PAEA EOR IM miss 62 questionswithcompletesolutions||
Updated 2025/2026.
Clinical Therapeutics,Paroxysmalsupraventriculartachycardia(PSVT) StableNarrowComplex:
✔✔ Adenosine
Clinical Therapeutics,Paroxysmalsupraventriculartachycardia(PSVT) StableWide:✔✔
Amiodarone
Diagnosis,Acutecoronarysyndrome:If leftcoronaryarteryis ischemic,whataretheECG changes?✔✔
ST elevations V5, V6, I and avL
Diagnosis,Coarctationof theaorta✔✔ o CXR: rib notching,and "3 sign"o
Difference in BP upper and lower extremities
DiagnosticTests,Coarctationof theaorta✔✔ o GOLD: angiogramo
CXR: rib notching, and "3 sign"
DiagnosticTestsVentricularaneurysm✔✔ Initial testis Echo thenMRI and/orCT
Clinical therapeutics,Constrictivepericarditis✔✔ NSAIDs x7-14 days.(sx usuallysubsidewithin 24h).
Clinical therapeutics,Refractorypericarditis✔✔ Corticosteroidsif symptoms>48h & refractoryto 1st
line meds.
HealthMaintenance,Pancreatitis✔✔ StopETOH useand/ormangegallstones
History and Physical,Aortic dissection✔✔ HTN, 50-60yoIntimal wall tear*d/t HTN Intrascapular
chest pain, ripping
, History and Physical,Aortic regurgitation✔✔ Blowingdiastolichigh-pitcheddecrescendo,murmur
located at the LUSB
✔✔ Hx of DM2, meth use, EtOH use,
History and Physical, Congestive heart failure chemo/radiation
to chest. PE= dyspneic w/lying flat, multiple pillow prthopnea, ascites,
heaptojugularreflex,
JVD/distendedneck veins,extremityedema,lung soundswill haverales.S3-heart sound
Scientific Concepts,Lateral wall MI ✔✔ AtherosclerosisMC- plaquerupture →thrombosis,EKG: 3-
contiguouspathologicQ waves/STelevationsin lateral leads w/ reciprocal changesin inferior leads,
usually affects circumflex artery
Critical Care : Clinical Therapeutics,Acuteangle-closureglaucoma✔✔ 2 steps:lowerIOP →
opentheangle(cholinergics)
o 1stline:Acetazolamide(carbonicanhydraseinh.) → or Topical BB (Timolol)
o Then: Miotics/cholenergics(Pilocarpine,Carbachol)
o Definitive:bilateralperipheraliridotomy
Critical Care : Clinical Therapeutics,Hypertensivecrisis (emergency)✔✔ Labetalol- DecreaseBP no
more than 25% within 1st hour
Critical Care : Clinical Therapeutics,Statusepilepticus(sz followwithoutconsciousrecoverybetween)
✔✔ Lorazepam or Diazepam→ Phenytoin→ Phenobarbital
Critical Care : Diagnosis,Second-degreeatrioventricularblock ✔✔ o MobitzI ECG - progressively
elongating PR→ dropped QRS
o MobitzII ECG - constant,prolongedPR complex→ droppedQRS
Critical Care : History and Physical,Cardiac (pericardial)tamponade✔✔ o Pericardialeffusioncausing
lots of pressure on heart, may be d/t chronic dz
o PE- Beckstriad- 1. distant(muffled)heartsounds,2. ↑ JVP, 3. hypoTN
o Pulsusparadoxus,edema,dyspnea,fatigue
Updated 2025/2026.
Clinical Therapeutics,Paroxysmalsupraventriculartachycardia(PSVT) StableNarrowComplex:
✔✔ Adenosine
Clinical Therapeutics,Paroxysmalsupraventriculartachycardia(PSVT) StableWide:✔✔
Amiodarone
Diagnosis,Acutecoronarysyndrome:If leftcoronaryarteryis ischemic,whataretheECG changes?✔✔
ST elevations V5, V6, I and avL
Diagnosis,Coarctationof theaorta✔✔ o CXR: rib notching,and "3 sign"o
Difference in BP upper and lower extremities
DiagnosticTests,Coarctationof theaorta✔✔ o GOLD: angiogramo
CXR: rib notching, and "3 sign"
DiagnosticTestsVentricularaneurysm✔✔ Initial testis Echo thenMRI and/orCT
Clinical therapeutics,Constrictivepericarditis✔✔ NSAIDs x7-14 days.(sx usuallysubsidewithin 24h).
Clinical therapeutics,Refractorypericarditis✔✔ Corticosteroidsif symptoms>48h & refractoryto 1st
line meds.
HealthMaintenance,Pancreatitis✔✔ StopETOH useand/ormangegallstones
History and Physical,Aortic dissection✔✔ HTN, 50-60yoIntimal wall tear*d/t HTN Intrascapular
chest pain, ripping
, History and Physical,Aortic regurgitation✔✔ Blowingdiastolichigh-pitcheddecrescendo,murmur
located at the LUSB
✔✔ Hx of DM2, meth use, EtOH use,
History and Physical, Congestive heart failure chemo/radiation
to chest. PE= dyspneic w/lying flat, multiple pillow prthopnea, ascites,
heaptojugularreflex,
JVD/distendedneck veins,extremityedema,lung soundswill haverales.S3-heart sound
Scientific Concepts,Lateral wall MI ✔✔ AtherosclerosisMC- plaquerupture →thrombosis,EKG: 3-
contiguouspathologicQ waves/STelevationsin lateral leads w/ reciprocal changesin inferior leads,
usually affects circumflex artery
Critical Care : Clinical Therapeutics,Acuteangle-closureglaucoma✔✔ 2 steps:lowerIOP →
opentheangle(cholinergics)
o 1stline:Acetazolamide(carbonicanhydraseinh.) → or Topical BB (Timolol)
o Then: Miotics/cholenergics(Pilocarpine,Carbachol)
o Definitive:bilateralperipheraliridotomy
Critical Care : Clinical Therapeutics,Hypertensivecrisis (emergency)✔✔ Labetalol- DecreaseBP no
more than 25% within 1st hour
Critical Care : Clinical Therapeutics,Statusepilepticus(sz followwithoutconsciousrecoverybetween)
✔✔ Lorazepam or Diazepam→ Phenytoin→ Phenobarbital
Critical Care : Diagnosis,Second-degreeatrioventricularblock ✔✔ o MobitzI ECG - progressively
elongating PR→ dropped QRS
o MobitzII ECG - constant,prolongedPR complex→ droppedQRS
Critical Care : History and Physical,Cardiac (pericardial)tamponade✔✔ o Pericardialeffusioncausing
lots of pressure on heart, may be d/t chronic dz
o PE- Beckstriad- 1. distant(muffled)heartsounds,2. ↑ JVP, 3. hypoTN
o Pulsusparadoxus,edema,dyspnea,fatigue
