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Part II Patient Assessment and Management (PAM) — Information & Free Practice

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Part II Patient Assessment and Management (PAM)

Provider
National Board of Examiners in Optometry (NBEO); delivered at Pearson Testing Centers
Format
One-day computer-based, image-intensive, case-based examination; each patient case is followed by 3-6 related multiple-choice items with 3-10 answer options; items may be single-answer or multiple-response (up to 4 correct answers, all required for credit). Includes approximately 120 embedded TMOD items, reported as a separate TMOD breakout score and pass/fail decision
Exam questions
350 items
Time limit
Two sessions of 175 items each, 3.5 hours per session
Passing score
Scaled score on a 100-900 scale; anything above 300 is a passing score
Exam fee
$1490 (rates for examinations administered beginning August 2026)
Examination outline
  • Clinical Correlation of Basic Science Principles — 11% - 17% of items (40 - 60 items); includes embedded Treatment and Management of Ocular Disease (TMOD) items
    • Clinical Correlation of Basic Science Principles — Pathophysiology/etiology
    • Clinical Correlation of Basic Science Principles — anatomy
    • Clinical Correlation of Basic Science Principles — biochemistry
    • Clinical Correlation of Basic Science Principles — physiology
    • Clinical Correlation of Basic Science Principles — immunology/microbiology/pathology
    • Clinical Correlation of Basic Science Principles — optics
    • Clinical Correlation of Basic Science Principles — pharmacology
  • Diagnosis — 26% - 34% of items (90 - 120 items); includes embedded Treatment and Management of Ocular Disease (TMOD) items
    • Diagnosis — Most appropriate diagnosis
    • Related to Diagnosis — Indicate data supporting or correlating with diagnosis; correlation of possible additional data; or indicate additional data or next test needed
  • Treatment / Management — 40% - 57% of items (140 - 200 items); includes embedded Treatment and Management of Ocular Disease (TMOD) items
    • Treatment/Management — Most appropriate treatment/management
    • Related to Treatment/Management — Treatment mechanism, additional data needed to treat effectively, additional data or next test needed, patient education, follow-up, or prognosis
  • Legal Issues / Ethics / Public Health — 4% - 10% of items (15 - 35 items)
    • Legal Issues / Ethics — Licensure and governmental regulation of optometry, standards of professional ethics, doctor-patient relationship, professional liability
    • Public Health — Epidemiology, biostatistics and measurement, environmental vision, health care policy and administration
Examination sources

Related license preparation

This examination may be required or accepted as an alternative, depending on the license and application pathway.