VKC - large papillae sup palpebral conj
Differentiate chemises caused by idiopathic orbital pseudo tumor from allergic symptoms -
ANSWER In idiopathic orbital pseduotumor you would expect unilateral chemosis without
itching and occurs to its age 20-50
Treatment for high-flow carotid cavernous fistulas vs low flow carotid cavernous fistulas -
ANSWER High Flow - balloon embolization
Low Flow - monitor without treatment unless vision/life affecting
Tarsorrhaphy vs Canthorrhaphy - ANSWER Both are treatments for severe ocular surface
diseases which cause exposure to eye
Tarsorrhaphy - upper/lower eyelids sewn together can involved middle portion of eyelids
Canthorrhaphy - shorten palpebral fishes via suturing medial/lateral cants
Treatment for optic neuropathy (ON compression) secondary to TED - ANSWER Oral
Prednisone 100 mg QD for 2-14 days - reduce inflammation of EOM and remove compression
of ON
Orbital Pseudotumor treatment - ANSWER Similar to TED
oral Prednisone 60-100 mg QD for 2-3 weeks (longer than TED), slow taper (5-10mg/week)
Longterm Steroid prescription should be accompanied by .... - ANSWER H2 receptor or
proton pump inhibitor to protect the stomach lining (cox-1)
Treatment Course for Orbital Cellulitis - ANSWER Initial IV steroids typically ceftriaxone
Then 10 day oral antibiotic (augmenting 250-500mg or cycler 250-500mg/2nd gen) TID
Squamous vs Viral Papillomas - ANSWER Viral - rare chance of malignancy, caused by HPV
Squamous - benign caused by squamous hyperplasia
Diagnosis procedure for suspected nasolacrimal duct obstruction in children vs adults -
ANSWER children - valve of hasher issue
wait --> digital massage --> probe --> DCR
,adults - involutional, sinus infection
Jones 1-->2--> DCR
Epiphoria Differential Diagnosis - ANSWER Increased lacrimation
- infection, uveitis, trichiasis, irriation
Decreased drainage
- dacryocysitits, canaliculitis, punctal issues
Screening for Lid elasticity secondary to ectropion - ANSWER Pull lids away from eye and
time how long it takes, should be instant. Pt should not blink during this time
Canaliculitis Treatment - ANSWER Irrigate canaliculus with Penicillin G 100,00 U/mL and
oral medication Penicillin V 500 mg PO QID x 7 days
Disorders often seen with patients that have VKC - ANSWER Occurs in warm months
allergic rhinitis, eczema, asthma
Course of action when you have a CL wearer with GPC - ANSWER 1. Switch solution to
clear care
2. switch to dailies
3. silicone hydrogel -> hydrogel
4. Lotemax Q12hrs x 2 weeks/ with anti hist/mast cell combo drop 4 x weeks
Explain how PSC affects your patient's vision - ANSWER Patients will experience reduced
vision especially at near due to patient mitosis causing even more of visual axis to be obstructed
by cataract
Treatment for VKC/AKC - ANSWER Remove offending agent
cool compresses
topical anithistamine/mastcell BID x 1 week for acute episodes
mast cell for long term episodes
short term steroid course ( lotemax if long term therapy)
Most common virus strands that result in bacterial conjunctivitis in children - ANSWER
Streptococcus pneumonia + Haemophilus influenza
Treatment plan for patients with Mild and Moderate-Severe Superior Limbic Keratoconjunctivitis
- ANSWER Mild SLK - artificial tears 4-8x/day and lubricating ointment (refresh PM) qhs
Mod-Sev = silver nitrate to sup tarsal/bulbar conj for 10-20 sec then irrigate and topical oph
ointment qhs x 1 week
ABC's of Non Sjogren's Aqueous Deficient Dry Eye - ANSWER Attacked Duct - sarcoid
Blocked Duct - pemphigoid
Cut duct - lasik
, When should you consider putting a patient in preservative free artificial tears - ANSWER If
using more than every 4 hours
Describe the tapering schedule of weak steroid when prescribing cyclosporine for dry eye -
ANSWER Lotemax QID x 1 week, TID x 1 week, BID x 1 week,
Triage Order for Papilledema - ANSWER BP to check for malignant HTN, MRI, then check
with Lumbar Puncture to check opening pressure and look at cells (inflammatory/infectious
agents in CSF)
Most important characteristic of conjunctival lesions that progress into melanoma - ANSWER
Thickness and most will metastasize to the liver
May Trigger Ant Cataracts - ANSWER Miotics, Thioridazine, Amiodarone, Chlropromazine
Reactivation factors for recurrent HSV infections - ANSWER Stress, Sun exposure, fever or
immunosuppression are some factors that reactivate HSV from trigeminal ganglion
Herpetic Manifestation in the Corneal - ANSWER Epithelium
- dendrite (pseudo dendrite HZV), vesicles, geographic ulcer
Stromal
- IK (has neo), necrotizing keratitis (direct invasion into storm)
ENdothelium
- disciform keratitis is a secondary stroll edema
cultures for infectious keratitis - ANSWER gram stain - bacteria
sabaroud - fungi
chocolate - haemophilus and nisseria
E.coli - acanthamoeba
Thioglycolate broth - aerobic and anaerobic bacteria
HSV Keratitis treatment - ANSWER EPI - Zirgan 5x/day till ulcer heals --> 3x/day x 7 days
(no steroid)
STROM - Pred Forte QID and Viroptic (thimerosal) QID; keep steroid until no more improvement
in VA or stromal opacification. Use QID Viroptic until taper Pred Forte to BID
ENDO- Pred Forte and prophylactic Viroptic same as stromal treatment
The Zoo is my Fav - ANSWER Famciclovir, acyclovir, valacyclovir = herpes zoster infection
Acyclovir = 5x/day x 1 week
valacyclovir = TID x 1 week
famciclovir = TID x 1 week
Treatment of neovascularization and macular edema - ANSWER PRP - neovascularization
(A+ Graded Verified)
Antibiotic Treatment of Dacryocystitis - ANSWER Augmentin 500 mg PO TID x 10 days or
Bactrim (sulfamethoxazole+trimethoprim) 1 double strength tablet PO BID x 10 days if penicillin
allegories
Describe difference of papillae appearance in AKC vs VKC - ANSWER AKC - small papillae
inf palpebral conj
VKC - large papillae sup palpebral conj
Differentiate chemises caused by idiopathic orbital pseudo tumor from allergic symptoms -
ANSWER In idiopathic orbital pseduotumor you would expect unilateral chemosis without
itching and occurs to its age 20-50
Treatment for high-flow carotid cavernous fistulas vs low flow carotid cavernous fistulas -
ANSWER High Flow - balloon embolization
Low Flow - monitor without treatment unless vision/life affecting
Tarsorrhaphy vs Canthorrhaphy - ANSWER Both are treatments for severe ocular surface
diseases which cause exposure to eye
Tarsorrhaphy - upper/lower eyelids sewn together can involved middle portion of eyelids
Canthorrhaphy - shorten palpebral fishes via suturing medial/lateral cants
Treatment for optic neuropathy (ON compression) secondary to TED - ANSWER Oral
Prednisone 100 mg QD for 2-14 days - reduce inflammation of EOM and remove compression
of ON
Orbital Pseudotumor treatment - ANSWER Similar to TED
oral Prednisone 60-100 mg QD for 2-3 weeks (longer than TED), slow taper (5-10mg/week)
Longterm Steroid prescription should be accompanied by .... - ANSWER H2 receptor or
proton pump inhibitor to protect the stomach lining (cox-1)
Treatment Course for Orbital Cellulitis - ANSWER Initial IV steroids typically ceftriaxone
Then 10 day oral antibiotic (augmenting 250-500mg or cycler 250-500mg/2nd gen) TID
Squamous vs Viral Papillomas - ANSWER Viral - rare chance of malignancy, caused by HPV
Squamous - benign caused by squamous hyperplasia
Diagnosis procedure for suspected nasolacrimal duct obstruction in children vs adults -
ANSWER children - valve of hasher issue
wait --> digital massage --> probe --> DCR
,adults - involutional, sinus infection
Jones 1-->2--> DCR
Epiphoria Differential Diagnosis - ANSWER Increased lacrimation
- infection, uveitis, trichiasis, irriation
Decreased drainage
- dacryocysitits, canaliculitis, punctal issues
Screening for Lid elasticity secondary to ectropion - ANSWER Pull lids away from eye and
time how long it takes, should be instant. Pt should not blink during this time
Canaliculitis Treatment - ANSWER Irrigate canaliculus with Penicillin G 100,00 U/mL and
oral medication Penicillin V 500 mg PO QID x 7 days
Disorders often seen with patients that have VKC - ANSWER Occurs in warm months
allergic rhinitis, eczema, asthma
Course of action when you have a CL wearer with GPC - ANSWER 1. Switch solution to
clear care
2. switch to dailies
3. silicone hydrogel -> hydrogel
4. Lotemax Q12hrs x 2 weeks/ with anti hist/mast cell combo drop 4 x weeks
Explain how PSC affects your patient's vision - ANSWER Patients will experience reduced
vision especially at near due to patient mitosis causing even more of visual axis to be obstructed
by cataract
Treatment for VKC/AKC - ANSWER Remove offending agent
cool compresses
topical anithistamine/mastcell BID x 1 week for acute episodes
mast cell for long term episodes
short term steroid course ( lotemax if long term therapy)
Most common virus strands that result in bacterial conjunctivitis in children - ANSWER
Streptococcus pneumonia + Haemophilus influenza
Treatment plan for patients with Mild and Moderate-Severe Superior Limbic Keratoconjunctivitis
- ANSWER Mild SLK - artificial tears 4-8x/day and lubricating ointment (refresh PM) qhs
Mod-Sev = silver nitrate to sup tarsal/bulbar conj for 10-20 sec then irrigate and topical oph
ointment qhs x 1 week
ABC's of Non Sjogren's Aqueous Deficient Dry Eye - ANSWER Attacked Duct - sarcoid
Blocked Duct - pemphigoid
Cut duct - lasik
, When should you consider putting a patient in preservative free artificial tears - ANSWER If
using more than every 4 hours
Describe the tapering schedule of weak steroid when prescribing cyclosporine for dry eye -
ANSWER Lotemax QID x 1 week, TID x 1 week, BID x 1 week,
Triage Order for Papilledema - ANSWER BP to check for malignant HTN, MRI, then check
with Lumbar Puncture to check opening pressure and look at cells (inflammatory/infectious
agents in CSF)
Most important characteristic of conjunctival lesions that progress into melanoma - ANSWER
Thickness and most will metastasize to the liver
May Trigger Ant Cataracts - ANSWER Miotics, Thioridazine, Amiodarone, Chlropromazine
Reactivation factors for recurrent HSV infections - ANSWER Stress, Sun exposure, fever or
immunosuppression are some factors that reactivate HSV from trigeminal ganglion
Herpetic Manifestation in the Corneal - ANSWER Epithelium
- dendrite (pseudo dendrite HZV), vesicles, geographic ulcer
Stromal
- IK (has neo), necrotizing keratitis (direct invasion into storm)
ENdothelium
- disciform keratitis is a secondary stroll edema
cultures for infectious keratitis - ANSWER gram stain - bacteria
sabaroud - fungi
chocolate - haemophilus and nisseria
E.coli - acanthamoeba
Thioglycolate broth - aerobic and anaerobic bacteria
HSV Keratitis treatment - ANSWER EPI - Zirgan 5x/day till ulcer heals --> 3x/day x 7 days
(no steroid)
STROM - Pred Forte QID and Viroptic (thimerosal) QID; keep steroid until no more improvement
in VA or stromal opacification. Use QID Viroptic until taper Pred Forte to BID
ENDO- Pred Forte and prophylactic Viroptic same as stromal treatment
The Zoo is my Fav - ANSWER Famciclovir, acyclovir, valacyclovir = herpes zoster infection
Acyclovir = 5x/day x 1 week
valacyclovir = TID x 1 week
famciclovir = TID x 1 week
Treatment of neovascularization and macular edema - ANSWER PRP - neovascularization
