PAEA EOC & Summative PracticeExam Questions and
Answers (Latest Update 202
5) Verified Answers
what exactly causes the occlusive vascular disease of thromboangiitis obliterans?
-
correct answers aka Buerger's disease
inflammatory thrombi affecting the medium and small vessels (nonatherosclerosis)
polymorphonuclear leukocytes, microabscesses, and multinucleated giant cells may
be presen
Treatment options for thromboangiitis obliterans?
- correct answers smoking
cessation most important!
cilostazol (PDE 3 inhibitor) has vasodilator properties (alleviated symptoms)
if raynauds also present, CCB (nifedipine)
what heart failure treatment provides a benefit of reduction in morbidity and
mortality?- correct answers ACE inhibitors
beta blockers can also reduce M&M
,PAEA EOC & Summative PracticeExam Questions and
Answers (Latest Update 202
5) Verified Answers
diuretics have no reduction in mortality
how would you manage a patient with a MI in the setting of cocaine- correct
use?
answers benzodiazepine early
no beta blockers
If PCI cannot be done for a STEMI patient within 120 minutes, what should be
done?- correct answers fibrolytic therapy
then do PCI & coronary angiography when it can be done
ideally PCI is done within 90 minutes
fibrolytic therapy can be used up to 12 hours of symptoms
If you suspect an acute limb ischemia due to arterial embolism, what imaging
should you get?- correct answers catheter-based arteriography (digital
,PAEA EOC & Summative PracticeExam Questions and
Answers (Latest Update 202
5) Verified Answers
subtraction arteriography) provides the most useful information. can also help with
treatment
can help distinguish between thrombosis and embolus
where are arterial emboli often found?
- correct 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
fun fact: Compared with thromboemboli, atheroemboli are less likely to produce
symptoms of acute limb ischemia
, PAEA EOC & Summative PracticeExam Questions and
Answers (Latest Update 202
5) Verified Answers
how would you work up a patient with treatment resistant hypertension that you
suspect a secondary cause?
- correct 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
other than atherosclerosis leading to renal artery stenosis and secondary HTN,
what is another causes of a renal
-associated secondary HTN?- correct answers
fibromuscular dysplasia (usually in a young pt)
most important modifable risk factor for AAA?
- correct answers smoking
cessation!
Answers (Latest Update 202
5) Verified Answers
what exactly causes the occlusive vascular disease of thromboangiitis obliterans?
-
correct answers aka Buerger's disease
inflammatory thrombi affecting the medium and small vessels (nonatherosclerosis)
polymorphonuclear leukocytes, microabscesses, and multinucleated giant cells may
be presen
Treatment options for thromboangiitis obliterans?
- correct answers smoking
cessation most important!
cilostazol (PDE 3 inhibitor) has vasodilator properties (alleviated symptoms)
if raynauds also present, CCB (nifedipine)
what heart failure treatment provides a benefit of reduction in morbidity and
mortality?- correct answers ACE inhibitors
beta blockers can also reduce M&M
,PAEA EOC & Summative PracticeExam Questions and
Answers (Latest Update 202
5) Verified Answers
diuretics have no reduction in mortality
how would you manage a patient with a MI in the setting of cocaine- correct
use?
answers benzodiazepine early
no beta blockers
If PCI cannot be done for a STEMI patient within 120 minutes, what should be
done?- correct answers fibrolytic therapy
then do PCI & coronary angiography when it can be done
ideally PCI is done within 90 minutes
fibrolytic therapy can be used up to 12 hours of symptoms
If you suspect an acute limb ischemia due to arterial embolism, what imaging
should you get?- correct answers catheter-based arteriography (digital
,PAEA EOC & Summative PracticeExam Questions and
Answers (Latest Update 202
5) Verified Answers
subtraction arteriography) provides the most useful information. can also help with
treatment
can help distinguish between thrombosis and embolus
where are arterial emboli often found?
- correct 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
fun fact: Compared with thromboemboli, atheroemboli are less likely to produce
symptoms of acute limb ischemia
, PAEA EOC & Summative PracticeExam Questions and
Answers (Latest Update 202
5) Verified Answers
how would you work up a patient with treatment resistant hypertension that you
suspect a secondary cause?
- correct 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
other than atherosclerosis leading to renal artery stenosis and secondary HTN,
what is another causes of a renal
-associated secondary HTN?- correct answers
fibromuscular dysplasia (usually in a young pt)
most important modifable risk factor for AAA?
- correct answers smoking
cessation!
