PAEA EOC 2025, PAEA Summative Practice,
physician assistant exam, EOC questions and answers,
PAEA 150 questions, PA exam prep, graded A+
how should you educate a patient with AAA on exercise? -
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? - ANSWER-renal arteriography
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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? -
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? - 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
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how would you distinguish vasospastic angina and angina
associated with CAD? - 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
where do karposi sarcoma lesions typically occur? describe their
appearance. - ANSWER-often on distal extremities, such as
lower legs and feet
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purplish, reddish blue, or dark brown/black macules, plaques,
and nodules on the skin. Nodular lesions may ulcerate and bleed
easily
common in poorly controlled HIV
how would you treat hidradenitis suppurativa? - ANSWER-
topical clindamycin
if fail topical therapy, oral tetracyclines are suggested
Antiandrogenic drugs and metformin are additional treatment
options that may be used alone or in conjunction with antibiotic
therapy
Pt with hypertriglyceridemia >885 mg/dL that required medical
therapy due to no improvement after lifestyle changes and statin.
how would you treat? - ANSWER-fenofibrate
fenofibrate is better than gemfibrozil bc can be used with a
statin. Gemfibrozil has a higher risk of muscle toxicity