SURGERY EOR EXAM PAEA BLUEPRINT
COMPLETE TEST PAPER WITH CORRECT
ANSWERS
◉ According to the ACC/AHA guidelines, which two specific high-
intensity statins and their exact doses are first-line for
hyperlipidemia with established ASCVD?
Answer: Atorvastatin 40 to 80 mg or Rosuvastatin 20 to 40 mg
◉ What is the secondary non-statin pharmacological therapeutic
and its exact generic name added when LDL-C targets are not met
with high-intensity statins?
Answer: Ezetimibe
◉ What is the tertiary drug class and specific generic drug name
used for refractory hyperlipidemia in patients already taking
maximal statins and ezetimibe?
Answer: PCSK9 inhibitor such as Alirocumab or Evolocumab
◉ Which specific fibric acid derivative generic drug is the first-line
therapeutic to prevent acute pancreatitis in patients with isolated
triglycerides greater than 500 mg/dL?
Answer: Fenofibrate
,◉ What is the quaternary prescription-strength omega-3 fatty acid
generic name indicated for severe hypertriglyceridemia as an
adjunct to statins?
Answer: Icosapent ethyl
◉ What is the immediate, primary medical management protocol for
a patient presenting with an acute, hemodynamically stable Stanford
Type B aortic dissection?
Answer: Intravenous Esmolol or Labetalol infusion to reduce heart
rate below 60 bpm and systolic blood pressure to 100-120 mmHg
◉ What is the definitive surgical management for a patient
presenting with an acute Stanford Type A aortic dissection?
Answer: Emergent open surgical repair with graft replacement of
the ascending aorta
◉ What is the secondary surgical intervention and its exact name
indicated for a Stanford Type B aortic dissection complicated by
rupture, malperfusion, or refractory pain?
Answer: Thoracic Endovascular Aortic Repair (TEVAR)
◉ In a patient presenting with suspected aortic dissection who is
hemodynamically unstable, what is the bedside diagnostic study of
choice?
, Answer: Transesophageal Echocardiogram (TEE)
◉ What is the primary, non-invasive diagnostic screening study of
choice for suspected Peripheral Artery Disease (PAD)?
Answer: Ankle-Brachial Index (ABI)
◉ What represents a classic, abnormal Ankle-Brachial Index (ABI)
range diagnostic for stable claudication in peripheral artery disease?
Answer: 0.41 to 0.90
◉ What is the gold standard diagnostic imaging study used to plan
revascularization in patients with severe, limb-threatening
Peripheral Artery Disease (PAD)?
Answer: Catheter-directed digital subtraction angiography (DSA)
◉ What is the first-line antiplatelet generic drug used to reduce
cardiovascular morbidity in patients with symptomatic Peripheral
Artery Disease (PAD)?
Answer: Aspirin or Clopidogrel
◉ What is the first-line medication and its specific generic name
used to improve walking distance in patients with moderate-to-
severe claudication?
Answer: Cilostazol
COMPLETE TEST PAPER WITH CORRECT
ANSWERS
◉ According to the ACC/AHA guidelines, which two specific high-
intensity statins and their exact doses are first-line for
hyperlipidemia with established ASCVD?
Answer: Atorvastatin 40 to 80 mg or Rosuvastatin 20 to 40 mg
◉ What is the secondary non-statin pharmacological therapeutic
and its exact generic name added when LDL-C targets are not met
with high-intensity statins?
Answer: Ezetimibe
◉ What is the tertiary drug class and specific generic drug name
used for refractory hyperlipidemia in patients already taking
maximal statins and ezetimibe?
Answer: PCSK9 inhibitor such as Alirocumab or Evolocumab
◉ Which specific fibric acid derivative generic drug is the first-line
therapeutic to prevent acute pancreatitis in patients with isolated
triglycerides greater than 500 mg/dL?
Answer: Fenofibrate
,◉ What is the quaternary prescription-strength omega-3 fatty acid
generic name indicated for severe hypertriglyceridemia as an
adjunct to statins?
Answer: Icosapent ethyl
◉ What is the immediate, primary medical management protocol for
a patient presenting with an acute, hemodynamically stable Stanford
Type B aortic dissection?
Answer: Intravenous Esmolol or Labetalol infusion to reduce heart
rate below 60 bpm and systolic blood pressure to 100-120 mmHg
◉ What is the definitive surgical management for a patient
presenting with an acute Stanford Type A aortic dissection?
Answer: Emergent open surgical repair with graft replacement of
the ascending aorta
◉ What is the secondary surgical intervention and its exact name
indicated for a Stanford Type B aortic dissection complicated by
rupture, malperfusion, or refractory pain?
Answer: Thoracic Endovascular Aortic Repair (TEVAR)
◉ In a patient presenting with suspected aortic dissection who is
hemodynamically unstable, what is the bedside diagnostic study of
choice?
, Answer: Transesophageal Echocardiogram (TEE)
◉ What is the primary, non-invasive diagnostic screening study of
choice for suspected Peripheral Artery Disease (PAD)?
Answer: Ankle-Brachial Index (ABI)
◉ What represents a classic, abnormal Ankle-Brachial Index (ABI)
range diagnostic for stable claudication in peripheral artery disease?
Answer: 0.41 to 0.90
◉ What is the gold standard diagnostic imaging study used to plan
revascularization in patients with severe, limb-threatening
Peripheral Artery Disease (PAD)?
Answer: Catheter-directed digital subtraction angiography (DSA)
◉ What is the first-line antiplatelet generic drug used to reduce
cardiovascular morbidity in patients with symptomatic Peripheral
Artery Disease (PAD)?
Answer: Aspirin or Clopidogrel
◉ What is the first-line medication and its specific generic name
used to improve walking distance in patients with moderate-to-
severe claudication?
Answer: Cilostazol
