PAEA EOC & SUMMATIVE 2025
PRACTICE
ANSWER ALL QUESTIONS IN THIS SECTION
QUESTION 1
what exactly causes the occlusive vascular disease of thromboangiitis obliterans? -
ANSWERS-aka Buerger's disease
inflammatory thrombi affecting the medium and small vessels (nonatherosclerosis)
polymorphonuclear leukocytes, microabscesses, and multinucleated giant cells
may be presen
QUESTION 2
Treatment options for thromboangiitis obliterans? - ANSWERS-smoking cessation
most important!
cilostazol (PDE 3 inhibitor) has vasodilator properties (alleviated symptoms)
if raynauds also present, CCB (nifedipine)
END OF
PAGE 1
, PAEA EOC & SUMMATIVE 2025
PRACTICE
QUESTION 3
what heart failure treatment provides a benefit of reduction in morbidity and
mortality? - ANSWERS-ACE inhibitors
beta blockers can also reduce M&M
diuretics have no reduction in mortality
QUESTION 4
how would you manage a patient with a MI in the setting of cocaine use? -
ANSWERS-benzodiazepine early
no beta blockers
QUESTION 5
If PCI cannot be done for a STEMI patient within 120 minutes, what should be
done? - ANSWERS-fibrolytic therapy
then do PCI & coronary angiography when it can be done
END OF
PAGE 2
, PAEA EOC & SUMMATIVE 2025
PRACTICE
ideally PCI is done within 90 minutes
fibrolytic therapy can be used up to 12 hours of symptoms
QUESTION 6
If you suspect an acute limb ischemia due to arterial embolism, what imaging
should you get? - ANSWERS-catheter-based arteriography (digital subtraction
arteriography) provides the most useful information. can also help with treatment
can help distinguish between thrombosis and embolus
QUESTION 7
where are arterial emboli often found? - ANSWERS-lower extremities more
common than upper extremities
The common femoral, common iliac, and popliteal artery bifurcations are frequent
locations
majority originate in the heart
END OF
PAGE 3
, PAEA EOC & SUMMATIVE 2025
PRACTICE
fun fact: Compared with thromboemboli, atheroemboli are less likely to produce
symptoms of acute limb ischemia
QUESTION 8
how would you work up a patient with treatment resistant hypertension that you
suspect a secondary cause? - ANSWERS-24-hour ambulatory monitoring (to
ensure not white coat)
medical hx (assess adherence to meds, other meds)
physical exam (look for abominal/renal bruits)
labs (electrolytes, glucose, creatinine, UA)
If pheo suspected: measure fractionated metanephrines and catecholamines in a 24-
hour urine collection
QUESTION 9
other than atherosclerosis leading to renal artery stenosis and secondary HTN,
what is another causes of a renal-associated secondary HTN? - ANSWERS-
fibromuscular dysplasia (usually in a young pt)
QUESTION 10
END OF
PAGE 4
PRACTICE
ANSWER ALL QUESTIONS IN THIS SECTION
QUESTION 1
what exactly causes the occlusive vascular disease of thromboangiitis obliterans? -
ANSWERS-aka Buerger's disease
inflammatory thrombi affecting the medium and small vessels (nonatherosclerosis)
polymorphonuclear leukocytes, microabscesses, and multinucleated giant cells
may be presen
QUESTION 2
Treatment options for thromboangiitis obliterans? - ANSWERS-smoking cessation
most important!
cilostazol (PDE 3 inhibitor) has vasodilator properties (alleviated symptoms)
if raynauds also present, CCB (nifedipine)
END OF
PAGE 1
, PAEA EOC & SUMMATIVE 2025
PRACTICE
QUESTION 3
what heart failure treatment provides a benefit of reduction in morbidity and
mortality? - ANSWERS-ACE inhibitors
beta blockers can also reduce M&M
diuretics have no reduction in mortality
QUESTION 4
how would you manage a patient with a MI in the setting of cocaine use? -
ANSWERS-benzodiazepine early
no beta blockers
QUESTION 5
If PCI cannot be done for a STEMI patient within 120 minutes, what should be
done? - ANSWERS-fibrolytic therapy
then do PCI & coronary angiography when it can be done
END OF
PAGE 2
, PAEA EOC & SUMMATIVE 2025
PRACTICE
ideally PCI is done within 90 minutes
fibrolytic therapy can be used up to 12 hours of symptoms
QUESTION 6
If you suspect an acute limb ischemia due to arterial embolism, what imaging
should you get? - ANSWERS-catheter-based arteriography (digital subtraction
arteriography) provides the most useful information. can also help with treatment
can help distinguish between thrombosis and embolus
QUESTION 7
where are arterial emboli often found? - ANSWERS-lower extremities more
common than upper extremities
The common femoral, common iliac, and popliteal artery bifurcations are frequent
locations
majority originate in the heart
END OF
PAGE 3
, PAEA EOC & SUMMATIVE 2025
PRACTICE
fun fact: Compared with thromboemboli, atheroemboli are less likely to produce
symptoms of acute limb ischemia
QUESTION 8
how would you work up a patient with treatment resistant hypertension that you
suspect a secondary cause? - ANSWERS-24-hour ambulatory monitoring (to
ensure not white coat)
medical hx (assess adherence to meds, other meds)
physical exam (look for abominal/renal bruits)
labs (electrolytes, glucose, creatinine, UA)
If pheo suspected: measure fractionated metanephrines and catecholamines in a 24-
hour urine collection
QUESTION 9
other than atherosclerosis leading to renal artery stenosis and secondary HTN,
what is another causes of a renal-associated secondary HTN? - ANSWERS-
fibromuscular dysplasia (usually in a young pt)
QUESTION 10
END OF
PAGE 4
