NBEO Part 3 - Peps Exam with Correct
Answers Updated 2026-2027
Corneal Foreign Body - Testing -Correct Answer ✔-NaFl, Lid eversion,
Retroillumination
Corneal Foreign Body - Treatment -Correct Answer ✔-Remove foreign body with
cotton-tipped applicator, or instill Proparacaine and remove with instrument,
remove rust ring with Alger brush, place BCL if large epithelial defect, Moxifloxacin
0.5% qid x1 wk, Ketorolac 0.5% qid if pain, frequent PFATs
Corneal Foreign Body - FU -Correct Answer ✔-1 day if BCL, otherwise 1 wk
Corneal Foreign Body - Education -Correct Answer ✔-You have a piece of metal in
your that we have removed. We placed a bandage lens on your eye to help your
cornea heal, so you need to return tomorrow so that we can remove it. We've
given you an antibiotic to use 4x per day, and we also rcmnd using PFATs 6-8x
throughout the next several days. In the future, it is important to remember to
wear safety glasses when working with metal.
RCE/EBMD - Testing -Correct Answer ✔-NaFl, Lid eversion
RCE/EBMD - Treatment -Correct Answer ✔-Propraracaine and debride 1-2mm
beyond lesion, Place BCL if not a previous CL wearer, Moxifloxacin 0.5% qid x1 wk,
Nacl 5% soln qid x2 wk then taper to qhs for 3 months, frequent PFATs
RCE/EBMD - FU -Correct Answer ✔-1 day for BCL, Otherwise 3-4 weeks
RCE/EBMD - Education -Correct Answer ✔-You have a condition called EBMD, in
which the top layer of your cornea does not adhere well to the bottom layers.
Sometimes, this can lead to the top layer of the cornea being ripped off, leaving a
large abrasion. (OR - Because of a past trauma to your eye, the top layer of your
cornea has difficulty staying adhered to the bottom layers). We removed some of
,the top layer of your cornea so that it can heal properly, and placed a bandage
lens to speed up the healing process. We also gave you an antibiotic to prevent
any infection while this heals, and a drop that helps to dehydrate the cornea. This
drop can help to prevent this from happening again, but may need to be
continued for the next few months. If this recurs, you should return to our office.
Chemical Burn - Testing -Correct Answer ✔-Irrigation for 15 mins, lid eversion and
irrigation/swabbing of fornices, Testing PH with litmus paper after 5 minutes
(normal is 7-7.4), NaFl
Chemical Burn - Treatment -Correct Answer ✔-Debridement of any loose
epithelium, Moxifloxacin 0.5% qid x1 week, Prednisolone Acetate 1% qid x1 week
then taper, frequent PFATs
Chemical Burn - FU -Correct Answer ✔-1 day
Chemical Burn - Education -Correct Answer ✔-You have gotten a chemical into
your eye which has burned a layer of your cornea. I've removed all of the loose
corneal tissue to help the corneal heal better. I have given you an antibiotic drop
to prevent any infection, as well as a steroid to help with swelling and
inflammation. You should use PFATs 6-8x per day while this heals. I'd like to see
you tomorrow to make sure your eye is healing well. In the future, it is important
to use safety eye wear while dealing with dangerous chemicals.
IIH - Testing -Correct Answer ✔-RNFL OCT, VF (enlarged BS), FAF (r/o ONH drusen),
Red cap, BP, Order urgent MRI/MRV and LP with CSF analysis
IIH - Treatment -Correct Answer ✔-MRI & MRV of brain and orbit ASAP, LP if
MRI/MRV normal, and oral CAIs. Refer to PCP/OBGYN to discuss weight loss and
d/c of birth control.
IIH - FU -Correct Answer ✔-3-4 weeks
,IIH - Education -Correct Answer ✔-You have IIH, which is a condition in which
there is increased pressure inside the brain. This also puts pressure on the optic
nerve, causing it to swell and leading to visual changes, headaches and nausea.
This increased pressure may be due to being overweight, or due to your birth
control. First, it is important that we rule out any other causes of increased
pressure in the brain, so I am referring you for an urgent MRI and LP. I am also
referring you back to your PCP who can offer different treatments to help bring
down the pressure and may recommend you d/c your birth control. I'd like to see
you back in about a month to make sure your nerve swelling is returning to
normal.
NAION - Testing -Correct Answer ✔-RNFL OCT, VF (altitudinal or central), Pupils
(APD), Red cap (reduced), ESR/CRP/CBC with diff (r/o GCA), BP, EOM (r/o neuritis)
NAION - Treatment -Correct Answer ✔-Refer to PCP for management of
BP/BS/Cholesterol
NAION - FU -Correct Answer ✔-1-2 months
NAION - Education -Correct Answer ✔-You have a condition called NAION, in
which blood supply to your optic nerve has been cut off. This is often due to
systemic issues like uncontrolled high BP, BS, or cholesterol. First, I want to refer
you urgently for blood work to make sure that this was not caused by
inflammation in the body. I also want to refer you to your PCP to help get your
BP/BS under control as there is a risk of this happening to the other eye as well.
Up to 40% of patients show mild improvement in vision over 3 to 6 months in
some studies. I'd like to see you back in 1-2 months after you've seen your PCP.
AAION - Testing -Correct Answer ✔-RNFL OCT, VF (altitudinal or central), Pupils
(APD), Red cap (reduced), Palpation of temporal artery, TA biopsy, ESR/CRP/CBC
with diff
, AAION - Treatment -Correct Answer ✔-Refer to ER for blood work and IV
methylprednisolone, Switch to oral steroids if (+) TA biopsy and cont for 6-12
months
AAION - FU -Correct Answer ✔-3-4 wks
AAION - Education -Correct Answer ✔-You have AAION/GCA. This condition leads
to inflammation of the medium and large blood vessels in the body, leading to
your fever, headaches, and jaw pain. This inflammation is also affecting the blood
supply to your optic nerve, leading to vision loss. Unfortunately, there is only a
small chance the vision loss you are experiencing will return. The primary goal is
to prevent this from happening in the other eye. I am referring you for urgent
blood work, as well as steroids at the hospital. They will likely keep you on steroids
for 6-12 months after this to keep inflammation in your body low. I'd like to see
you back in about a month.
Optic Neuritis - Testing -Correct Answer ✔-RNFL OCT, VF (central or arcuate),
Pupils (APD), Red cap (reduced), EOM (pain), Urgent MRI and LP
Optic Neuritis - Treatment -Correct Answer ✔-Refer for imaging, and oral steroids
if within the first 1 -2 weeks of onset. Refer to neurology for MS management.
Optic Neuritis - FU -Correct Answer ✔-3-4 weeks. After that, q 3-6 mo
Optic Neuritis - Education -Correct Answer ✔-You have a condition called optic
neuritis. This means that the optic nerve connecting your eye to your brain is
swollen, leading to your blurry vision. Your vision will return after the swelling has
gone down. However, this kind of swelling is often associated with MS. MS is an
autoimmune disease in which your body's own immune system attacks your
tissues and nervous system. It's important that we refer you for an MRI and to a
neurologist to help make that diagnosis. I'd like to see you back in 1 month, and
we'll check your vision every 3-6 months from here on out.
Answers Updated 2026-2027
Corneal Foreign Body - Testing -Correct Answer ✔-NaFl, Lid eversion,
Retroillumination
Corneal Foreign Body - Treatment -Correct Answer ✔-Remove foreign body with
cotton-tipped applicator, or instill Proparacaine and remove with instrument,
remove rust ring with Alger brush, place BCL if large epithelial defect, Moxifloxacin
0.5% qid x1 wk, Ketorolac 0.5% qid if pain, frequent PFATs
Corneal Foreign Body - FU -Correct Answer ✔-1 day if BCL, otherwise 1 wk
Corneal Foreign Body - Education -Correct Answer ✔-You have a piece of metal in
your that we have removed. We placed a bandage lens on your eye to help your
cornea heal, so you need to return tomorrow so that we can remove it. We've
given you an antibiotic to use 4x per day, and we also rcmnd using PFATs 6-8x
throughout the next several days. In the future, it is important to remember to
wear safety glasses when working with metal.
RCE/EBMD - Testing -Correct Answer ✔-NaFl, Lid eversion
RCE/EBMD - Treatment -Correct Answer ✔-Propraracaine and debride 1-2mm
beyond lesion, Place BCL if not a previous CL wearer, Moxifloxacin 0.5% qid x1 wk,
Nacl 5% soln qid x2 wk then taper to qhs for 3 months, frequent PFATs
RCE/EBMD - FU -Correct Answer ✔-1 day for BCL, Otherwise 3-4 weeks
RCE/EBMD - Education -Correct Answer ✔-You have a condition called EBMD, in
which the top layer of your cornea does not adhere well to the bottom layers.
Sometimes, this can lead to the top layer of the cornea being ripped off, leaving a
large abrasion. (OR - Because of a past trauma to your eye, the top layer of your
cornea has difficulty staying adhered to the bottom layers). We removed some of
,the top layer of your cornea so that it can heal properly, and placed a bandage
lens to speed up the healing process. We also gave you an antibiotic to prevent
any infection while this heals, and a drop that helps to dehydrate the cornea. This
drop can help to prevent this from happening again, but may need to be
continued for the next few months. If this recurs, you should return to our office.
Chemical Burn - Testing -Correct Answer ✔-Irrigation for 15 mins, lid eversion and
irrigation/swabbing of fornices, Testing PH with litmus paper after 5 minutes
(normal is 7-7.4), NaFl
Chemical Burn - Treatment -Correct Answer ✔-Debridement of any loose
epithelium, Moxifloxacin 0.5% qid x1 week, Prednisolone Acetate 1% qid x1 week
then taper, frequent PFATs
Chemical Burn - FU -Correct Answer ✔-1 day
Chemical Burn - Education -Correct Answer ✔-You have gotten a chemical into
your eye which has burned a layer of your cornea. I've removed all of the loose
corneal tissue to help the corneal heal better. I have given you an antibiotic drop
to prevent any infection, as well as a steroid to help with swelling and
inflammation. You should use PFATs 6-8x per day while this heals. I'd like to see
you tomorrow to make sure your eye is healing well. In the future, it is important
to use safety eye wear while dealing with dangerous chemicals.
IIH - Testing -Correct Answer ✔-RNFL OCT, VF (enlarged BS), FAF (r/o ONH drusen),
Red cap, BP, Order urgent MRI/MRV and LP with CSF analysis
IIH - Treatment -Correct Answer ✔-MRI & MRV of brain and orbit ASAP, LP if
MRI/MRV normal, and oral CAIs. Refer to PCP/OBGYN to discuss weight loss and
d/c of birth control.
IIH - FU -Correct Answer ✔-3-4 weeks
,IIH - Education -Correct Answer ✔-You have IIH, which is a condition in which
there is increased pressure inside the brain. This also puts pressure on the optic
nerve, causing it to swell and leading to visual changes, headaches and nausea.
This increased pressure may be due to being overweight, or due to your birth
control. First, it is important that we rule out any other causes of increased
pressure in the brain, so I am referring you for an urgent MRI and LP. I am also
referring you back to your PCP who can offer different treatments to help bring
down the pressure and may recommend you d/c your birth control. I'd like to see
you back in about a month to make sure your nerve swelling is returning to
normal.
NAION - Testing -Correct Answer ✔-RNFL OCT, VF (altitudinal or central), Pupils
(APD), Red cap (reduced), ESR/CRP/CBC with diff (r/o GCA), BP, EOM (r/o neuritis)
NAION - Treatment -Correct Answer ✔-Refer to PCP for management of
BP/BS/Cholesterol
NAION - FU -Correct Answer ✔-1-2 months
NAION - Education -Correct Answer ✔-You have a condition called NAION, in
which blood supply to your optic nerve has been cut off. This is often due to
systemic issues like uncontrolled high BP, BS, or cholesterol. First, I want to refer
you urgently for blood work to make sure that this was not caused by
inflammation in the body. I also want to refer you to your PCP to help get your
BP/BS under control as there is a risk of this happening to the other eye as well.
Up to 40% of patients show mild improvement in vision over 3 to 6 months in
some studies. I'd like to see you back in 1-2 months after you've seen your PCP.
AAION - Testing -Correct Answer ✔-RNFL OCT, VF (altitudinal or central), Pupils
(APD), Red cap (reduced), Palpation of temporal artery, TA biopsy, ESR/CRP/CBC
with diff
, AAION - Treatment -Correct Answer ✔-Refer to ER for blood work and IV
methylprednisolone, Switch to oral steroids if (+) TA biopsy and cont for 6-12
months
AAION - FU -Correct Answer ✔-3-4 wks
AAION - Education -Correct Answer ✔-You have AAION/GCA. This condition leads
to inflammation of the medium and large blood vessels in the body, leading to
your fever, headaches, and jaw pain. This inflammation is also affecting the blood
supply to your optic nerve, leading to vision loss. Unfortunately, there is only a
small chance the vision loss you are experiencing will return. The primary goal is
to prevent this from happening in the other eye. I am referring you for urgent
blood work, as well as steroids at the hospital. They will likely keep you on steroids
for 6-12 months after this to keep inflammation in your body low. I'd like to see
you back in about a month.
Optic Neuritis - Testing -Correct Answer ✔-RNFL OCT, VF (central or arcuate),
Pupils (APD), Red cap (reduced), EOM (pain), Urgent MRI and LP
Optic Neuritis - Treatment -Correct Answer ✔-Refer for imaging, and oral steroids
if within the first 1 -2 weeks of onset. Refer to neurology for MS management.
Optic Neuritis - FU -Correct Answer ✔-3-4 weeks. After that, q 3-6 mo
Optic Neuritis - Education -Correct Answer ✔-You have a condition called optic
neuritis. This means that the optic nerve connecting your eye to your brain is
swollen, leading to your blurry vision. Your vision will return after the swelling has
gone down. However, this kind of swelling is often associated with MS. MS is an
autoimmune disease in which your body's own immune system attacks your
tissues and nervous system. It's important that we refer you for an MRI and to a
neurologist to help make that diagnosis. I'd like to see you back in 1 month, and
we'll check your vision every 3-6 months from here on out.
