NBEO Part II Exam Study Questions
with Correct Answers 2026 Update
Antibiotic Treatment of Dacryocystitis -Correct 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 -Correct Answer ✔-AKC -
small papillae inf palpebral conj
VKC - large papillae sup palpebral conj
Differentiate chemises caused by idiopathic orbital pseudo tumor from allergic
symptoms -Correct 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 -Correct Answer ✔-High Flow - balloon embolization
Low Flow - monitor without treatment unless vision/life affecting
Tarsorrhaphy vs Canthorrhaphy -Correct 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 -Correct
Answer ✔-Oral Prednisone 100 mg QD for 2-14 days - reduce inflammation of
EOM and remove compression of ON
Orbital Pseudotumor treatment -Correct 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 .... -Correct Answer ✔-
H2 receptor or proton pump inhibitor to protect the stomach lining (cox-1)
Treatment Course for Orbital Cellulitis -Correct 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 -Correct 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 -Correct Answer ✔-children - valve of hasher issue
wait --> digital massage --> probe --> DCR
adults - involutional, sinus infection
Jones 1-->2--> DCR
Epiphoria Differential Diagnosis -Correct Answer ✔-Increased lacrimation
- infection, uveitis, trichiasis, irriation
Decreased drainage
- dacryocysitits, canaliculitis, punctal issues
Screening for Lid elasticity secondary to ectropion -Correct Answer ✔-Pull lids
away from eye and time how long it takes, should be instant. Pt should not blink
during this time
Canaliculitis Treatment -Correct 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 -Correct Answer ✔-Occurs in
warm months
allergic rhinitis, eczema, asthma
, Course of action when you have a CL wearer with GPC -Correct 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 -Correct 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 -Correct 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 -
Correct Answer ✔-Streptococcus pneumonia + Haemophilus influenza
Treatment plan for patients with Mild and Moderate-Severe Superior Limbic
Keratoconjunctivitis -Correct 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 -Correct Answer ✔-Attacked
Duct - sarcoid
Blocked Duct - pemphigoid
Cut duct - lasik
When should you consider putting a patient in preservative free artificial tears -
Correct Answer ✔-If using more than every 4 hours
with Correct Answers 2026 Update
Antibiotic Treatment of Dacryocystitis -Correct 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 -Correct Answer ✔-AKC -
small papillae inf palpebral conj
VKC - large papillae sup palpebral conj
Differentiate chemises caused by idiopathic orbital pseudo tumor from allergic
symptoms -Correct 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 -Correct Answer ✔-High Flow - balloon embolization
Low Flow - monitor without treatment unless vision/life affecting
Tarsorrhaphy vs Canthorrhaphy -Correct 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 -Correct
Answer ✔-Oral Prednisone 100 mg QD for 2-14 days - reduce inflammation of
EOM and remove compression of ON
Orbital Pseudotumor treatment -Correct 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 .... -Correct Answer ✔-
H2 receptor or proton pump inhibitor to protect the stomach lining (cox-1)
Treatment Course for Orbital Cellulitis -Correct 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 -Correct 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 -Correct Answer ✔-children - valve of hasher issue
wait --> digital massage --> probe --> DCR
adults - involutional, sinus infection
Jones 1-->2--> DCR
Epiphoria Differential Diagnosis -Correct Answer ✔-Increased lacrimation
- infection, uveitis, trichiasis, irriation
Decreased drainage
- dacryocysitits, canaliculitis, punctal issues
Screening for Lid elasticity secondary to ectropion -Correct Answer ✔-Pull lids
away from eye and time how long it takes, should be instant. Pt should not blink
during this time
Canaliculitis Treatment -Correct 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 -Correct Answer ✔-Occurs in
warm months
allergic rhinitis, eczema, asthma
, Course of action when you have a CL wearer with GPC -Correct 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 -Correct 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 -Correct 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 -
Correct Answer ✔-Streptococcus pneumonia + Haemophilus influenza
Treatment plan for patients with Mild and Moderate-Severe Superior Limbic
Keratoconjunctivitis -Correct 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 -Correct Answer ✔-Attacked
Duct - sarcoid
Blocked Duct - pemphigoid
Cut duct - lasik
When should you consider putting a patient in preservative free artificial tears -
Correct Answer ✔-If using more than every 4 hours
