NBEO Part 2 Exam Newest Actual Exam With
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What is epiblepharon? - Answer-Anatomic eyelid
abnormality (usually congenital) where a redundant
horizontal fold of skin and orbicularis muscle causes the
eyelashes to be pushed vertically or inward against the
cornea — even though the eyelid margin itself is in the
correct position
-Most common in children of East Asian descent.
-Can affect upper or lower lids (lower more common).
-Unlike entropion, the lid margin is normal; it's just the
extra skin fold that rotates the lashes.
-Symptoms: often asymptomatic, but can cause tearing,
irritation, photophobia, punctate keratopathy if lashes rub
the cornea.
-Treatment: none, lubrication if mild, surgical correction if
significant keratopathy or persistent symptoms
What is Tertalogy of Fallot?
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A) An acquired heart defect in which there's a hole in
between atria of the heart and dilation of the pulmonary
valve
B) An acquired heart defect in which there's a hole in
between ventricles of the heart and narrowing of the
pulmonary valve
C) A congenital heart defect in which there's a hole in
between ventricles of the heart and dilation of the
pulmonary valve
D) A congenital heart defect in which there's a hole in
between ventricles of the heart and narrowing of the
pulmonary valve
E) An acquired heart defect in which there's a hole in
between atria of the heart and narrowing of the pulmonary
valve
F) An congenital heart defect in which there's a hole in
between atria of the heart and narrowing of the pulmonary
valve - Answer-D) A congenital heart defect in which
there's a hole in between ventricles of the heart and
narrowing of the pulmonary valve
Causes right ventricular hypertrophy that subsequently
overrides the aorta
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MOST appropriate treatment plan for a 2YOM with normal
VAs, low spec Rx, normal IOPs but megallopapilla OS?
A) Prescribe glasses FTW, begin patching OD 2-3 hrs/day;
RTC 3 mo F/U
B) No prescription glasses at this time; begin Travatan 1
get OS qhs; RTC 4-6 weeks IOP check
C) Prescribe glasses FTW; begin Travatan 1 get OS qhs;
RTC 4-6 weeks F/U and IOP check
D) No spectacle prescription at this time; RTC 1 year
annual exam - Answer-D) No spectacle prescription at this
time; RTC 1 year annual exam
Due to low prescription and age-appropriate VAs OU in
this case, no prescription recommended at this time
B/c clinical findings reveal megallopapilla and not
congenital glaucoma, no IOP-lowering medications are
indicated
Which would likely offer the BEST VA for advanced
keratoconus pt?
A) Hybrid CLs
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B) PRK
C) Specs
D) Soft CLs
E) Corneal CXL
F) Conductive keratoplasty - Answer-A) Hybrid CLs
In early stages, KCN can be managed with specs or soft
CLs. If there's significant corneal distortion, RGPs or
hybrids may offer best VA. If corneal scarring/more
advanced/intolerance to CLs, maybe corneal transplant or
lamellar keratoplasty.
E) Strengthens and increases stability of the cornea.
Achieved by applying riboflavin drops to a cornea in which
the epithelium has been removed. Cornea's then exposed
to UVA light for 30 minutes. Combo of riboflavin and UV
light strengthens the bonds within the tissue. TREATS
KCN but does NOT IMPROVE VA
F) Type of refractive surgery used for low hyperopia (+0.75
to +3.00D with less than 0.75D astigmatism. Thin probe is
inserted into peripheral cornea at specified intervals which
delivers radio-frequency energy, causing a shrinking of the
surrounding collagen. The circular ring of altered collagen