PAEA EOR IM MISS 2026 COMPREHENSIVE EXAM
QUESTIONS |FREQUENTLY TESTED QUESTIONS
|RECENTLY TESTING REAL EXAM
QUESTIONS|VERIFIED SOLUTIONS (100%
CORRECT)!
Orthopedics/Rheumatology : Clinical Therapeutics, Raynaud phenomenon
CCBs*, prostacyclin
Orthopedics/Rheumatology : Diagnostic studies, Polyarteritis nodosa
o ↑ ESR, ANCA (-)**
o Renal or Mesenteric angiography: microaneurysms w/abrupt cut-off of
small arteries**
Orthopedics/Rheumatology : Diagnosis, Polyarteritis nodosa
1. Renal: HTN* (due to ↑renin), renal failure.
2. Constitutional: fever, myalgias, arthritis. Lungs usually spared.
3. CNS: neuropathy, amaurosis fugax, peripheral neuropathy, Mononeuritis
multiplex.
4. Dermatologic: livedo reticularis, purpura, ulcers, gangrene, nodules,
Raynaud's phenomenon.
Orthopedics/Rheumatology : Diagnostic Studies, Rheumatoid arthritis
o Initial: (+) Rheum factor**, ↑ CRP & ↑ ESR
o MOST SPECIFIC: (+) Anti-Cyclic Citrullinated Peptide Ab**
o Radiology: NARROWED JOINT SPACE (OSTEOPENIA/EROSIONS)*
Orthopedics/Rheumatology : Diagnosis, Rheumatoid arthritis
o SMALLIOINT stiffness: (MCP, wrist, PIP, knee, MTP, shoulder, ankle) worse
with rest.
o MORNING JOINT STIFFNESS >60 MINUTES improves with movement
, o SYMMETRIC ARTHRITIS: swollen, tender, erythematous, "boggy" joint.
Boutonniere
deformity (flexion@ PIP, hyperextension of DIP); swan neck deformity
(flexion @DIP
joint hyperextension @ PIP joint. ULNAR DEVIATION* at MCP joint.
Rheumatoid nodules.
Orthopedics/Rheumatology : History and Physical, Osteoarthritis
o RF- obese, wt. bearing joints
o NARROWED JOINT SPACE (loss of articular cartilage), sclerosis &
osteophyte formation*
o MC in WEIGHT BEARING JOINTS (knees, hips, cervical/lumbar spine,
hip).
o EVENING JOINT STIFFNESS better with rest, worsens throughout the
day & with changes
in weather. LROM, crepitus. Absence of inflammatory signs & 11HARD
BONY LOINTS".
2. "HARD BONY IOINTS" = OSTEOPHYTE$. Heberden's node (palpable
osteophytes @ DIP joints).
Bouchard's node: PIP osteophytes. OA of the hands MC in women.
Pulmonology : Clinical Intervention, Pleural effusion
o Tx underlying: Diuretics, Na+ restriction
o GOLD: thoracentesis
Pulmonology : Clinical Therapeutics, Acute bronchitis
Symptomatic: fluids, rest, +/- bronchodilators, +/- antitussives (adults
ONLY)
Pulmonology : Clinical Therapeutics, COPD
A. Bronchodilators
o 1. Anticholinergics- Tiotropium, Ipratropium
o 2. B2 Agonist- Albuterol, Terbutaline, Salmeterol
o 3. Theophylline
QUESTIONS |FREQUENTLY TESTED QUESTIONS
|RECENTLY TESTING REAL EXAM
QUESTIONS|VERIFIED SOLUTIONS (100%
CORRECT)!
Orthopedics/Rheumatology : Clinical Therapeutics, Raynaud phenomenon
CCBs*, prostacyclin
Orthopedics/Rheumatology : Diagnostic studies, Polyarteritis nodosa
o ↑ ESR, ANCA (-)**
o Renal or Mesenteric angiography: microaneurysms w/abrupt cut-off of
small arteries**
Orthopedics/Rheumatology : Diagnosis, Polyarteritis nodosa
1. Renal: HTN* (due to ↑renin), renal failure.
2. Constitutional: fever, myalgias, arthritis. Lungs usually spared.
3. CNS: neuropathy, amaurosis fugax, peripheral neuropathy, Mononeuritis
multiplex.
4. Dermatologic: livedo reticularis, purpura, ulcers, gangrene, nodules,
Raynaud's phenomenon.
Orthopedics/Rheumatology : Diagnostic Studies, Rheumatoid arthritis
o Initial: (+) Rheum factor**, ↑ CRP & ↑ ESR
o MOST SPECIFIC: (+) Anti-Cyclic Citrullinated Peptide Ab**
o Radiology: NARROWED JOINT SPACE (OSTEOPENIA/EROSIONS)*
Orthopedics/Rheumatology : Diagnosis, Rheumatoid arthritis
o SMALLIOINT stiffness: (MCP, wrist, PIP, knee, MTP, shoulder, ankle) worse
with rest.
o MORNING JOINT STIFFNESS >60 MINUTES improves with movement
, o SYMMETRIC ARTHRITIS: swollen, tender, erythematous, "boggy" joint.
Boutonniere
deformity (flexion@ PIP, hyperextension of DIP); swan neck deformity
(flexion @DIP
joint hyperextension @ PIP joint. ULNAR DEVIATION* at MCP joint.
Rheumatoid nodules.
Orthopedics/Rheumatology : History and Physical, Osteoarthritis
o RF- obese, wt. bearing joints
o NARROWED JOINT SPACE (loss of articular cartilage), sclerosis &
osteophyte formation*
o MC in WEIGHT BEARING JOINTS (knees, hips, cervical/lumbar spine,
hip).
o EVENING JOINT STIFFNESS better with rest, worsens throughout the
day & with changes
in weather. LROM, crepitus. Absence of inflammatory signs & 11HARD
BONY LOINTS".
2. "HARD BONY IOINTS" = OSTEOPHYTE$. Heberden's node (palpable
osteophytes @ DIP joints).
Bouchard's node: PIP osteophytes. OA of the hands MC in women.
Pulmonology : Clinical Intervention, Pleural effusion
o Tx underlying: Diuretics, Na+ restriction
o GOLD: thoracentesis
Pulmonology : Clinical Therapeutics, Acute bronchitis
Symptomatic: fluids, rest, +/- bronchodilators, +/- antitussives (adults
ONLY)
Pulmonology : Clinical Therapeutics, COPD
A. Bronchodilators
o 1. Anticholinergics- Tiotropium, Ipratropium
o 2. B2 Agonist- Albuterol, Terbutaline, Salmeterol
o 3. Theophylline
