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Exam (elaborations)

North Carolina Optometry Boards 2025 | 100 Questions & Answers | Ocular Disease, Pharmacology, Neuro | Optometry

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This document contains 100 detailed practice questions and answers tailored for the North Carolina State Board of Examiners in Optometry 2025 licensing exam. Structured in a clear Q&A format, the content mirrors the format and complexity of board-style questions, ensuring readiness for core areas tested in the optometry licensing process. Major topics covered include: Ocular disease diagnosis and management, including retinal conditions, corneal disorders, glaucoma, and anterior segment pathology Neuro-optometry (e.g., cranial nerve lesions, visual field interpretation, optic neuropathies) Pharmacology relevant to optometric practice (e.g., drug side effects, systemic-medication interactions, ocular pharmacologic agents) Optometric procedures, visual acuity assessment, and emergency care Clinical reasoning and differential diagnosis strategies Each question is followed by a clear, evidence-based explanation to reinforce critical concepts and prepare candidates for both the written and clinical aspects of the licensing exam. This document is suitable for OD students and graduates preparing for the North Carolina optometry licensure, as well as those reviewing for similar US state board exams. Recommended for: Doctor of Optometry (OD) students in their final year Recent OD graduates preparing for state licensure exams Students from US-based optometry programs such as Southern College of Optometry, SUNY College of Optometry, Pennsylvania College of Optometry (Salus), and New England College of Optometry Candidates preparing for NBEO Part II and state-specific clinical exams Keywords: optometry board exam, ocular disease, neuro-optometry, optometric pharmacology, visual field, NC optometry boards, OD exam prep, glaucoma, cranial nerves, corneal pathology, retina disorders, NBEO Part II, optometry Q&A, clinical skills, US optometry schools

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North Carolina Optometry Boards
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Uploaded on
November 7, 2025
Number of pages
43
Written in
2025/2026
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North Carolina Optometry Boards
2025/2026 Exam Questions and Verified
Answers | Already Graded A+



An external Hordeolum is an infection of which gland? - 🧠ANSWER

✔✔External hordeolum affects the gland of Zeis at the base of the eyelash


An internal hordeolum is an infection of which gland? - 🧠ANSWER

✔✔Internal hordeolum affects the meibomian gland


Which type of bacteria typically cause internal hordeolum? - 🧠ANSWER

✔✔Staph aureus


What are the symptoms of external hordeolum? - 🧠ANSWER ✔✔1.

Soreness/redness at the base of the lashes

2. Eyelid swelling

3. Grittiness in the eye

,4. Eye pain

5. Light sensitivity

6. Eye tearing or watering


What is the treatment for an external hordeolum? - 🧠ANSWER ✔✔Warm

compress for 10 - 15 minutes for up to 4 times a day


How long do styes normally take for styes to heal? - 🧠ANSWER ✔✔10 to

14 days

After how long should oral antibiotics be administered if the stye has not

resolved on its own? - 🧠ANSWER ✔✔3 - 5 days


Which oral antibiotics can be prescribed for treatment of stye? - 🧠ANSWER

✔✔1. Keflex (cephalexin) 500mg twice a day for 1 week


2. Augmentin 500mg twice a day for 1 week for mild infection and 875 mg

twice a day for 1 week for more severe infection and 1000mg twice a day

for 1 week for most severe infections

3. Zithromax (Azithromycin) 500mg for 1 day then 250mg for 4 days

4. Levaquin (Levofloxacin) 500mg twice a day for 1 week

,What is a chalazion? - 🧠ANSWER ✔✔A red bump on the eyelid caused by

blockage of the meibomian gland


What are some less common causes of chalazion? - 🧠ANSWER ✔✔1.

Rosacea

2. Chronic blepharitis, eyelid inflammation

3. Seborrheic dermatitis

4. Tuberculosis

5. Viral infections


What are the symptoms of chalazion? - 🧠ANSWER ✔✔1. Painless bump

on eyelid

2. Mild irritation

3. Blurred vision for large bump pushing on eyelid


What is the treatment for chalazion? - 🧠ANSWER ✔✔Warm compress, lid

massage, lid hygiene

Which eyelid muscle is most affected with lid myokymia? - 🧠ANSWER

✔✔Orbicularis oculi



3
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, What medications (in rare cases) can cause eyelid myokymia? -

🧠ANSWER ✔✔1. Topiramate


2. Gold salts

3. Clozapine

4. Flunarizine

What conditions in rare cases can cause eyelid myokymia? - 🧠ANSWER

✔✔1. Multiple sclerosis


2. Brainstem pathology such as Pontine glioma

3. Autoimmune disease

What is an increasingly common cause of canaliculitis? - 🧠ANSWER

✔✔The most common cause of canaliculitis is retained punctal plugs


Which bacteria is the most common cause of canaliculitis? - 🧠ANSWER

✔✔Actinomyces israelii


What are the symptoms of canaliculitis? - 🧠ANSWER ✔✔Chronic unilateral

red eye, epiphora, discharge in the nasal part of the eye

What is the most common pathogenic cause of canaliculitis? - 🧠ANSWER

✔✔Actinomyces

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