PAEA EOC 2026 UPDATE QUESTIONS AND
CORRECT VERIFIED ANSWERS ALREADY
GRADED A+(BRAND NEW VISION)
A 25 year old women presents with a palpable mass in her breast in the left outer
quadrant. what would be the next step in the work up of this mass? - ANS-diagnostic
mammography
An abnormal mammography should be followed up with US and biopsy. helps to
differentiate solid from cystic masses, as well as detect axilla lymph nodes
most common site of endometriosis? - ANS-ovaries
what is responsible for the pain associated with endometriosis? - ANS-the
inflammation caused by the ectopic tissue
A 24 yr old woman presents with problems getting pregnant after a year of her and her
husband trying. She also admits to pain during intercourse and during her periods that
is not relieved by NSAIDs. Pap and STI testing are negative. PE reveals a mass on the
left ovary, but tranvaginal US shows no cysts. What is the next step in work up? - ANS-
exploratory laparoscopy for suspected endometriosis
which type of molar pregnancy has a higher risk of malignancy? - Indications for
surgical exploration include diagnosis of persistent pelvic pain that does not
respond to medical therapy, evaluation of severe symptoms that limit function,
and treatment of anatomic abnormalities, such as bladder lesions
what is the imaging of choice for a suspected molar pregnancy in the case of hcG
>100,00? And what is found on this imaging that is characteristic of molar pregnancy? -
ANS-transvaginal US
complete molar: absent amniotic fluid, absent embryo. Central heterogeneous
mass with numerous discrete anechoic spaces ("snowstorm" appearance);
Ovarian theca lutein cysts
partial molar: may identify a fetus with growth restriction, "swiss cheese pattern."
no theca lutein cysts
,symptoms commonly seen with acute compartment syndrome? (3) - ANS-Pain out of
proportion to apparent injury (early and common finding)
Persistent deep ache or burning pain
Paresthesias (onset within approximately 30 minutes to two hours of ACS;
suggests ischemic nerve dysfunction)
what finding may be seen on physical exam of compartment syndrome? - ANS-Pain
with passive stretch of muscles in the affected compartment (early finding)
Tense compartment with a firm "wood-like" feeling
Pallor from vascular insufficiency (uncommon)
Diminished sensation
what disease is seen in 10% of the cases of polymyositis? - ANS-interstitial lung
disease
what muscle enzymes are often increased in polymyositis? (4) - ANS-Creatine kinase
(CK), lactate dehydrogenase (LDH), aldolase, aspartate aminotransferase (AST),
and alanine aminotransferase (ALT) are all muscle enzymes that may be elevated
in patients with inflammatory myopathy
Gottron papules and the heliotrope eruption is associated with what inflammatory
condition? - ANS-dermatomyositis
These skin lesions are pathognomonic
what are some nonpharmacological management options for SLE? - ANS-sun
protection
vitamin D supplement due to sun avoidance
smoking cessatin
current vaccinations (caution with live attenuated in pt receiving immunotherapy)
Allergies to antibiotics are common in patients with SLE. What antibiotic is often
implicated? - ANS-up to 30 percent of patients have an allergy to sulfonamide-
containing antibiotics that include sulfamethoxazole
what are the two anatomic general locations of hip fractures? - ANS-intracapsular
(femoral neck and head)
extracapsular (intertrochanteric and subtrochanteric)
how do fractures of the hip often present? what is different in intracapsular vs.
extracapsular fractures, as far as S&Sx? - ANS-hx of a fall in older patient
injured leg is shorted and EXTERNALLY rotated (if femur displaced)
ecchymosis (more common with extracapsular fx than intracapsular)
hip pain
swelling
, in intracapsular (femoral head) may complain of vague knee, buttock, or groin
pain
describe the headaches often associated with OSA - ANS-morning headaches
usually bifrontal and squeezing in quality
no associated nausea, photophobia, or phonophobia
typically occur daily or most days of the week and may last for several hours after
awakening
what is the gold standard for diagnosing OSA? - ANS-In-laboratory
polysomnography
In patients with a high pretest probability of moderate to severe uncomplicated
OSA, home sleep apnea testing (HSAT) with an adequate device is an appropriate
alternative
***OSA is NOT a clinical diagnosis
what are the two criteria seen on polysomnography that can be used to dx OSA? -
ANS-There are five or more predominantly obstructive respiratory events per
hours of sleep in a symptomatic pt or comorbid conditions
Or
There are 15 or more predominantly obstructive respiratory events (apneas,
hypopneas, or RERAs) per hour of sleep regardless of sx or comorbidities
what are some behavior modifications you can suggest to your patient diagnosed with
OSA? - ANS-weight loss
regular exercise
avoid alcohol
avoid certain medications (such as benzos, opiates)
what is used in the treatment of acute asthma exacerbation? (4) - ANS-supplemental
O2 if hypoxic
inhalation of a bronchodilator (SABA: albuterol or levalbuterol, typically
nebulized)
inhalation of muscarinic antagonist (SAMA: ipratropium)
systemic glucocorticoids (IV and oral have same effects, may need IV if in
respiratory distress or cannot take oral)
While increasing the dose of inhaled glucocorticoids is recommended for patients with
gradually deteriorating control of asthma, high-dose inhaled glucocorticoids are not
recommended as an alternative to oral glucocorticoid for pts presenting to the ED
CORRECT VERIFIED ANSWERS ALREADY
GRADED A+(BRAND NEW VISION)
A 25 year old women presents with a palpable mass in her breast in the left outer
quadrant. what would be the next step in the work up of this mass? - ANS-diagnostic
mammography
An abnormal mammography should be followed up with US and biopsy. helps to
differentiate solid from cystic masses, as well as detect axilla lymph nodes
most common site of endometriosis? - ANS-ovaries
what is responsible for the pain associated with endometriosis? - ANS-the
inflammation caused by the ectopic tissue
A 24 yr old woman presents with problems getting pregnant after a year of her and her
husband trying. She also admits to pain during intercourse and during her periods that
is not relieved by NSAIDs. Pap and STI testing are negative. PE reveals a mass on the
left ovary, but tranvaginal US shows no cysts. What is the next step in work up? - ANS-
exploratory laparoscopy for suspected endometriosis
which type of molar pregnancy has a higher risk of malignancy? - Indications for
surgical exploration include diagnosis of persistent pelvic pain that does not
respond to medical therapy, evaluation of severe symptoms that limit function,
and treatment of anatomic abnormalities, such as bladder lesions
what is the imaging of choice for a suspected molar pregnancy in the case of hcG
>100,00? And what is found on this imaging that is characteristic of molar pregnancy? -
ANS-transvaginal US
complete molar: absent amniotic fluid, absent embryo. Central heterogeneous
mass with numerous discrete anechoic spaces ("snowstorm" appearance);
Ovarian theca lutein cysts
partial molar: may identify a fetus with growth restriction, "swiss cheese pattern."
no theca lutein cysts
,symptoms commonly seen with acute compartment syndrome? (3) - ANS-Pain out of
proportion to apparent injury (early and common finding)
Persistent deep ache or burning pain
Paresthesias (onset within approximately 30 minutes to two hours of ACS;
suggests ischemic nerve dysfunction)
what finding may be seen on physical exam of compartment syndrome? - ANS-Pain
with passive stretch of muscles in the affected compartment (early finding)
Tense compartment with a firm "wood-like" feeling
Pallor from vascular insufficiency (uncommon)
Diminished sensation
what disease is seen in 10% of the cases of polymyositis? - ANS-interstitial lung
disease
what muscle enzymes are often increased in polymyositis? (4) - ANS-Creatine kinase
(CK), lactate dehydrogenase (LDH), aldolase, aspartate aminotransferase (AST),
and alanine aminotransferase (ALT) are all muscle enzymes that may be elevated
in patients with inflammatory myopathy
Gottron papules and the heliotrope eruption is associated with what inflammatory
condition? - ANS-dermatomyositis
These skin lesions are pathognomonic
what are some nonpharmacological management options for SLE? - ANS-sun
protection
vitamin D supplement due to sun avoidance
smoking cessatin
current vaccinations (caution with live attenuated in pt receiving immunotherapy)
Allergies to antibiotics are common in patients with SLE. What antibiotic is often
implicated? - ANS-up to 30 percent of patients have an allergy to sulfonamide-
containing antibiotics that include sulfamethoxazole
what are the two anatomic general locations of hip fractures? - ANS-intracapsular
(femoral neck and head)
extracapsular (intertrochanteric and subtrochanteric)
how do fractures of the hip often present? what is different in intracapsular vs.
extracapsular fractures, as far as S&Sx? - ANS-hx of a fall in older patient
injured leg is shorted and EXTERNALLY rotated (if femur displaced)
ecchymosis (more common with extracapsular fx than intracapsular)
hip pain
swelling
, in intracapsular (femoral head) may complain of vague knee, buttock, or groin
pain
describe the headaches often associated with OSA - ANS-morning headaches
usually bifrontal and squeezing in quality
no associated nausea, photophobia, or phonophobia
typically occur daily or most days of the week and may last for several hours after
awakening
what is the gold standard for diagnosing OSA? - ANS-In-laboratory
polysomnography
In patients with a high pretest probability of moderate to severe uncomplicated
OSA, home sleep apnea testing (HSAT) with an adequate device is an appropriate
alternative
***OSA is NOT a clinical diagnosis
what are the two criteria seen on polysomnography that can be used to dx OSA? -
ANS-There are five or more predominantly obstructive respiratory events per
hours of sleep in a symptomatic pt or comorbid conditions
Or
There are 15 or more predominantly obstructive respiratory events (apneas,
hypopneas, or RERAs) per hour of sleep regardless of sx or comorbidities
what are some behavior modifications you can suggest to your patient diagnosed with
OSA? - ANS-weight loss
regular exercise
avoid alcohol
avoid certain medications (such as benzos, opiates)
what is used in the treatment of acute asthma exacerbation? (4) - ANS-supplemental
O2 if hypoxic
inhalation of a bronchodilator (SABA: albuterol or levalbuterol, typically
nebulized)
inhalation of muscarinic antagonist (SAMA: ipratropium)
systemic glucocorticoids (IV and oral have same effects, may need IV if in
respiratory distress or cannot take oral)
While increasing the dose of inhaled glucocorticoids is recommended for patients with
gradually deteriorating control of asthma, high-dose inhaled glucocorticoids are not
recommended as an alternative to oral glucocorticoid for pts presenting to the ED
