PAEA EOC 2025, PAEA SUMMATIVE PRACTICE EXAM 2025 QUESTIONS AND
ANSWERS|WELL STRUCTURED|100 % PASS
aka Buerger's disease
inflammatory thrombi affecting the medi-
what exactly causes the occlusive vas- um and small vessels (nonatherosclero-
cular disease of thromboangiitis obliter- sis)
ans?
polymorphonuclear leukocytes, microab-
scesses, and multinucleated giant cells
may be presen
smoking cessation most important!
cilostazol (PDE 3 inhibitor) has vasodila-
Treatment options for thromboangiitis
tor properties (alleviated symptoms)
obliterans?
if raynauds also present, CCB (nifedip-
ine)
ACE inhibitors
what heart failure treatment provides a
beta blockers can also reduce M&M
benefit of reduction in morbidity and mor-
tality?
diuretics have no reduction in mortality
how would you manage a patient with a benzodiazepine early
MI in the setting of cocaine use? no beta blockers
fibrolytic therapy
then do PCI & coronary angiography
If PCI cannot be done for a STEMI pa- when it can be done
tient within 120 minutes, what should be
done? ideally PCI is done within 90 minutes
fibrolytic therapy can be used up to 12
hours of symptoms
catheter-based arteriography (digital
subtraction arteriography) provides the
If you suspect an acute limb ischemia most useful information. can also help
due to arterial embolism, what imaging with treatment
should you get?
can help distinguish between thrombosis
and embolus
where are arterial emboli often found?
, PAEA EOC 2025, PAEA SUMMATIVE PRACTICE EXAM 2025 QUESTIONS AND
ANSWERS|WELL STRUCTURED|100 % PASS
lower extremities more common than up-
per extremities
The common femoral, common iliac, and
popliteal artery bifurcations are frequent
locations
majority originate in the heart
fun fact: Compared with thromboemboli,
atheroemboli are less likely to produce
symptoms of acute limb ischemia
24-hour ambulatory monitoring (to en-
sure not white coat)
medical hx (assess adherence to meds,
other meds)
physical exam (look for abominal/renal
how would you work up a patient with
bruits)
treatment resistant hypertension that
labs (electrolytes, glucose, creatinine,
you suspect a secondary cause?
UA)
If pheo suspected: measure fractionated
metanephrines and catecholamines in a
24-hour urine collection
other than atherosclerosis leading to re-
nal artery stenosis and secondary HTN, fibromuscular dysplasia (usually in a
what is another causes of a renal-asso- young pt)
ciated secondary HTN?
most important modifable risk factor for
smoking cessation!
AAA?
if AAA is <5.5 cm then annual screen-
when is it okay to do screening survel-
ing with US is recommended. may need
liance for AAA rather than repair and how
every 6 months if rapidly expanding or
often should you screen?
other concerns
how should you educate a patient with
AAA on exercise?
, PAEA EOC 2025, PAEA SUMMATIVE PRACTICE EXAM 2025 QUESTIONS AND
ANSWERS|WELL STRUCTURED|100 % PASS
Patients should be counseled that mod-
erate physical activity such as running,
biking, swimming, hiking, or sexual ac-
tivity and activities such as gardening,
golfing, and horseback riding do not pre-
cipitate AAA rupture
Moderate physical therapy may also lim-
it aneurysm expansion. In experimental
aneurysms, increased aortic blood flow
appears to inhibit AAA expansion
However, heavy lifting, especially while
holding the breath, and other activities
that lead to Valsalva transiently induce
significant increases in blood pressure
and should be avoided
renal arteriography
gold standard for dx renal artery steno- But really a spiral CT angiography is very
sis? what can be used to monitor dis- useful and probably more likely done first
ease progression?
duplex doppler US can be used to moni-
tor disease progression
various nonspecific symptoms such as
what are some symptoms of mitral valve
palpitations, dyspnea, exercise intoler-
prolapse syndrome?
ance, anxiety disorders, and dizziness
non-ejection click in systole
click is mobile, meaning its timing varies
with maneuvers that change the left ven-
since symptoms are relatively uncom-
tricular volume, occurring earlier in sys-
mon, what physical exam findings are
tole with sitting, standing, or other in-
associated with mitral valve prolapse?
terventions that reduce ventricular size,
or later with those interventions that in-
crease chamber size such as squatting
ANSWERS|WELL STRUCTURED|100 % PASS
aka Buerger's disease
inflammatory thrombi affecting the medi-
what exactly causes the occlusive vas- um and small vessels (nonatherosclero-
cular disease of thromboangiitis obliter- sis)
ans?
polymorphonuclear leukocytes, microab-
scesses, and multinucleated giant cells
may be presen
smoking cessation most important!
cilostazol (PDE 3 inhibitor) has vasodila-
Treatment options for thromboangiitis
tor properties (alleviated symptoms)
obliterans?
if raynauds also present, CCB (nifedip-
ine)
ACE inhibitors
what heart failure treatment provides a
beta blockers can also reduce M&M
benefit of reduction in morbidity and mor-
tality?
diuretics have no reduction in mortality
how would you manage a patient with a benzodiazepine early
MI in the setting of cocaine use? no beta blockers
fibrolytic therapy
then do PCI & coronary angiography
If PCI cannot be done for a STEMI pa- when it can be done
tient within 120 minutes, what should be
done? ideally PCI is done within 90 minutes
fibrolytic therapy can be used up to 12
hours of symptoms
catheter-based arteriography (digital
subtraction arteriography) provides the
If you suspect an acute limb ischemia most useful information. can also help
due to arterial embolism, what imaging with treatment
should you get?
can help distinguish between thrombosis
and embolus
where are arterial emboli often found?
, PAEA EOC 2025, PAEA SUMMATIVE PRACTICE EXAM 2025 QUESTIONS AND
ANSWERS|WELL STRUCTURED|100 % PASS
lower extremities more common than up-
per extremities
The common femoral, common iliac, and
popliteal artery bifurcations are frequent
locations
majority originate in the heart
fun fact: Compared with thromboemboli,
atheroemboli are less likely to produce
symptoms of acute limb ischemia
24-hour ambulatory monitoring (to en-
sure not white coat)
medical hx (assess adherence to meds,
other meds)
physical exam (look for abominal/renal
how would you work up a patient with
bruits)
treatment resistant hypertension that
labs (electrolytes, glucose, creatinine,
you suspect a secondary cause?
UA)
If pheo suspected: measure fractionated
metanephrines and catecholamines in a
24-hour urine collection
other than atherosclerosis leading to re-
nal artery stenosis and secondary HTN, fibromuscular dysplasia (usually in a
what is another causes of a renal-asso- young pt)
ciated secondary HTN?
most important modifable risk factor for
smoking cessation!
AAA?
if AAA is <5.5 cm then annual screen-
when is it okay to do screening survel-
ing with US is recommended. may need
liance for AAA rather than repair and how
every 6 months if rapidly expanding or
often should you screen?
other concerns
how should you educate a patient with
AAA on exercise?
, PAEA EOC 2025, PAEA SUMMATIVE PRACTICE EXAM 2025 QUESTIONS AND
ANSWERS|WELL STRUCTURED|100 % PASS
Patients should be counseled that mod-
erate physical activity such as running,
biking, swimming, hiking, or sexual ac-
tivity and activities such as gardening,
golfing, and horseback riding do not pre-
cipitate AAA rupture
Moderate physical therapy may also lim-
it aneurysm expansion. In experimental
aneurysms, increased aortic blood flow
appears to inhibit AAA expansion
However, heavy lifting, especially while
holding the breath, and other activities
that lead to Valsalva transiently induce
significant increases in blood pressure
and should be avoided
renal arteriography
gold standard for dx renal artery steno- But really a spiral CT angiography is very
sis? what can be used to monitor dis- useful and probably more likely done first
ease progression?
duplex doppler US can be used to moni-
tor disease progression
various nonspecific symptoms such as
what are some symptoms of mitral valve
palpitations, dyspnea, exercise intoler-
prolapse syndrome?
ance, anxiety disorders, and dizziness
non-ejection click in systole
click is mobile, meaning its timing varies
with maneuvers that change the left ven-
since symptoms are relatively uncom-
tricular volume, occurring earlier in sys-
mon, what physical exam findings are
tole with sitting, standing, or other in-
associated with mitral valve prolapse?
terventions that reduce ventricular size,
or later with those interventions that in-
crease chamber size such as squatting
