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Part II Features

200+ cases200+ cases with more than 1,000 questions with explanations, unique to practice & exam mode
Focused Mode for TMOD-only StudyingFocused TMOD-only Mode for those only taking the TMOD portion of the exam
Detailed answer explanationsDetailed answer explanations for every question to help you comprehensively understand not just which answer is correct but why
In depth statisticsIn-depth statistics to track your progress
Mobile optimizedNEW Study on your computer or prep for Part II of the NBEO® on your smartphone or tablet with our iOS and Android apps
Format simulates the actual NBEO examFormat simulates actual NBEO® exam
PowerPagesPowerPages help you review key components on board topics
PowerpixPowerPix help you visually review ocular conditions in a flash
OptoPrep GuaranteeStudy with confidence with the OptoPrep Guarantee
Content is written by specialistsContent is written by specialists and educators in the field
Content is peer-reviewedContent peer-reviewed and sent through a rigorous copy editing process
Answer choices are randomizedAnswer choices are randomized to avoid memorization of repeated questions
Timed examsTimed exams allow time management to be practiced

What to Expect

Part II of the NBEO® examination, also known as "Patient Assessment and Management" (PAM), is comprised of two testing sessions on a single day administered via a computer-based testing (CBT) format. In each exam session, candidates are given 3.5 hours to complete approximately 175 items. The PAM is composed of Full Cases, Minicases, and Solo Items.

According to the NBEO® website, one can expect about 45 - 55 full cases, which all begin with a scenario where patient history and clinical data are presented in a detailed manner. This data is usually accompanied by at least one visual which may include color anterior or posterior segment photographs, contact lens fluorescein patterns, a spectacle frame fitting issue, visual fields, or other diagnostic print-outs. Each full case presentation is then followed by four to seven related multiple-choice items, each with three to 10 answer options.

About 15 - 25 minicases are typically found within the PAM examination. These are abbreviated versions of full patient cases in which a shortened scenario is presented with two to four related questions following. Most minicases will also include at least one or more associated visuals.

Solo items comprise approximately 15 - 20 questions of the PAM. These are expected to be relatively straightforward, independent entities that are not associated with a case presentation. They include a single question with three to seven answer options.

Full Cases will be presented with a white background, Minicases with an orange background, and Solo Items with a blue background, in order to help distinguish each type of question.

All items have either a single correct answer, or they may be multiple-response, with up to four correct answers. It is necessary to select all of the correct answers (and only the correct answers) to receive credit for these types of questions.

Remember that the goal of the PAM exam is to assess entry-level competence. Therefore, patient cases and questions will focus on either typical presentations of high frequency conditions, or conditions that may be considered less likely to occur, but with high criticality (these cases will be portrayed in a more textbook-like manner).

Embedded within the PAM examination, approximately 100 - 120 of the 350 items are categorized at TMOD (Treatment and Management of Ocular Disease) items. A TMOD breakout score will be a separate pass or fail decision.

To learn more about NBEO® Part II PAM examination and TMOD, please visit the NBEO® website. Additional information can be found on the American Optometric Student Associated website at theaosa.org.

You may view the Examination Content Matrix covered on the exam, as provided by the National Board of Examiners in Optometry (NBEO).

Sample Case

PAM Case: Intracranial Tumor (Optic nerve/neuro-ophthalmic pathways)

Demographics: 36 year-old African-American male; Contractor

Chief complaint: can't see out of the left eye

History of Present Illness

Character/signs/symptoms: unable to see with the left eye; vision is normal in the right eye
Location: left eye, distance and near
Severity: severe
Nature of onset: gradual
Duration: over the last year
Frequency: constant
Exacerbations/remissions: none
Relation to activity or function: none
Accompanying signs/symptoms: none
Secondary complaints/symptoms: recent headaches and feeling nausea
Patient ocular history: unremarkable
Family ocular history: unremarkable
Patient medical history: unremarkable
Medications taken by patient: none
Patient allergy history: NKDA

Family Medical History

Mother: unremarkable
Father: hypertension

Review of Systems

Constitutional/general health: nausea
Ear/nose/throat: denies
Cardiovascular: denies
Pulmonary: denies
Endocrine: denies
Dermatological: denies
Gastrointestinal: denies
Genitourinary: denies
Musculoskeletal: denies
Neurologic: headaches
Psychiatric: denies
Immunologic: denies
Hematologic: denies

Mental Status

Orientation: oriented to time, place, and person
Mood: appropriate
Affect: nervous

Clinical Findings

Entering visual acuity: OD: 20/20 @ distance
OS: hand motion PHNI
Pupils: (+) APD OS
EOMs: full, no restrictions OU
Confrontation fields: full to finger counting OD, unresponsive to testing OS

Slit Lamp

Lids/lashes/adnexa: unremarkable OD, OS
Conjunctiva: normal OD, OS
Cornea: clear OD, OS
Anterior chamber: deep and quiet OD, OS
Iris: normal OD, OS
Lens: clear OD, OS
Vitreous: clear OD, OS
IOPs: 12 mmHg OD, 12 mmHg OS @ 1:00pm via Goldmann applanation tonometry

Fundus OD

C/D: see image 1
Macula: normal
Posterior pole: unremarkable
Periphery: unremarkable

Fundus OS

C/D: see image 2
Macula: normal
Posterior pole: unremarkable
Periphery: unremarkable

Blood Pressure: 124/80mmHg; right arm sitting
Pulse: 72 bpm

Image 1
Image 1

Image 2
Image 2


It has been an excellent refresher of previously learned material but also provided new knowledge/different approaches to thinking as well. I would recommend it as it helped me tremendously during Boards. It allowed me to be more confident in myself with the practically endless practice questions.


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