PAEA EOC 2026, PAEA Summative Practice, physician
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Describe virchow's node - answer-left supraclavicular
lymphadenopathy is often associated with gastric cancer
What is gilbert's syndrome? - answer-unconjugated
hyperbilirubinemia. Usually asymptomatic aside from
jaundice
Which anemia commonly has neurologic symptoms? -
answer-b12 deficient anemia
What type of anemia is common among alcoholics? -
answer-folate deficiency anemia
What is the mechanism of hypercoagulability with factor v
leiden mutation? - answer-mutated factor v resistant to
breakdown by activated protein c
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Treatment for salmonellosis? - answer-ceftriaxone 1 g im,
ciprofloxacin 500 mg po bid for 10 to 14 days, levofloxacin
500 mg po or iv once/day for 14 days
How to dx histoplasmosis? - answer-culture gold standard
Fungal staining for quicker/less sensitive results
Test for antigen and antibodies
Therapeutic options for postherpetic neuralgia? - answer-
gabapentin or tca, topical lidocaine gel, capsaicin
Describe the epidemiology of neurocysticercosis - answer-
cysticercosis is transmitted by ingestion of t. Solium eggs
shed in the stool of a human tapeworm carrier. Following
ingestion, embryos (oncospheres) hatch in the small
intestine, invade the bowel wall, and disseminate
hematogenously to brain, muscles, and/or other tissues.
One becomes a carrier by ingestion of taenia solium eggs,
often found in infected pork.
Clinical intervention for premenstrual syndrome? - answer-
exercise, stress reduction, ssri (can be administered as
continuous daily therapy or may be used cyclically 2
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weeks prior to the menstrual cycle), ocp (start with a 3 mg
drospirenone (drsp)/20 mcg ethinyl estradiol (ee) coc
(yazmin) with a four-day pill-free interval as the first-line
pill)
Vaginal discharge with ph greater than 4.5 suggests what
diagnosis? - answer-bacterial vaginosis
Clinical therapeutics for osteoporosis - answer-calcium
(1200 - 1500 mg/day), vitamin d (800 - 1000 iu/day),
bisphosphonates, teriparatide
Labs and testing to diagnose compartment syndrome? -
answer-compartment pressure > 30-45 mmhg (delta
pressure = diastolic bp - measure compartment pressure.)
Increased ck and myoglobin
Management for aaa based on diameter of aorta? -
answer--no further testing if aorta < 3.0 cm diameter
-repeat us yearly if aorta 3.0 - 4.4 cm
-repeat us every 6 months if aorta 4.5 - 5.0 cmreferral to
vascular surgery at this stage
-repeat us every 3 months if aorta 5-5.4 cm
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> 5.5 or > 0.5 cm expansion in 6 months - immediate
surgical repair (even if asymptomatic)
Name the murmur: non-radiating, high-pitched, mid-
systolic ejection click heard at apex - answer-mitral
prolapse
Pt describes angina occurring at rest, usually occurs at
night or early morning. What's the dx? - answer-
prinztmetal angina
A week old infant presents with dyspnea. You hear a high-
pitched harsh holosystolic murmur at the left lower sternal
border. Whats the dx? - answer-ventricular septal defect
What is thromboangiitis obliterates (buerger's disease? -
answer-nonatherosclerotic inflammatory small/medium
vessel vasculitis leading to vas occlusive phenomena.
Suspect in young smokers with distal extremity
ischemia/ischemic ulcers or gangrenous digits