PAEA EOC & SUMMATIVE PRACTICE
EXAM NEWEST 2025 QUESTIONS AND
DETAILED CORRECT ANSWERS | A+
GRADE VERIFIED ANSWERS
Name the murmur: non-radiating, high-pitched, mid-
systolic ejection click heard at apex Correct Answer mitral
prolapse
Pt describes angina occurring at rest, usually occurs at
night or early morning. What's the dx? Correct Answer
Prinztmetal angina
A week old infant presents with dyspnea. You hear a high-
pitched harsh holosystolic murmur at the left lower sternal
border. Whats the dx? Correct Answer Ventricular septal
defect
What is thromboangiitis obliterates (Buerger's disease?
Correct Answer nonatherosclerotic inflammatory
small/medium vessel vasculitis leading to vas occlusive
phenomena. Suspect in young smokers with distal
extremity ischemia/ischemic ulcers or gangrenous digits
maculopapular rash starts on neck/trunk and spreads to
face/ extremities. Affects children with sudden high fever.
As fever resolves, rash appears Correct Answer Roseola
,Only childhood viral exanthem that starts on the trunk and
spreads to the legs/neck Correct Answer roseola
diagnostic studies for thyroid nodule? Correct Answer
Ultrasound -> thyroid uptake scan -> fine needle aspiration
history and physical for hypoparathyroidism? Correct
Answer Patients will show signs of neuromuscular
irritability with carpopedal spasm, laryngeal spasm,
tingling, tetany, and facial grimacing.
Chvostek's sign - Tap of facial nerve elicits cheek twitch
Trousseau's sign - BP cuff inflation elicits carpal spasm
name secretory products for various pituitary adenomas?
Correct Answer prolactinoma (galactorrhea)- prolactin
Somatotroph Adenoma (Acromegaly) - growth hormone/
prolactin
Corticotroph Adenoma (Cushing's Syndrome) - ACTH
Thyrotroph Adenoma (Hyperthyroidism) - TSH
Non Secreting Adenoma - α alpha -subunit
What is Samter's triad? Treatment? Correct Answer
Aspirin- exacerbated respiratory disease. asthma, sinus
disease with recurrent nasal polyps, and sensitivity to
aspirin and other NSAIDs.
Treatment: managing asthma symptoms, taking
corticosteroids, and having nasal surgery to remove
polyps
therapeutics for otitis externa? Correct Answer Bacterial:
Ciprofloxacin 0.3% and dexamethasone 0.1% suspension:
,4 drops BID × 7 days or ofloxacin: 0.3% solution 10 drops
once a day × 7 days
Fungal: % acetic acid 3-4 drops QID; clotrimazole 1%
solution
Pt presents with eye pain. On fluorescein stain, you see
dendritic lesions. what's the dx? Correct Answer herpes
simplex virus keratitis
What is hairy oral leukoplakia? Correct Answer an
Epstein-Barr virus-induced lesion that is not premalignant
disorder that occurs almost entirely in HIV infected
patients
When is it appropriate to prescribe antidiarrheals? When is
it not appropriate? Correct Answer Can use for patients
with watery diarrhea and no signs of systemic toxicity.
Do NOT use in bloody diarrhea of unknown cause.
Describe Virchow's node Correct Answer left
supraclavicular lymphadenopathy is often associated with
gastric cancer
What is Gilbert's syndrome? Correct Answer unconjugated
hyperbilirubinemia. usually asymptomatic aside from
jaundice
which anemia commonly has neurologic symptoms?
Correct Answer B12 deficient anemia
, what type of anemia is common among alcoholics?
Correct Answer folate deficiency anemia
what is the mechanism of hypercoagulability with factor V
Leiden mutation? Correct Answer Mutated factor V
resistant to breakdown by activated Protein C
treatment for salmonellosis? Correct Answer ceftriaxone 1
G IM, ciprofloxacin 500 mg po bid for 10 to 14 days,
levofloxacin 500 mg po or IV once/day for 14 days
how to dx histoplasmosis? Correct Answer culture gold
standard
fungal staining for quicker/less sensitive results
test for antigen and antibodies
therapeutic options for postherpetic neuralgia? Correct
Answer Gabapentin or TCA, topical lidocaine gel,
capsaicin
describe the epidemiology of neurocysticercosis Correct
Answer Cysticercosis is transmitted by ingestion of T.
solium eggs shed in the stool of a human tapeworm
carrier. Following ingestion, embryos (oncospheres) hatch
in the small intestine, invade the bowel wall, and
disseminate hematogenously to brain, muscles, and/or
other tissues. One becomes a carrier by ingestion of
Taenia solium eggs, often found in infected pork.
clinical intervention for premenstrual syndrome? Correct
Answer exercise, stress reduction, SSRI (Can be
EXAM NEWEST 2025 QUESTIONS AND
DETAILED CORRECT ANSWERS | A+
GRADE VERIFIED ANSWERS
Name the murmur: non-radiating, high-pitched, mid-
systolic ejection click heard at apex Correct Answer mitral
prolapse
Pt describes angina occurring at rest, usually occurs at
night or early morning. What's the dx? Correct Answer
Prinztmetal angina
A week old infant presents with dyspnea. You hear a high-
pitched harsh holosystolic murmur at the left lower sternal
border. Whats the dx? Correct Answer Ventricular septal
defect
What is thromboangiitis obliterates (Buerger's disease?
Correct Answer nonatherosclerotic inflammatory
small/medium vessel vasculitis leading to vas occlusive
phenomena. Suspect in young smokers with distal
extremity ischemia/ischemic ulcers or gangrenous digits
maculopapular rash starts on neck/trunk and spreads to
face/ extremities. Affects children with sudden high fever.
As fever resolves, rash appears Correct Answer Roseola
,Only childhood viral exanthem that starts on the trunk and
spreads to the legs/neck Correct Answer roseola
diagnostic studies for thyroid nodule? Correct Answer
Ultrasound -> thyroid uptake scan -> fine needle aspiration
history and physical for hypoparathyroidism? Correct
Answer Patients will show signs of neuromuscular
irritability with carpopedal spasm, laryngeal spasm,
tingling, tetany, and facial grimacing.
Chvostek's sign - Tap of facial nerve elicits cheek twitch
Trousseau's sign - BP cuff inflation elicits carpal spasm
name secretory products for various pituitary adenomas?
Correct Answer prolactinoma (galactorrhea)- prolactin
Somatotroph Adenoma (Acromegaly) - growth hormone/
prolactin
Corticotroph Adenoma (Cushing's Syndrome) - ACTH
Thyrotroph Adenoma (Hyperthyroidism) - TSH
Non Secreting Adenoma - α alpha -subunit
What is Samter's triad? Treatment? Correct Answer
Aspirin- exacerbated respiratory disease. asthma, sinus
disease with recurrent nasal polyps, and sensitivity to
aspirin and other NSAIDs.
Treatment: managing asthma symptoms, taking
corticosteroids, and having nasal surgery to remove
polyps
therapeutics for otitis externa? Correct Answer Bacterial:
Ciprofloxacin 0.3% and dexamethasone 0.1% suspension:
,4 drops BID × 7 days or ofloxacin: 0.3% solution 10 drops
once a day × 7 days
Fungal: % acetic acid 3-4 drops QID; clotrimazole 1%
solution
Pt presents with eye pain. On fluorescein stain, you see
dendritic lesions. what's the dx? Correct Answer herpes
simplex virus keratitis
What is hairy oral leukoplakia? Correct Answer an
Epstein-Barr virus-induced lesion that is not premalignant
disorder that occurs almost entirely in HIV infected
patients
When is it appropriate to prescribe antidiarrheals? When is
it not appropriate? Correct Answer Can use for patients
with watery diarrhea and no signs of systemic toxicity.
Do NOT use in bloody diarrhea of unknown cause.
Describe Virchow's node Correct Answer left
supraclavicular lymphadenopathy is often associated with
gastric cancer
What is Gilbert's syndrome? Correct Answer unconjugated
hyperbilirubinemia. usually asymptomatic aside from
jaundice
which anemia commonly has neurologic symptoms?
Correct Answer B12 deficient anemia
, what type of anemia is common among alcoholics?
Correct Answer folate deficiency anemia
what is the mechanism of hypercoagulability with factor V
Leiden mutation? Correct Answer Mutated factor V
resistant to breakdown by activated Protein C
treatment for salmonellosis? Correct Answer ceftriaxone 1
G IM, ciprofloxacin 500 mg po bid for 10 to 14 days,
levofloxacin 500 mg po or IV once/day for 14 days
how to dx histoplasmosis? Correct Answer culture gold
standard
fungal staining for quicker/less sensitive results
test for antigen and antibodies
therapeutic options for postherpetic neuralgia? Correct
Answer Gabapentin or TCA, topical lidocaine gel,
capsaicin
describe the epidemiology of neurocysticercosis Correct
Answer Cysticercosis is transmitted by ingestion of T.
solium eggs shed in the stool of a human tapeworm
carrier. Following ingestion, embryos (oncospheres) hatch
in the small intestine, invade the bowel wall, and
disseminate hematogenously to brain, muscles, and/or
other tissues. One becomes a carrier by ingestion of
Taenia solium eggs, often found in infected pork.
clinical intervention for premenstrual syndrome? Correct
Answer exercise, stress reduction, SSRI (Can be
