PAEA EOC & Summative Practice
Questions With Correct Answers
what bexactly bcauses bthe bocclusive bvascular bdisease bof bthromboangiitis bobliterans?
b- bcorrect banswers✔✔aka bBuerger's bdisease
inflammatory bthrombi baffecting bthe bmedium band bsmall bvessels b(nonatherosclerosis)
polymorphonuclear bleukocytes, bmicroabscesses, band bmultinucleated bgiant bcells
bmay bbe bpresen
Treatment boptions bfor bthromboangiitis bobliterans? b- bcorrect banswers✔✔smoking
bcessation bmost bimportant!
cilostazol b(PDE b3 binhibitor) bhas bvasodilator bproperties b(alleviated bsymptoms)
if braynauds balso bpresent, bCCB b(nifedipine)
what bheart bfailure btreatment bprovides ba bbenefit bof breduction bin bmorbidity band
bmortality? b- bcorrect banswers✔✔ACE binhibitors
beta bblockers bcan balso breduce bM&M
diuretics bhave bno breduction bin bmortality
how bwould byou bmanage ba bpatient bwith ba bMI bin bthe bsetting bof bcocaine buse? b-
bcorrect banswers✔✔benzodiazepine bearly
no bbeta bblockers
If bPCI bcannot bbe bdone bfor ba bSTEMI bpatient bwithin b120 bminutes, bwhat bshould bbe
bdone? b- bcorrect banswers✔✔fibrolytic btherapy
then bdo bPCI b& bcoronary bangiography bwhen bit bcan bbe bdone
ideally bPCI bis bdone bwithin b90 bminutes
fibrolytic btherapy bcan bbe bused bup bto b12 bhours bof bsymptoms
If byou bsuspect ban bacute blimb bischemia bdue bto barterial bembolism, bwhat bimaging
bshould byou bget? b- bcorrect banswers✔✔catheter-based barteriography b(digital
,bsubtraction barteriography) bprovides bthe bmost buseful binformation. bcan balso bhelp
bwith btreatment
can bhelp bdistinguish bbetween bthrombosis band bembolus
where bare barterial bemboli boften bfound? b- bcorrect banswers✔✔lower bextremities
bmore bcommon bthan bupper bextremities
The bcommon bfemoral, bcommon biliac, band bpopliteal bartery bbifurcations bare bfrequent
blocations
majority boriginate bin bthe bheart
fun bfact: bCompared bwith bthromboemboli, batheroemboli bare bless blikely bto bproduce
bsymptoms bof bacute blimb bischemia
how bwould byou bwork bup ba bpatient bwith btreatment bresistant bhypertension bthat byou
bsuspect ba bsecondary bcause? b- bcorrect banswers✔✔24-hour bambulatory bmonitoring
b(to bensure bnot bwhite bcoat)
medical bhx b(assess badherence bto bmeds, bother bmeds)
physical bexam b(look bfor babominal/renal bbruits)
labs b(electrolytes, bglucose, bcreatinine, bUA)
If bpheo bsuspected: bmeasure bfractionated bmetanephrines band bcatecholamines bin ba
b24-hour burine bcollection
other bthan batherosclerosis bleading bto brenal bartery bstenosis band bsecondary bHTN,
bwhat bis banother bcauses bof ba brenal-associated bsecondary bHTN? b- bcorrect
banswers✔✔fibromuscular bdysplasia b(usually bin ba byoung bpt)
most bimportant bmodifable brisk bfactor bfor bAAA? b- bcorrect banswers✔✔smoking
bcessation!
when bis bit bokay bto bdo bscreening bsurvelliance bfor bAAA brather bthan brepair band bhow
boften bshould byou bscreen? b- bcorrect banswers✔✔if bAAA bis b<5.5 bcm bthen bannual
bscreening bwith bUS bis brecommended. bmay bneed bevery b6 bmonths bif brapidly
bexpanding bor bother bconcerns
how bshould byou beducate ba bpatient bwith bAAA bon bexercise? b- bcorrect
banswers✔✔Patients bshould bbe bcounseled bthat bmoderate bphysical bactivity bsuch bas
brunning, bbiking, bswimming, bhiking, bor bsexual bactivity band bactivities bsuch bas
bgardening, bgolfing, band bhorseback briding bdo bnot bprecipitate bAAA brupture
Moderate bphysical btherapy bmay balso blimit baneurysm bexpansion. bIn bexperimental
baneurysms, bincreased baortic bblood bflow bappears bto binhibit bAAA bexpansion
, However, bheavy blifting, bespecially bwhile bholding bthe bbreath, band bother bactivities
bthat blead bto bValsalva btransiently binduce bsignificant bincreases bin bblood bpressure
band bshould bbe bavoided
gold bstandard bfor bdx brenal bartery bstenosis? bwhat bcan bbe bused bto bmonitor bdisease
bprogression? b- bcorrect banswers✔✔renal barteriography
But breally ba bspiral bCT bangiography bis bvery buseful band bprobably bmore blikely bdone
bfirst
duplex bdoppler bUS bcan bbe bused bto bmonitor bdisease bprogression
what bare bsome bsymptoms bof bmitral bvalve bprolapse bsyndrome? b- bcorrect
banswers✔✔various bnonspecific bsymptoms bsuch bas bpalpitations, bdyspnea, bexercise
bintolerance, banxiety bdisorders, band bdizziness
since bsymptoms bare brelatively buncommon, bwhat bphysical bexam bfindings bare
bassociated bwith bmitral bvalve bprolapse? b- bcorrect banswers✔✔non-ejection bclick bin
bsystole
click bis bmobile, bmeaning bits btiming bvaries bwith bmaneuvers bthat bchange bthe bleft
bventricular bvolume, boccurring bearlier bin bsystole bwith bsitting, bstanding, bor bother
binterventions bthat breduce bventricular bsize, bor blater bwith bthose binterventions bthat
bincrease bchamber bsize bsuch bas bsquatting
People bwith bMVP btend bto bhave blower bBMIs
how bwould byou bdistinguish bvasospastic bangina band bangina bassociated bwith bCAD?
b- bcorrect banswers✔✔quality bof bthe bCP bis btypically bindistinguishable bof bthe btwo
patients bwith bvasospastic bangina breport bthat btheir bepisodes bare bpredominantly bat
brest band bthat bmany boccur bfrom bmidnight bto bearly bmorning, bwhile beffort btolerance
bis busually bpreserved. bCP bgenerally blasts b5 bto b15 bminutes
Patients bwith bvasospastic bangina bare boften byounger band bexhibit bfewer bclassic
bcardiovascular brisk bfactors band bmay bbe bassociated bwith bother bvasospastic
bdisorders, bsuch bas bRaynaud's bphenomenon band bmigraine bheadache
Exercise bdoes bnot busually bprovoke ban bepisode bof bspasm
ECG bmay breveal btransient bST-segment belevation bor bdepression bin bmultiple blead
bbut btroponins bwill bnot bbe belevated
where bdo bkarposi bsarcoma blesions btypically boccur? bdescribe btheir bappearance. b-
bcorrect banswers✔✔often bon bdistal bextremities, bsuch bas blower blegs band bfeet
Questions With Correct Answers
what bexactly bcauses bthe bocclusive bvascular bdisease bof bthromboangiitis bobliterans?
b- bcorrect banswers✔✔aka bBuerger's bdisease
inflammatory bthrombi baffecting bthe bmedium band bsmall bvessels b(nonatherosclerosis)
polymorphonuclear bleukocytes, bmicroabscesses, band bmultinucleated bgiant bcells
bmay bbe bpresen
Treatment boptions bfor bthromboangiitis bobliterans? b- bcorrect banswers✔✔smoking
bcessation bmost bimportant!
cilostazol b(PDE b3 binhibitor) bhas bvasodilator bproperties b(alleviated bsymptoms)
if braynauds balso bpresent, bCCB b(nifedipine)
what bheart bfailure btreatment bprovides ba bbenefit bof breduction bin bmorbidity band
bmortality? b- bcorrect banswers✔✔ACE binhibitors
beta bblockers bcan balso breduce bM&M
diuretics bhave bno breduction bin bmortality
how bwould byou bmanage ba bpatient bwith ba bMI bin bthe bsetting bof bcocaine buse? b-
bcorrect banswers✔✔benzodiazepine bearly
no bbeta bblockers
If bPCI bcannot bbe bdone bfor ba bSTEMI bpatient bwithin b120 bminutes, bwhat bshould bbe
bdone? b- bcorrect banswers✔✔fibrolytic btherapy
then bdo bPCI b& bcoronary bangiography bwhen bit bcan bbe bdone
ideally bPCI bis bdone bwithin b90 bminutes
fibrolytic btherapy bcan bbe bused bup bto b12 bhours bof bsymptoms
If byou bsuspect ban bacute blimb bischemia bdue bto barterial bembolism, bwhat bimaging
bshould byou bget? b- bcorrect banswers✔✔catheter-based barteriography b(digital
,bsubtraction barteriography) bprovides bthe bmost buseful binformation. bcan balso bhelp
bwith btreatment
can bhelp bdistinguish bbetween bthrombosis band bembolus
where bare barterial bemboli boften bfound? b- bcorrect banswers✔✔lower bextremities
bmore bcommon bthan bupper bextremities
The bcommon bfemoral, bcommon biliac, band bpopliteal bartery bbifurcations bare bfrequent
blocations
majority boriginate bin bthe bheart
fun bfact: bCompared bwith bthromboemboli, batheroemboli bare bless blikely bto bproduce
bsymptoms bof bacute blimb bischemia
how bwould byou bwork bup ba bpatient bwith btreatment bresistant bhypertension bthat byou
bsuspect ba bsecondary bcause? b- bcorrect banswers✔✔24-hour bambulatory bmonitoring
b(to bensure bnot bwhite bcoat)
medical bhx b(assess badherence bto bmeds, bother bmeds)
physical bexam b(look bfor babominal/renal bbruits)
labs b(electrolytes, bglucose, bcreatinine, bUA)
If bpheo bsuspected: bmeasure bfractionated bmetanephrines band bcatecholamines bin ba
b24-hour burine bcollection
other bthan batherosclerosis bleading bto brenal bartery bstenosis band bsecondary bHTN,
bwhat bis banother bcauses bof ba brenal-associated bsecondary bHTN? b- bcorrect
banswers✔✔fibromuscular bdysplasia b(usually bin ba byoung bpt)
most bimportant bmodifable brisk bfactor bfor bAAA? b- bcorrect banswers✔✔smoking
bcessation!
when bis bit bokay bto bdo bscreening bsurvelliance bfor bAAA brather bthan brepair band bhow
boften bshould byou bscreen? b- bcorrect banswers✔✔if bAAA bis b<5.5 bcm bthen bannual
bscreening bwith bUS bis brecommended. bmay bneed bevery b6 bmonths bif brapidly
bexpanding bor bother bconcerns
how bshould byou beducate ba bpatient bwith bAAA bon bexercise? b- bcorrect
banswers✔✔Patients bshould bbe bcounseled bthat bmoderate bphysical bactivity bsuch bas
brunning, bbiking, bswimming, bhiking, bor bsexual bactivity band bactivities bsuch bas
bgardening, bgolfing, band bhorseback briding bdo bnot bprecipitate bAAA brupture
Moderate bphysical btherapy bmay balso blimit baneurysm bexpansion. bIn bexperimental
baneurysms, bincreased baortic bblood bflow bappears bto binhibit bAAA bexpansion
, However, bheavy blifting, bespecially bwhile bholding bthe bbreath, band bother bactivities
bthat blead bto bValsalva btransiently binduce bsignificant bincreases bin bblood bpressure
band bshould bbe bavoided
gold bstandard bfor bdx brenal bartery bstenosis? bwhat bcan bbe bused bto bmonitor bdisease
bprogression? b- bcorrect banswers✔✔renal barteriography
But breally ba bspiral bCT bangiography bis bvery buseful band bprobably bmore blikely bdone
bfirst
duplex bdoppler bUS bcan bbe bused bto bmonitor bdisease bprogression
what bare bsome bsymptoms bof bmitral bvalve bprolapse bsyndrome? b- bcorrect
banswers✔✔various bnonspecific bsymptoms bsuch bas bpalpitations, bdyspnea, bexercise
bintolerance, banxiety bdisorders, band bdizziness
since bsymptoms bare brelatively buncommon, bwhat bphysical bexam bfindings bare
bassociated bwith bmitral bvalve bprolapse? b- bcorrect banswers✔✔non-ejection bclick bin
bsystole
click bis bmobile, bmeaning bits btiming bvaries bwith bmaneuvers bthat bchange bthe bleft
bventricular bvolume, boccurring bearlier bin bsystole bwith bsitting, bstanding, bor bother
binterventions bthat breduce bventricular bsize, bor blater bwith bthose binterventions bthat
bincrease bchamber bsize bsuch bas bsquatting
People bwith bMVP btend bto bhave blower bBMIs
how bwould byou bdistinguish bvasospastic bangina band bangina bassociated bwith bCAD?
b- bcorrect banswers✔✔quality bof bthe bCP bis btypically bindistinguishable bof bthe btwo
patients bwith bvasospastic bangina breport bthat btheir bepisodes bare bpredominantly bat
brest band bthat bmany boccur bfrom bmidnight bto bearly bmorning, bwhile beffort btolerance
bis busually bpreserved. bCP bgenerally blasts b5 bto b15 bminutes
Patients bwith bvasospastic bangina bare boften byounger band bexhibit bfewer bclassic
bcardiovascular brisk bfactors band bmay bbe bassociated bwith bother bvasospastic
bdisorders, bsuch bas bRaynaud's bphenomenon band bmigraine bheadache
Exercise bdoes bnot busually bprovoke ban bepisode bof bspasm
ECG bmay breveal btransient bST-segment belevation bor bdepression bin bmultiple blead
bbut btroponins bwill bnot bbe belevated
where bdo bkarposi bsarcoma blesions btypically boccur? bdescribe btheir bappearance. b-
bcorrect banswers✔✔often bon bdistal bextremities, bsuch bas blower blegs band bfeet
