PAEA Internal Medicine EOR EXAM (New
2026/ 2027 Update) MOST TESTED
Questions & Answers {Grade A} 100%
Correct (Verified Solutions)
Clinical Findings of Asthma: - Correct answer Hx: classic triad: dyspnea, Wheeze,
Cough (esp at night)
Physical exam: prolonged expiration with wheezing, hyperresonance.
Diagnosis of Asthma: - Correct answer A: Peak expiratory flow: will increase by >15%
after tx
B: PFT: Gold standard: reversible obstruction
C: Bronchoprovocation: 1. metachoine challenge test (induces bronchospasm) 2.
exercise challenge test
Prevention and Treatment of Asthma - Correct answer Step 1: SABA (rescue)
,Step 2: Low dose ICS and SABA PRN
Step 3: Low dose ICS + LABA
Step 4: Med dose ICS + LABA
Step 5: High dose ICS + LABA
Bronchiectasis: - Correct answer ∙Permanent dilation of the bronchial walls.
∙Results in airflow obstruction.
∙Usually results from cystic fibrosis, or infection with h. flu (MC infection) or
pseudomonas (MC in CF), or m. catarrhalis
∙Diagnosis by CT scan - Tram track appearance;
∙Treatment goal to prevent infections and control mucus.
Bronchiectasis sx - Correct answer 1. daily chroniccough with thick, mucopurulent
sputum
2. hemoptysis (Bronchiectasis is the MC cause of massive hemoptysis)
3. Persistent crackles at bases is common
,Cor pulmonale (Right Sided Heart Failure): - Correct answer →COPD, Sleep Apnea,
etc...→Decreased Oxygen→Increased BP in the arteries of the Lung→Pulmonary
Hypertension→Cor pulmonale
Sarcoidosis: - Correct answer ∙Most common granulomatous lung inflammatory
disease.
∙Characterized by noncaseating granulomas in multiple organs esp. the lung.
∙Unknown cause: infections and environmental causes suspected.
∙An immune response causes increase in CD4 cells and formation of fibrosis.
Sarcoidosis sx - Correct answer 50% asymptomatic and seek medical attention after
abnormal findings on CXR
1. Pulmonary sx (90%)
• Dyspnea
• Cough
• Chest pain
, 2. Lymphadenopathy (Esp Hilar nodes)
3. Skin (25%)
•Erythema nodosum
•Lupus pernio: pathognomonic: raised discoloration on head that resembles frost bite
•Parotid gland enlargement
4. Visual sx: (20%)
•Uveitis or conjunctivitis - may cause blindness
5. Myocardial: arrhythmias, cardiomyopathies
6. Rheumatologic: arthralgias
7. Neurologic: CN palsies in 5%
Sarcoidosis: Diagnosis, Treatment, and Prognosis - Correct answer ∙Diagnosis
→CXR occasionally CT or gallium scan.
→Biopsy of granulomas-histiocytes, lymphocytes, and multinucleated giant cells.
∙Treatment
2026/ 2027 Update) MOST TESTED
Questions & Answers {Grade A} 100%
Correct (Verified Solutions)
Clinical Findings of Asthma: - Correct answer Hx: classic triad: dyspnea, Wheeze,
Cough (esp at night)
Physical exam: prolonged expiration with wheezing, hyperresonance.
Diagnosis of Asthma: - Correct answer A: Peak expiratory flow: will increase by >15%
after tx
B: PFT: Gold standard: reversible obstruction
C: Bronchoprovocation: 1. metachoine challenge test (induces bronchospasm) 2.
exercise challenge test
Prevention and Treatment of Asthma - Correct answer Step 1: SABA (rescue)
,Step 2: Low dose ICS and SABA PRN
Step 3: Low dose ICS + LABA
Step 4: Med dose ICS + LABA
Step 5: High dose ICS + LABA
Bronchiectasis: - Correct answer ∙Permanent dilation of the bronchial walls.
∙Results in airflow obstruction.
∙Usually results from cystic fibrosis, or infection with h. flu (MC infection) or
pseudomonas (MC in CF), or m. catarrhalis
∙Diagnosis by CT scan - Tram track appearance;
∙Treatment goal to prevent infections and control mucus.
Bronchiectasis sx - Correct answer 1. daily chroniccough with thick, mucopurulent
sputum
2. hemoptysis (Bronchiectasis is the MC cause of massive hemoptysis)
3. Persistent crackles at bases is common
,Cor pulmonale (Right Sided Heart Failure): - Correct answer →COPD, Sleep Apnea,
etc...→Decreased Oxygen→Increased BP in the arteries of the Lung→Pulmonary
Hypertension→Cor pulmonale
Sarcoidosis: - Correct answer ∙Most common granulomatous lung inflammatory
disease.
∙Characterized by noncaseating granulomas in multiple organs esp. the lung.
∙Unknown cause: infections and environmental causes suspected.
∙An immune response causes increase in CD4 cells and formation of fibrosis.
Sarcoidosis sx - Correct answer 50% asymptomatic and seek medical attention after
abnormal findings on CXR
1. Pulmonary sx (90%)
• Dyspnea
• Cough
• Chest pain
, 2. Lymphadenopathy (Esp Hilar nodes)
3. Skin (25%)
•Erythema nodosum
•Lupus pernio: pathognomonic: raised discoloration on head that resembles frost bite
•Parotid gland enlargement
4. Visual sx: (20%)
•Uveitis or conjunctivitis - may cause blindness
5. Myocardial: arrhythmias, cardiomyopathies
6. Rheumatologic: arthralgias
7. Neurologic: CN palsies in 5%
Sarcoidosis: Diagnosis, Treatment, and Prognosis - Correct answer ∙Diagnosis
→CXR occasionally CT or gallium scan.
→Biopsy of granulomas-histiocytes, lymphocytes, and multinucleated giant cells.
∙Treatment
