PAEA Emergency Medicine EOR Topics
EXAM 2026-2027 LATEST UPDATED
VERSION 850 QUESTIONS AND
ANSWERS J
1. A 55-year-old with crushing chest pain, ST elevation in II, III, aVF. First
medication?
• A. Nitroglycerin
• B. Aspirin 325 mg chewed
• C. Morphine
• D. Heparin
Aspirin reduces mortality in STEMI and should be given early unless
contraindicated.
2. A 60-year-old with tearing chest pain radiating to back, unequal BP in arms.
Best initial imaging?
• A. CXR
• B. CT angiography
• C. ECG
• D. Troponin
CT angiography is the definitive initial imaging for suspected aortic
dissection.
3. Hemodynamically unstable PE. Best treatment?
• A. Unfractionated heparin
• B. Systemic thrombolytics
,• C. Warfarin
• D. IVC filter
Thrombolysis is indicated for massive PE with hemodynamic instability.
4. Acute decompensated heart failure with hypoxia and hypertension. First-
line?
• A. IV fluids
• B. Nitroglycerin + noninvasive ventilation
• C. Beta-blocker
• D. Diltiazem
Vasodilators and NIV reduce preload/afterload and improve
oxygenation.
5. Hypertensive emergency with encephalopathy. Goal MAP reduction in first
hour?
• A. 10–20%
• B. 25%
• C. 50%
• D. Normalize immediately
Rapid normalization risks ischemia; reduce MAP by ~25% in first hour.
6. Stable SVT after failed vagal maneuvers. Drug?
• A. Adenosine
• B. Amiodarone
• C. Digoxin
• D. Atropine
Adenosine is first-line for stable SVT.
7. Unstable atrial fibrillation with hypotension. Management?
,• A. Diltiazem
• B. Synchronized cardioversion
• C. Adenosine
• D. Digoxin
Unstable tachyarrhythmia requires synchronized cardioversion.
8. Pericarditis ECG finding?
• A. Diffuse ST elevation and PR depression
• B. ST elevation in contiguous leads
• C. Delta wave
• D. Sawtooth pattern
Diffuse ST elevation with PR depression is classic for acute pericarditis.
9. Cardiac tamponade. Finding on ultrasound?
• A. Reduced ejection fraction
• B. Right atrial collapse
• C. Mitral regurgitation
• D. Aortic stenosis
RA collapse and RV diastolic collapse suggest tamponade.
10.Endocarditis with new murmur and fever. Most common cause in IV drug
use?
• A. Streptococcus viridans
• B. Staphylococcus aureus
• C. Enterococcus
• D. Candida
S. aureus is most common in IV drug-associated endocarditis.
, 11.Syncope with exertion in older adult. Most concerning cause?
• A. Vasovagal
• B. Aortic stenosis
• C. Dehydration
• D. Orthostasis
Exertional syncope suggests structural cardiac disease.
12.DVT confirmed. Anticoagulation for provoked DVT. Duration?
• A. 1 week
• B. 3 months
• C. 6 months
• D. Lifelong
Provoked DVT typically treated for 3 months.
13.Cardiogenic shock. Best initial vasoactive agent?
• A. Norepinephrine
• B. Dopamine
• C. Phenylephrine
• D. Vasopressin
Norepinephrine is first-line for most shock states, including cardiogenic.
14.Acute asthma exacerbation. First-line bronchodilator?
• A. Albuterol
• B. Ipratropium alone
• C. Montelukast
• D. Theophylline
Short-acting beta-agonists are first-line for acute bronchospasm.
EXAM 2026-2027 LATEST UPDATED
VERSION 850 QUESTIONS AND
ANSWERS J
1. A 55-year-old with crushing chest pain, ST elevation in II, III, aVF. First
medication?
• A. Nitroglycerin
• B. Aspirin 325 mg chewed
• C. Morphine
• D. Heparin
Aspirin reduces mortality in STEMI and should be given early unless
contraindicated.
2. A 60-year-old with tearing chest pain radiating to back, unequal BP in arms.
Best initial imaging?
• A. CXR
• B. CT angiography
• C. ECG
• D. Troponin
CT angiography is the definitive initial imaging for suspected aortic
dissection.
3. Hemodynamically unstable PE. Best treatment?
• A. Unfractionated heparin
• B. Systemic thrombolytics
,• C. Warfarin
• D. IVC filter
Thrombolysis is indicated for massive PE with hemodynamic instability.
4. Acute decompensated heart failure with hypoxia and hypertension. First-
line?
• A. IV fluids
• B. Nitroglycerin + noninvasive ventilation
• C. Beta-blocker
• D. Diltiazem
Vasodilators and NIV reduce preload/afterload and improve
oxygenation.
5. Hypertensive emergency with encephalopathy. Goal MAP reduction in first
hour?
• A. 10–20%
• B. 25%
• C. 50%
• D. Normalize immediately
Rapid normalization risks ischemia; reduce MAP by ~25% in first hour.
6. Stable SVT after failed vagal maneuvers. Drug?
• A. Adenosine
• B. Amiodarone
• C. Digoxin
• D. Atropine
Adenosine is first-line for stable SVT.
7. Unstable atrial fibrillation with hypotension. Management?
,• A. Diltiazem
• B. Synchronized cardioversion
• C. Adenosine
• D. Digoxin
Unstable tachyarrhythmia requires synchronized cardioversion.
8. Pericarditis ECG finding?
• A. Diffuse ST elevation and PR depression
• B. ST elevation in contiguous leads
• C. Delta wave
• D. Sawtooth pattern
Diffuse ST elevation with PR depression is classic for acute pericarditis.
9. Cardiac tamponade. Finding on ultrasound?
• A. Reduced ejection fraction
• B. Right atrial collapse
• C. Mitral regurgitation
• D. Aortic stenosis
RA collapse and RV diastolic collapse suggest tamponade.
10.Endocarditis with new murmur and fever. Most common cause in IV drug
use?
• A. Streptococcus viridans
• B. Staphylococcus aureus
• C. Enterococcus
• D. Candida
S. aureus is most common in IV drug-associated endocarditis.
, 11.Syncope with exertion in older adult. Most concerning cause?
• A. Vasovagal
• B. Aortic stenosis
• C. Dehydration
• D. Orthostasis
Exertional syncope suggests structural cardiac disease.
12.DVT confirmed. Anticoagulation for provoked DVT. Duration?
• A. 1 week
• B. 3 months
• C. 6 months
• D. Lifelong
Provoked DVT typically treated for 3 months.
13.Cardiogenic shock. Best initial vasoactive agent?
• A. Norepinephrine
• B. Dopamine
• C. Phenylephrine
• D. Vasopressin
Norepinephrine is first-line for most shock states, including cardiogenic.
14.Acute asthma exacerbation. First-line bronchodilator?
• A. Albuterol
• B. Ipratropium alone
• C. Montelukast
• D. Theophylline
Short-acting beta-agonists are first-line for acute bronchospasm.
