PAEA Internal Medicine EOR Testbank 2026
Question and Answer | Latest Questions and
Answers | Grade A+
• Treatment for Bell's palsy -✓✓Prednisone 60mg x 5 days, artificial
tears, lacri lube at night
• When can I use tPA? -✓✓ischemic stroke presenting within <3 hrs
and CT head negative
• How do you treat high BP with stroke? -✓✓Nitroprusside (short half
life, easy to titrate) or IV labetalol
• What do you use for anticoagulation/antiplatelet therapy in stroke? -
✓✓ASA (not in hemorrhagic), heparin for thrombosis
• What do you do differently to treat hemorrhagic stroke? -✓✓Give
prophylactic anticonvulsant like phenytoin because of increased seizure
risk, antiplatelet therapy contraindicated
• Types of Hemorrhagic Stroke -✓✓1. Intracerebral (10%): results from
rupture of small arterioles
2. Subarachnoid (3%): rupture of arterial aneurysms (hemorrhage into
subarachnoid space)
• Causes of Intracerebral hemorrhagic stroke are what? -✓✓HTN,
amyloidosis, iatrogenic anticoagulation, vascular malformations, cocaine
use
• Causes of Subarachnoid hemorrhagic stroke are what? -✓✓berry
aneurysm rupture, vascular malformation rupture
,• Signs and symptoms of Intracerebral hemorrhagic stroke are what? -
✓✓ICP rises, vasoconstriction-sweating
• Signs and symptoms of Subarachnoid hemorrhagic stroke are what? -
✓✓may be preceded by warning headache, neck/back pain, "worst
headache of my life," thunderclap, may have loss of consciousness
• Treatment of Subarachnoid hemorrhage -✓✓surgery (clips vs coils),
control hypertension, analgesics
• What is Complex regional pain syndrome (CRPS) -✓✓Chronic arm or
leg pain developing after injury, surgery, stroke, or heart attack.
• Signs and symptoms of complex regional pain syndrome are what? -
✓✓Pain out of proportion to injury. ANS sx: swelling, extremity color
changes, increased nail and hair growth.
• Treatment for complex regional pain syndrome -✓✓Amitriptyline,
nortriptyline, gabapentin, pregabalin, lamotrigine; NSAIDs; Calcitonin
to reduce pain as adjunctive therapy; Bisphosphonates, IVIG, regional
nerve blocks, dorsal column stimulation
Vit C prophylaxis after fx
• Imaging modality used to diagnose Subarachnoid Hemorrhage? -
✓✓CT without contrast. If CT negative but still suspect SAH, do LP to
look for RBC or xanthochromia (will not develop until 12hrs after onset)
• Delirium -✓✓transient disorder characterized by impaired attention,
perception, memory and cognition. Sleep wake cycles interrupted
("sundowning"). Reduced alertness, activity levels change rapidly.
,• Treatment of Delirium -✓✓treat underlying cause, Haloperidol 5-
10mg for agitation, Lorazepam 0.5-2 mg
• Dementia -✓✓Loss of mental capacity. Psychosocial level and
cognitive abilities deteriorate and behavioral problems develop. Largest
categories are Alzheimer dz and vascular dementia. Hallucinations,
delusion, depression, repetitive behavior are common.
• Treatment of Dementia -✓✓Antipsychotics to manage psychosis
• Essential tremor does not occur at rest, occurs bilaterally, and has no
indication of other neuro signs. How do you treat essential tremor? -
✓✓Propranolol, Primidone (can combine these 2 if needed)
• Guillian Barre Syndrome -✓✓Idiopathic polyneuropathy often
following minor infections, immunizations or surgical procedures. Most
times no cause is identified.
• How long does Guillian Barre Syndrome last? -✓✓worst at 2-4 weeks
after onset, plateaus next 2-4 weeks, remits weeks-moats
• Signs and symptoms of Guillian Barre Syndrome -✓✓ascending
symmetric weakness and loss of DTR's, proximal muscles affected more
than distal. Sensory abnormalities, pain, tachycardia, sweating, impaired
pulmonary function, paralytic ileus
• How do you diagnose Guillian Barre? -✓✓no fever at onset, CSF
protein >45 and low WBC, MRI shows selective enhancement of
anterior spinal nerve roots
• Treatment of Guillian Barre Syndrome -✓✓--IVIG or plasmapheresis,
--may need intubation. --Hospitalized pt with close monitoring.
, --Recovery is slow but approximately 60% make full recovery within 1
year.
• What disease is a systemic inflammatory condition of medium and
large vessels affecting people over 50 years old, coexists with
polymyalgia rheumatica and can cause blindness if not treated
appropriately? -✓✓Giant cell arteritis
• Signs and symptoms of Giant Cell Arteritis -✓✓headache, scalp
tenderness, jaw claudication, throat pain, diplopia
Symptoms of polymyalgia rheumatica: pain of shoulder/pelvis
• Giant Cell Arteritis Treatment -✓✓Steroids immediately, do not wait
for biopsy results. Give low dose aspirin too.
• Describe a Migraine Headache? -✓✓unilateral location, pulsatile
quality, moderate to severe intensity, aggravated by movement, nausea,
vomiting, photophobia, phonophobia
lasting 4-72 hours
• Migraine treatment -✓✓NSAIDs, Triptans, antiemetics
• What is a Cluster Headache? -✓✓--severe, unilateral headache
localized to periorbital/temporal area
--accompanied by lacrimation, rhinorrhea, ptosis, myosis, nasal
congestion, eyelid edema
--Occurs in clusters meaning 1-8 daily attacks lasting 15-90 minutes for
4-6 weeks... followed by pain free interval 3-6 months
• Cluster headache treatment -✓✓--Oxygen, Sumatriptan 6mg SQ,
--start preventive therapy as soon as headache onset to suppress attacks
over expected duration of cluster period
Question and Answer | Latest Questions and
Answers | Grade A+
• Treatment for Bell's palsy -✓✓Prednisone 60mg x 5 days, artificial
tears, lacri lube at night
• When can I use tPA? -✓✓ischemic stroke presenting within <3 hrs
and CT head negative
• How do you treat high BP with stroke? -✓✓Nitroprusside (short half
life, easy to titrate) or IV labetalol
• What do you use for anticoagulation/antiplatelet therapy in stroke? -
✓✓ASA (not in hemorrhagic), heparin for thrombosis
• What do you do differently to treat hemorrhagic stroke? -✓✓Give
prophylactic anticonvulsant like phenytoin because of increased seizure
risk, antiplatelet therapy contraindicated
• Types of Hemorrhagic Stroke -✓✓1. Intracerebral (10%): results from
rupture of small arterioles
2. Subarachnoid (3%): rupture of arterial aneurysms (hemorrhage into
subarachnoid space)
• Causes of Intracerebral hemorrhagic stroke are what? -✓✓HTN,
amyloidosis, iatrogenic anticoagulation, vascular malformations, cocaine
use
• Causes of Subarachnoid hemorrhagic stroke are what? -✓✓berry
aneurysm rupture, vascular malformation rupture
,• Signs and symptoms of Intracerebral hemorrhagic stroke are what? -
✓✓ICP rises, vasoconstriction-sweating
• Signs and symptoms of Subarachnoid hemorrhagic stroke are what? -
✓✓may be preceded by warning headache, neck/back pain, "worst
headache of my life," thunderclap, may have loss of consciousness
• Treatment of Subarachnoid hemorrhage -✓✓surgery (clips vs coils),
control hypertension, analgesics
• What is Complex regional pain syndrome (CRPS) -✓✓Chronic arm or
leg pain developing after injury, surgery, stroke, or heart attack.
• Signs and symptoms of complex regional pain syndrome are what? -
✓✓Pain out of proportion to injury. ANS sx: swelling, extremity color
changes, increased nail and hair growth.
• Treatment for complex regional pain syndrome -✓✓Amitriptyline,
nortriptyline, gabapentin, pregabalin, lamotrigine; NSAIDs; Calcitonin
to reduce pain as adjunctive therapy; Bisphosphonates, IVIG, regional
nerve blocks, dorsal column stimulation
Vit C prophylaxis after fx
• Imaging modality used to diagnose Subarachnoid Hemorrhage? -
✓✓CT without contrast. If CT negative but still suspect SAH, do LP to
look for RBC or xanthochromia (will not develop until 12hrs after onset)
• Delirium -✓✓transient disorder characterized by impaired attention,
perception, memory and cognition. Sleep wake cycles interrupted
("sundowning"). Reduced alertness, activity levels change rapidly.
,• Treatment of Delirium -✓✓treat underlying cause, Haloperidol 5-
10mg for agitation, Lorazepam 0.5-2 mg
• Dementia -✓✓Loss of mental capacity. Psychosocial level and
cognitive abilities deteriorate and behavioral problems develop. Largest
categories are Alzheimer dz and vascular dementia. Hallucinations,
delusion, depression, repetitive behavior are common.
• Treatment of Dementia -✓✓Antipsychotics to manage psychosis
• Essential tremor does not occur at rest, occurs bilaterally, and has no
indication of other neuro signs. How do you treat essential tremor? -
✓✓Propranolol, Primidone (can combine these 2 if needed)
• Guillian Barre Syndrome -✓✓Idiopathic polyneuropathy often
following minor infections, immunizations or surgical procedures. Most
times no cause is identified.
• How long does Guillian Barre Syndrome last? -✓✓worst at 2-4 weeks
after onset, plateaus next 2-4 weeks, remits weeks-moats
• Signs and symptoms of Guillian Barre Syndrome -✓✓ascending
symmetric weakness and loss of DTR's, proximal muscles affected more
than distal. Sensory abnormalities, pain, tachycardia, sweating, impaired
pulmonary function, paralytic ileus
• How do you diagnose Guillian Barre? -✓✓no fever at onset, CSF
protein >45 and low WBC, MRI shows selective enhancement of
anterior spinal nerve roots
• Treatment of Guillian Barre Syndrome -✓✓--IVIG or plasmapheresis,
--may need intubation. --Hospitalized pt with close monitoring.
, --Recovery is slow but approximately 60% make full recovery within 1
year.
• What disease is a systemic inflammatory condition of medium and
large vessels affecting people over 50 years old, coexists with
polymyalgia rheumatica and can cause blindness if not treated
appropriately? -✓✓Giant cell arteritis
• Signs and symptoms of Giant Cell Arteritis -✓✓headache, scalp
tenderness, jaw claudication, throat pain, diplopia
Symptoms of polymyalgia rheumatica: pain of shoulder/pelvis
• Giant Cell Arteritis Treatment -✓✓Steroids immediately, do not wait
for biopsy results. Give low dose aspirin too.
• Describe a Migraine Headache? -✓✓unilateral location, pulsatile
quality, moderate to severe intensity, aggravated by movement, nausea,
vomiting, photophobia, phonophobia
lasting 4-72 hours
• Migraine treatment -✓✓NSAIDs, Triptans, antiemetics
• What is a Cluster Headache? -✓✓--severe, unilateral headache
localized to periorbital/temporal area
--accompanied by lacrimation, rhinorrhea, ptosis, myosis, nasal
congestion, eyelid edema
--Occurs in clusters meaning 1-8 daily attacks lasting 15-90 minutes for
4-6 weeks... followed by pain free interval 3-6 months
• Cluster headache treatment -✓✓--Oxygen, Sumatriptan 6mg SQ,
--start preventive therapy as soon as headache onset to suppress attacks
over expected duration of cluster period
