PAEA EOR IM miss Exam Questions and
Answers
Question 1
Neurology : Clinical Therapeutics, Transient ischemic accident
Correct Answer
ASA +/- Dipyridamole or Plavix
Question 2
Neurology : Diagnosis, Friedreich ataxia
Correct Answer
o Initial- clinical=Gait ataxia manifests as progressively slow and clumsy walking,
which often begins after normal walking has developed.
o Confirm w/genetic testing for triplet repeat expansions in the first intron of the
frataxin (FXN) gene
o R/o w/MRI of brain and spinal cord
Question 3
Orthopedics/Rheumatology : Clinical Intervention, Spinal stenosis
Correct Answer
o Lumbar epidural inj. of corticosteroids
o Decompression laminectomy
Question 4
Gastrointestinal/Nutritional : Scientific Concepts, Hyperbilirubinemia
Correct Answer
↓ UGT (Uridine diphosphoglucuronosyltransferase) activity & ↓ bilirubin uptake → ↑
indirect bilirubin
Page 1 of 15
, Question 5
History and Physical, Congestive heart failure
Correct Answer
Hx of DM2, meth use, EtOH use, chemo/radiation to chest. PE= dyspneic w/lying
flat, multiple pillow prthopnea, ascites, heaptojugular reflex, JVD/distended neck
veins, extremity edema, lung sounds will have rales. S3-heart sound
Question 6
Clinical Therapeutics, Paroxysmal supraventricular tachycardia (PSVT) Stable Wide:
Correct Answer
Amiodarone
Question 7
Critical Care : History and Physical, Cardiac (pericardial) tamponade
Correct Answer
o Pericardial effusion causing lots of pressure on heart, may be d/t chronic dz
o PE- Becks triad- 1. distant (muffled) heart sounds, 2. ↑ JVP, 3. hypoTN
o Pulsus paradoxus, edema, dyspnea, fatigue
Question 8
Infectious Diseases : Diagnosis, Varicella zoster virus
Correct Answer
o Clinical
o PCR or CSF fluid
Page 2 of 15
Answers
Question 1
Neurology : Clinical Therapeutics, Transient ischemic accident
Correct Answer
ASA +/- Dipyridamole or Plavix
Question 2
Neurology : Diagnosis, Friedreich ataxia
Correct Answer
o Initial- clinical=Gait ataxia manifests as progressively slow and clumsy walking,
which often begins after normal walking has developed.
o Confirm w/genetic testing for triplet repeat expansions in the first intron of the
frataxin (FXN) gene
o R/o w/MRI of brain and spinal cord
Question 3
Orthopedics/Rheumatology : Clinical Intervention, Spinal stenosis
Correct Answer
o Lumbar epidural inj. of corticosteroids
o Decompression laminectomy
Question 4
Gastrointestinal/Nutritional : Scientific Concepts, Hyperbilirubinemia
Correct Answer
↓ UGT (Uridine diphosphoglucuronosyltransferase) activity & ↓ bilirubin uptake → ↑
indirect bilirubin
Page 1 of 15
, Question 5
History and Physical, Congestive heart failure
Correct Answer
Hx of DM2, meth use, EtOH use, chemo/radiation to chest. PE= dyspneic w/lying
flat, multiple pillow prthopnea, ascites, heaptojugular reflex, JVD/distended neck
veins, extremity edema, lung sounds will have rales. S3-heart sound
Question 6
Clinical Therapeutics, Paroxysmal supraventricular tachycardia (PSVT) Stable Wide:
Correct Answer
Amiodarone
Question 7
Critical Care : History and Physical, Cardiac (pericardial) tamponade
Correct Answer
o Pericardial effusion causing lots of pressure on heart, may be d/t chronic dz
o PE- Becks triad- 1. distant (muffled) heart sounds, 2. ↑ JVP, 3. hypoTN
o Pulsus paradoxus, edema, dyspnea, fatigue
Question 8
Infectious Diseases : Diagnosis, Varicella zoster virus
Correct Answer
o Clinical
o PCR or CSF fluid
Page 2 of 15
