100+ Free NBEO Part II Practice Questions
Pass your NBEO Part II Patient Assessment and Management (PAM) exam on the first try — instant access, no signup required.
Loading questions...
Key Facts: NBEO Part II Exam
~300
Exam Questions
Two 3-hour sessions
6 hrs
Total Test Time
Full day exam
$575
Exam Fee
NBEO
~90-95%
First-Time Pass Rate
Estimated
Year 4
Typically Taken
4th year of OD program
NBEO Part II has approximately 300 questions in two 3-hour sessions. It covers ocular disease diagnosis and management (30%), clinical optometry procedures (25%), contact lenses (15%), binocular vision and pediatrics (15%), and systemic disease with ocular manifestations (15%). Typically taken in the fourth year of optometry school. Required for optometry licensure in all U.S. states.
About the NBEO Part II Exam
NBEO Part II Patient Assessment and Management (PAM) tests clinical optometry knowledge including ocular disease diagnosis and management, clinical procedures, contact lens fitting, binocular vision disorders, pediatric optometry, low vision, and ocular manifestations of systemic disease.
Questions
100 scored questions
Time Limit
6 hours (two 3-hour sessions)
Passing Score
Criterion-referenced scaled score
Exam Fee
$575 (NBEO (National Board of Examiners in Optometry))
NBEO Part II Exam Content Outline
Ocular Disease Diagnosis & Management
Anterior and posterior segment disease, glaucoma, retinal conditions, neuro-ophthalmic disorders, and emergency management
Clinical Optometry
Refraction techniques, diagnostic testing, imaging interpretation (OCT, visual fields), low vision rehabilitation
Contact Lenses
Soft, RGP, scleral, toric, multifocal, and specialty lens fitting, complications, and patient management
Binocular Vision & Pediatrics
Strabismus classification and management, amblyopia treatment, vision therapy, and pediatric vision screening
Systemic Disease & Ocular Manifestations
Diabetic retinopathy, hypertensive retinopathy, thyroid eye disease, autoimmune conditions, and drug toxicities
How to Pass the NBEO Part II Exam
What You Need to Know
- Passing score: Criterion-referenced scaled score
- Exam length: 100 questions
- Time limit: 6 hours (two 3-hour sessions)
- Exam fee: $575
Keys to Passing
- Complete 500+ practice questions
- Score 80%+ consistently before scheduling
- Focus on highest-weighted sections
- Use our AI tutor for tough concepts
NBEO Part II Study Tips from Top Performers
Frequently Asked Questions
What is NBEO Part II?
NBEO Part II, also called Patient Assessment and Management (PAM), tests clinical knowledge and decision-making skills for optometry practice. It covers ocular disease diagnosis and management, clinical procedures, contact lens fitting, binocular vision disorders, and systemic disease with ocular manifestations. It is typically taken in the fourth year of the OD program and is required for optometry licensure.
How many questions are on NBEO Part II?
NBEO Part II contains approximately 300 multiple-choice questions administered in two 3-hour sessions. The content covers ocular disease (30%), clinical optometry (25%), contact lenses (15%), binocular vision and pediatrics (15%), and systemic disease (15%). Questions are clinical case-based, testing your ability to diagnose, manage, and refer appropriately.
How does NBEO Part II differ from Part I?
Part I (ABS) tests foundational basic science knowledge (anatomy, optics, pharmacology), while Part II (PAM) tests clinical application and patient management skills. Part II questions are more clinically oriented, presenting patient scenarios that require diagnosis, treatment planning, and management decisions. Part II is typically taken 2 years after Part I, during the fourth year of optometry school when clinical rotations are completed.
How should I study for NBEO Part II?
Effective NBEO Part II preparation includes: studying ocular disease diagnosis and management protocols (30% of exam), reviewing clinical cases with diagnostic images (OCT, visual fields, fundus photos), practicing contact lens fitting scenarios, studying binocular vision assessment and amblyopia treatment, and reviewing systemic diseases with ocular manifestations. Clinical rotation experience is essential preparation. Most students study 4-6 months alongside rotations.