PAEA EOC, PAEA SUMMA TIVE
PRACTICE, PHYSICIAN ASSISTANT
EXAM, EOC QUESTIONS AND ANSWERS,
PAEA 150 QUESTIONS, PA EXAM PREP,
GRADED A+
Question : what exactly causes the occlusive vascular disease
of thromboangiitis obliterans?
Correct answer: aka Buerger's disease
inflammatory thrombi affecting the medium and small vessels (nonatherosclerosis)
polymorphonuclear leukocytes, microabscesses, and multinucleated giant cells may be presen
Question : Treatment options for thromboangiitis obliterans?
Correct answer: smoking cessation most important!
cilostazol (PDE 3 inhibitor) has vasodilator properties (alleviated symptoms) if raynauds also present, CCB (nifedipine)
Question : what heart failure treatment provides a benefit of
reduction in morbidity and mortality?
Correct answer: ACE inhibitors
beta blockers can also reduce M&M
diuretics have no reduction in mortality
Question : how would you manage a patient with a MI in the
setting of cocaine use?
Correct answer: benzodiazepine early
no beta blockers
Question : If PCI cannot be done for a STEMI patient within
120 minutes, what should be done?
Correct answer: fibrolytic therapy
then do PCI & coronary angiography when it can be done
ideally PCI is done within 90 minutes
fibrolytic therapy can be used up to 12 hours of symptoms
Question : If you suspect an acute limb ischemia due to
arterial embolism, what imaging should you get?
Correct answer: catheter-based arteriography (digital
subtraction arteriography) provides the most useful information. can also help with treatment
can help distinguish between thrombosis and embolus
Question : where are arterial emboli often found?
Correct answer: lower extremities more common than upper
extremities
The common femoral, common iliac, and popliteal artery bifurcations are frequent locations
majority originate in the heart
fun fact: Compared with thromboemboli, atheroemboli are
less likely to produce symptoms of acute limb ischemia
Question : how would you work up a patient with treatment
resistant hypertension that you suspect a secondary cause?
Correct answer: 24-hour ambulatory monitoring (to ensure
not white coat) medical hx (assess adherence to meds, other meds) physical exam (look for abominal/renal bruits) labs (electrolytes, glucose, creatinine, UA)
If pheo suspected: measure fractionated metanephrines and
catecholamines in a 24-hour urine collection
Question : other than atherosclerosis leading to renal artery
stenosis and secondary HTN, what is another causes of a renal-associated secondary HTN?
Correct answer: fibromuscular dysplasia (usually in a young
pt)
Question : most important modifable risk factor for AAA?
Correct answer: smoking cessation!
Question : when is it okay to do screening survelliance for
AAA rather than repair and how often should you screen?
Correct answer: if AAA is <5.5 cm then annual screening
with US is recommended. may need every 6 months if rapidly expanding or other concerns
Question : how should you educate a patient with AAA on
exercise?
Correct answer: Patients should be counseled that moderate
physical activity such as running, biking, swimming, hiking, or sexual activity and activities such as gardening, golfing, and horseback riding do not precipitate AAA rupture
Moderate physical therapy may also limit aneurysm expansion. In experimental aneurysms, increased aortic blood flow appears to inhibit AAA expansion