Exam Preparation

OKAP Examination Preparation

Ophthalmic Knowledge Assessment Program (US). Syllabus-mapped MCQ bank, handwritten notes and past paper patterns to help you pass on the first attempt.

OKAPs Exam Overview

Format, duration and pass criteria broken down per part.

OKAP

Format
~260 MCQs
Duration
4 hours
Pass mark
Percentile-reported, programme-specific

Comprehensive ophthalmology aligned to BCSC sections 1–13

OKAPs High-Yield Syllabus Topics

The topics that pull the most marks. Drill these first.

BCSC-aligned core

  • Update on General Medicine (BCSC 1)
  • Fundamentals and Optics (BCSC 3)
  • Ophthalmic Pathology (BCSC 4)
  • Neuro-ophthalmology (BCSC 5)
  • Pediatric Ophthalmology and Strabismus (BCSC 6)
  • Retina and Vitreous (BCSC 12)
  • Glaucoma (BCSC 10)

Suggested study plan and timeline

A phased plan used by recent passers. Adjust to your own runway.

  1. 1

    PGY1 / early PGY2

    Months 1–6

    Read BCSC 3 (Optics) and BCSC 2 (Fundamentals). Light topic MCQs.

  2. 2

    PGY2 build

    Months 7–18

    Rotate through BCSC sections aligned with clinic rotations. Topic-wise MCQs weekly.

  3. 3

    Pre-exam

    Final 8 weeks

    Full mocks weekly. Spaced repetition on flagged questions. BCSC quick-recall summaries.

Common pitfalls

  • !
    Trying to read all 13 BCSC sections cover-to-cover
  • !
    Skipping optics — it is heavily tested
  • !
    Cramming the week before; OKAPs rewards spaced practice
  • !
    Ignoring image-based questions

Pro tips from recent passers

  • Anchor your study to BCSC sections, not random topic order
  • Use OphthaMCQ topic banks to drill weak BCSC sections
  • Set a target percentile with your programme director and reverse-plan from there
  • Run two full-length mocks under exam conditions in the final 4 weeks

Recommended textbooks and references

The references the exam is actually written from.

BCSC (Basic and Clinical Science Course)

The OKAPs blueprint is built directly from BCSC.

Kanski Clinical Ophthalmology

Useful complement to BCSC for clinical depth.

Friedman — Review of Ophthalmology

Concise pre-exam review.

Past papers and question patterns

The AAO does not publish OKAP past papers. Our high-yield bank and topic MCQs are aligned to BCSC chapter weights, which match the blueprint closely.

OKAPs FAQ

Answers to the questions residents actually ask.

When should I take OKAPs?
OKAPs is administered annually in March. All US ophthalmology residents take it each year as a programme-wide assessment.
Is there a pass mark for OKAPs?
OKAPs reports percentiles rather than pass/fail. Programmes set their own expectations, often around the 30th–50th percentile.
Best resource for OKAPs?
BCSC plus a BCSC-aligned MCQ bank. Pair with topic-wise handwritten notes for the final weeks.
How long should I prepare for OKAPs?
Spread practice across the academic year. Heavy revision in the final 6–8 weeks.
Is OphthaMCQ aligned with BCSC?
Yes. Our high-yield bank maps to BCSC sections and uses the question style common across OKAPs and similar US in-training exams.

Ready to prepare for OKAPs?
Unlock the full study kit.

MCQ banks, handwritten notes, and past papers — everything for OKAPs in one place on ophthamcq.com.

Get Complete Resources →