OptoPrep is online and provides 100% computer-based study.
The National Board of Examiners in Optometry (NBEO) recently converted to a computer-based testing format to administer the exam. Study using the NBEO® format and make a seamless transition between studying and exam day.
Part II Features
|1,000+ questions with detailed explanations divided between Full Cases, Minicases and Solo items, unique to practice and exam mode|
|Focused TMOD-only Mode for those only taking the TMOD portion of the Exam NEW|
|PowerPix help you visually review ocular conditions in a flash|
|Detailed answer explanations for every question to help you comprehensively understand not just which answer is correct but why|
|In depth statistics to track your progress|
|Mobile optimized for 24/7 access on the go|
|Format simulates actual NBEO exam|
|PowerPages help you review key components on board topics|
|Study with confidence with the OptoPrep Guarantee|
|Content is written by specialists and educators in the field|
|Content is peer-reviewed and sent through a rigorous copy editing process|
|Answer choices are randomized to avoid memorization of repeated questions|
|Timed 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 4-7 related multiple-choice items, each with 3-10 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 2-4 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 3-7 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 4 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 "text-book" 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 also view the Examination Content Matrix covered on the exam, as provided by the National Board of Examiners in Optometry (NBEO).
You may view the Examination Content Matrix covered on the exam, as provided by the National Board of Examiners in Optometry (NBEO).
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
Nature of onset: gradual
Duration: over the last year
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
Review of Systems
Constitutional/general health: nausea
Orientation: oriented to time, place, and person
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
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
C/D: see image 1
Posterior pole: unremarkable
C/D: see image 2
Posterior pole: unremarkable
Blood Pressure: 124/80mmHg; right arm sitting
Pulse: 72 bpm