PAEA Internal Medicine EOR Questions with
Complete Solutions 2025, PAEA Emergency Medicine
EOR Exam Study Guide, Internal Medicine PAEA
Questions with Complete Solutions Graded A+ 2025,
Emergency Medicine PAEA Questions With Complete
Solutions Rated A+
Bell's Palsy - (answer)causes cranial nerve 7 dysfunction
S/S of Bell's Palsy - (answer)Has forehead involvement (whereas a stroke does not
affect forehead movement), facial weakness, inability to keep one eye closed
Treatment for Bell's palsy - (answer)Prednisone 60mg x 5 days, Valcyclovir
1000mg TID x 7 days, artificial tears, lacri lube at night
Define stroke - (answer)any disease process that interrupts blood flow to brain
Diagnosis of stroke (gold standard) - (answer)CT angiography
Traditional signs and symptoms of a stroke - (answer)sudden
numbness/weakness, sudden confusion/aphasia, memory deficit, visual deficit,
dizzy, sudden HA with no cause
When can I use tPA? - (answer)ischemic stroke presenting within <3 hrs and CT
head negative
,Dosing of tPA - (answer)0.9 mg/kg IV, max dose of 90 mg. 10% administered as
bolus with rest infused over next 60 minutes
How do you treat high BP with stroke? - (answer)Nitroprusside (short half life,
easy to titrate) or IV labetalol
What do you use for anticoagulation/antiplatelet therapy in stroke? -
(answer)ASA (not in hemorrhagic), heparin for thrombosis
What do you do differently to treat hemorrhagic stroke? - (answer)Give
prophylactic anticonvulsant like phenytoin because of increased seizure risk,
antiplatelet therapy contraindicated
Ischemic stroke is the most common type (87%) and has what signs and
symptoms? - (answer)No headache, not visible on CT without contrast until 6
hours post stroke
What are the types of Ischemic Stroke? - (answer)1. Thrombotic: narrowing of
damaged vascular lumen by an in situ process, usually clot.
2. Embolic (20%): obstruction of normal vascular lumen by intravascular material
from remote source
Types of Hemorrhagic Stroke - (answer)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? - (answer)HTN,
amyloidosis, iatrogenic anticoagulation, vascular malformations, cocaine use
Causes of Subarachnoid hemorrhagic stroke are what? - (answer)berry aneurysm
rupture, vascular malformation rupture
Signs and symptoms of Intracerebral hemorrhagic stroke are what? - (answer)ICP
rises, vasoconstriction-sweating
Signs and symptoms of Subarachnoid hemorrhagic stroke are what? -
(answer)may be preceded by warning headache, neck/back pain, "worst
headache of my life," thunderclap, may have loss of consciousness
Treatment of Subarachnoid hemorrhage - (answer)surgery, control hypertension,
analgesics
What is the name for the disease that beings following an operation, a fracture, or
vascular event such as stroke or heart attack? - (answer)Complex regional pain
syndrome (CRPS)
Signs and symptoms of complex regional pain syndrome are what? -
(answer)regional pain in affected limb, restricted mobility, edema, color changes
, of skin, spotty bone thinning. Hallmark is severe burning or throbbing pain with
associated allodynia in affected extremity.
Treatment for complex regional pain syndrome - (answer)Amitriptyline,
nortriptyline, gabapentin, pregabalin, lamotrigine; NSAIDs; Calcitonin to reduce
pain as adjunctive therapy; Bisphosphonates, IVIG, regional nerve blocks, dorsal
column stimulation
Ruptured saccular berry aneurysm counts for _____% of nontraumatic cases of
subarachnoid hemorrhage. - (answer)75%
Imaging modality used to diagnose Subarachnoid Hemorrhage? - (answer)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 - (answer)transient disorder characterized by impaired attention,
perception, memory and cognition. Sleep wake cycles interrupted
("sundowning"). Reduced alertness, activity levels change rapidly.
Treatment of Delirium - (answer)treat underlying cause, Haloperidol 5-10mg for
agitation, Lorazepam 0.5-2 mg
Dementia - (answer)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.
Complete Solutions 2025, PAEA Emergency Medicine
EOR Exam Study Guide, Internal Medicine PAEA
Questions with Complete Solutions Graded A+ 2025,
Emergency Medicine PAEA Questions With Complete
Solutions Rated A+
Bell's Palsy - (answer)causes cranial nerve 7 dysfunction
S/S of Bell's Palsy - (answer)Has forehead involvement (whereas a stroke does not
affect forehead movement), facial weakness, inability to keep one eye closed
Treatment for Bell's palsy - (answer)Prednisone 60mg x 5 days, Valcyclovir
1000mg TID x 7 days, artificial tears, lacri lube at night
Define stroke - (answer)any disease process that interrupts blood flow to brain
Diagnosis of stroke (gold standard) - (answer)CT angiography
Traditional signs and symptoms of a stroke - (answer)sudden
numbness/weakness, sudden confusion/aphasia, memory deficit, visual deficit,
dizzy, sudden HA with no cause
When can I use tPA? - (answer)ischemic stroke presenting within <3 hrs and CT
head negative
,Dosing of tPA - (answer)0.9 mg/kg IV, max dose of 90 mg. 10% administered as
bolus with rest infused over next 60 minutes
How do you treat high BP with stroke? - (answer)Nitroprusside (short half life,
easy to titrate) or IV labetalol
What do you use for anticoagulation/antiplatelet therapy in stroke? -
(answer)ASA (not in hemorrhagic), heparin for thrombosis
What do you do differently to treat hemorrhagic stroke? - (answer)Give
prophylactic anticonvulsant like phenytoin because of increased seizure risk,
antiplatelet therapy contraindicated
Ischemic stroke is the most common type (87%) and has what signs and
symptoms? - (answer)No headache, not visible on CT without contrast until 6
hours post stroke
What are the types of Ischemic Stroke? - (answer)1. Thrombotic: narrowing of
damaged vascular lumen by an in situ process, usually clot.
2. Embolic (20%): obstruction of normal vascular lumen by intravascular material
from remote source
Types of Hemorrhagic Stroke - (answer)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? - (answer)HTN,
amyloidosis, iatrogenic anticoagulation, vascular malformations, cocaine use
Causes of Subarachnoid hemorrhagic stroke are what? - (answer)berry aneurysm
rupture, vascular malformation rupture
Signs and symptoms of Intracerebral hemorrhagic stroke are what? - (answer)ICP
rises, vasoconstriction-sweating
Signs and symptoms of Subarachnoid hemorrhagic stroke are what? -
(answer)may be preceded by warning headache, neck/back pain, "worst
headache of my life," thunderclap, may have loss of consciousness
Treatment of Subarachnoid hemorrhage - (answer)surgery, control hypertension,
analgesics
What is the name for the disease that beings following an operation, a fracture, or
vascular event such as stroke or heart attack? - (answer)Complex regional pain
syndrome (CRPS)
Signs and symptoms of complex regional pain syndrome are what? -
(answer)regional pain in affected limb, restricted mobility, edema, color changes
, of skin, spotty bone thinning. Hallmark is severe burning or throbbing pain with
associated allodynia in affected extremity.
Treatment for complex regional pain syndrome - (answer)Amitriptyline,
nortriptyline, gabapentin, pregabalin, lamotrigine; NSAIDs; Calcitonin to reduce
pain as adjunctive therapy; Bisphosphonates, IVIG, regional nerve blocks, dorsal
column stimulation
Ruptured saccular berry aneurysm counts for _____% of nontraumatic cases of
subarachnoid hemorrhage. - (answer)75%
Imaging modality used to diagnose Subarachnoid Hemorrhage? - (answer)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 - (answer)transient disorder characterized by impaired attention,
perception, memory and cognition. Sleep wake cycles interrupted
("sundowning"). Reduced alertness, activity levels change rapidly.
Treatment of Delirium - (answer)treat underlying cause, Haloperidol 5-10mg for
agitation, Lorazepam 0.5-2 mg
Dementia - (answer)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.
