Scoring, Sample Cases, & Videos

Scoring Criteria

For each Patient Management Problem (PMP) presented to you by your examiners, you will be evaluated on your ability to incorporate the cognitive knowledge that you successfully demonstrated on the written exam with the judgment necessary to appropriately care for the described patient. Examiners will assess your performance on each case in the categories of Data Acquisition, Diagnosis, and Management based on how well you address all of the following criteria:

Data Acquisition:

✓ Elicit the pertinent history
✓ Obtain information and identify important data
✓ Perform an appropriate clinical examination
✓ Recommend appropriate testing

Diagnosis:

✓ Provide a working diagnosis and focused differential diagnosis
✓ Effectively select, evaluate, and justify diagnostic tests and procedures
✓ Ultimately arrive at the correct diagnosis

Management:

✓ Discuss and recommend a safe and effective management plan
✓ Recognize potential complications of proposed treatments including surgery
✓ Make accurate inferences regarding the expected outcomes and prognosis
✓ Communicate the management plan in a clear, professional, and ethical manner

In some PMPs, examiners may further prompt you to:

  • Evaluate alternatives to the proposed management plan
  • Demonstrate effective communication with the patient and other health care providers
  • Discuss professionalism issues involved with the case

The ABO encourages you to treat the above-listed scoring criteria as a useful checklist for the formation of a clear, systematical, and comprehensive approach to each case.


Patient Management Problem (PMP) Samples

Each PMP represents a specific patient or clinical scenario. Your task is to explain, in a clear and organized manner, how you would care for the described patient in each scenario. Because your online exam is divided into three distinct portions or "rooms," you will always know which two of six potential clinical topic areas your case may focus on:

  • (1) Optics, Visual Physiology, & Correction of Refractive Errors / (2) Anterior Segment of the Eye
  • (3) Pediatric Ophthalmology and Strabismus / (4) External Eye and Adnexa
  • (5) Neuro-Ophthalmology and Orbit / (6) Posterior Segment of the Eye

Below are three sample cases designed to represent the style of PMPs you will see on your online exam. Each PMP always contains what's known as the question "stem," or the description/details of the case. Some, but not all, PMPs contain one or more images.

Candidate discussions of each case are provided in the simulation videos at the bottom of this page. Before viewing the answers, try practicing how you would approach each case using the checklist for Data Acquisition, Diagnosis, and Management listed above. 


Sample PMP #1
Optics, Visual Physiology, & Correction of Refractive Errors / Anterior Segment of the Eye

65-year-old man comes for a second opinion one month after cataract extraction in his right eye, because of dissatisfaction with his uncorrected visual acuity.

Uncorrected VA OD = 20/100
Preop Manifest refraction OD: -2.25 + 0.50 x 180 = 20/80
Postop Manifest refraction OD: +3.00 sphere = 20/20


Sample PMP #2
Pediatric Ophthalmology and Strabismus / External Eye and Adnexa

A 10-month-old girl has the lesion shown.

Oral-Exam-Sample-2-image


Sample PMP #3
Neuro-Ophthalmology and Orbit / Posterior Segment of the Eye

58-year-old man is seen for blurred vision in the right eye. 

Oral-Exam-Sample-3-ImageA

Subsequent images are later shown upon candidate request:

Oral-Exam-Sample-3-ImageB

Oral-Exam-Sample-3-ImageC


Case Discussion & Analysis Videos

Based on the sample cases above, simulation videos were created to demonstrate how case discussions are handled between examiners and candidates in an online exam environment. Following each case discussion, a brief video created by the examiner explains what the candidate did well.

Although you may see several video panels in these samples, in each of your three exam rooms, you should expect to see two examiners along with your own video panel displayed. Occasionally, an "examiner-in-training" may observe for learning purposes or a member of ABO leadership may visit your virtual exam room as a quality control measure.

Sample PMP #1
Optics, Visual Physiology, & Correction of Refractive Errors / Anterior Segment of the Eye

The candidate describes how she would approach the case of a 65-year-old man who is seeking a second opinion following cataract extraction.

To support candidate preparation efforts, the examiner featured in this sample video describes what the candidate did well in her discussion of the case. Remember that on your actual exam, examiners will not provide an analysis of your performance.



Sample PMP #2
Pediatric Ophthalmology and Strabismus / External Eye and Adnexa

The candidate discusses how she would manage the care of a 10-month-old girl with the lesion depicted in the case photo.

To support candidate preparation efforts, the examiner featured in this sample video describes what the candidate did well in her discussion of the case. Remember that on your actual exam, examiners will not provide an analysis of your performance.

Sample PMP #3
Neuro-Ophthalmology and Orbit / Posterior Segment of the Eye

The candidate explains what she would do for the 58-year-old man in this clinical scenario who is experiencing blurred vision.

To support candidate preparation efforts, the examiner featured in this sample video describes what the candidate did well in her discussion of the case. Remember that on your actual exam, examiners will not provide an analysis of your performance.



The ABO extends its sincere thanks to examiners Tamara Fountain, MD, and Francesca Giliberti, MD, JD, along with recently certified diplomate Niloofar Piri, MD, Class of 2020, for making these candidate demonstration materials possible.