PAEA EOC & SUMMATIVE PRACTICE
LATEST EXAM 2026 WITH
ORGANIZED QUESTIONS FULLY
SOLVED EXPERT VERIFIED STEP BY
STEP EXPLANATIONS AND REVIEW
GUIDE ALREADY GRADED A+ AND
100% PASS GUARANTEE (BRAND
NEW EDITION!!!!)
can help distinguish between thrombosis and embolus
where are arterial emboli often found? - THE CORRECT ANSWER-
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
,how would you work up a patient with treatment resistant
hypertension that you suspect a secondary cause? - THE CORRECT
ANSWER-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? - THE CORRECT ANSWER-fibromuscular dysplasia
(usually in a young pt)
most important modifable risk factor for AAA? - THE CORRECT
ANSWER-smoking cessation!
when is it okay to do screening survelliance for AAA rather than
repair and how often should you screen? - THE CORRECT ANSWER-if
AAA is <5.5 cm then annual screening with US is
recommended. may need every 6 months if rapidly expanding
or other concerns
how should you educate a patient with AAA on exercise? - THE
CORRECT ANSWER-Patients should be counseled that moderate
physical activity such as running, biking, swimming, hiking, or
,sexual activity and activities such as gardening, golfing, and
horseback riding do not precipitate AAA rupture
Moderate physical therapy may also limit 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
gold standard for dx renal artery stenosis? what can be used to
monitor disease progression? - THE CORRECT ANSWER-renal
arteriography
But really a spiral CT angiography is very useful and probably
more likely done first
duplex doppler US can be used to monitor disease progression
what are some symptoms of mitral valve prolapse syndrome? -
THE CORRECT ANSWER-various nonspecific symptoms such as
palpitations, dyspnea, exercise intolerance, anxiety disorders,
and dizziness
since symptoms are relatively uncommon, what physical exam
findings are associated with mitral valve prolapse? - THE CORRECT
ANSWER-non-ejection click in systole
, click is mobile, meaning its timing varies with maneuvers that
change the left ventricular volume, occurring earlier in systole
with sitting, standing, or other interventions that reduce
ventricular size, or later with those interventions that increase
chamber size such as squatting
People with MVP tend to have lower BMIs
how would you distinguish vasospastic angina and angina
associated with CAD? - THE CORRECT ANSWER-quality of the CP is
typically indistinguishable of the two
patients with vasospastic angina report that their episodes are
predominantly at rest and that many occur from midnight to
early morning, while effort tolerance is usually preserved. CP
generally lasts 5 to 15 minutes
Patients with vasospastic angina are often younger and exhibit
fewer classic cardiovascular risk factors and may be associated
with other vasospastic disorders, such as Raynaud's
phenomenon and migraine headache
Exercise does not usually provoke an episode of spasm
ECG may reveal transient ST-segment elevation or depression
in multiple lead but troponins will not be elevated
LATEST EXAM 2026 WITH
ORGANIZED QUESTIONS FULLY
SOLVED EXPERT VERIFIED STEP BY
STEP EXPLANATIONS AND REVIEW
GUIDE ALREADY GRADED A+ AND
100% PASS GUARANTEE (BRAND
NEW EDITION!!!!)
can help distinguish between thrombosis and embolus
where are arterial emboli often found? - THE CORRECT ANSWER-
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
,how would you work up a patient with treatment resistant
hypertension that you suspect a secondary cause? - THE CORRECT
ANSWER-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? - THE CORRECT ANSWER-fibromuscular dysplasia
(usually in a young pt)
most important modifable risk factor for AAA? - THE CORRECT
ANSWER-smoking cessation!
when is it okay to do screening survelliance for AAA rather than
repair and how often should you screen? - THE CORRECT ANSWER-if
AAA is <5.5 cm then annual screening with US is
recommended. may need every 6 months if rapidly expanding
or other concerns
how should you educate a patient with AAA on exercise? - THE
CORRECT ANSWER-Patients should be counseled that moderate
physical activity such as running, biking, swimming, hiking, or
,sexual activity and activities such as gardening, golfing, and
horseback riding do not precipitate AAA rupture
Moderate physical therapy may also limit 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
gold standard for dx renal artery stenosis? what can be used to
monitor disease progression? - THE CORRECT ANSWER-renal
arteriography
But really a spiral CT angiography is very useful and probably
more likely done first
duplex doppler US can be used to monitor disease progression
what are some symptoms of mitral valve prolapse syndrome? -
THE CORRECT ANSWER-various nonspecific symptoms such as
palpitations, dyspnea, exercise intolerance, anxiety disorders,
and dizziness
since symptoms are relatively uncommon, what physical exam
findings are associated with mitral valve prolapse? - THE CORRECT
ANSWER-non-ejection click in systole
, click is mobile, meaning its timing varies with maneuvers that
change the left ventricular volume, occurring earlier in systole
with sitting, standing, or other interventions that reduce
ventricular size, or later with those interventions that increase
chamber size such as squatting
People with MVP tend to have lower BMIs
how would you distinguish vasospastic angina and angina
associated with CAD? - THE CORRECT ANSWER-quality of the CP is
typically indistinguishable of the two
patients with vasospastic angina report that their episodes are
predominantly at rest and that many occur from midnight to
early morning, while effort tolerance is usually preserved. CP
generally lasts 5 to 15 minutes
Patients with vasospastic angina are often younger and exhibit
fewer classic cardiovascular risk factors and may be associated
with other vasospastic disorders, such as Raynaud's
phenomenon and migraine headache
Exercise does not usually provoke an episode of spasm
ECG may reveal transient ST-segment elevation or depression
in multiple lead but troponins will not be elevated
