PAEA EOC & SUMMATIVE PRACTICE EXAM WITH ACCURATE
CORRECT QUESTIONS AND DETAILED ANSWERS ACTUAL
2025/26 GRADED A+ GUARANTEED PASS
Which type of molar pregnancy has a higher risk of malignancy?
- ---ANSWERS----complete molar (diploid, homozygous 46xx
mc, sperm genetics only) - produce higher levels of hcg than
partial moles
2 main risk factors for the development of molar pregnancy? - --
-ANSWERS----extremes of maternal age (<15 or >35)
Hx of previous molar
What is the imaging of choice for a suspected molar pregnancy in
the case of hcg >100,00? And what is found on this imaging that is
characteristic of molar pregnancy? - ---ANSWERS----
transvaginal us
Complete molar: absent amniotic fluid, absent embryo. Central
heterogeneous mass with numerous discrete anechoic spaces
("snowstorm" appearance); ovarian theca lutein cysts
Partial molar: may identify a fetus with growth restriction, "swiss
cheese pattern." no theca lutein cysts
Symptoms commonly seen with acute compartment syndrome?
(3) - ---ANSWERS----pain out of proportion to apparent injury
(early and common finding)
Persistent deep ache or burning pain
Paresthesias (onset within approximately 30 minutes to two
hours of acs; suggests ischemic nerve dysfunction)
,What finding may be seen on physical exam of compartment
syndrome? - ---ANSWERS----pain with passive stretch of
muscles in the affected compartment (early finding)
Tense compartment with a firm "wood-like" feeling
Pallor from vascular insufficiency (uncommon)
Diminished sensation
What disease is seen in 10% of the cases of polymyositis? - ---
ANSWERS----interstitial lung disease
What muscle enzymes are often increased in polymyositis? (4) -
---ANSWERS----creatine kinase (ck), lactate dehydrogenase
(ldh), aldolase, aspartate aminotransferase (ast), and alanine
aminotransferase (alt) are all muscle enzymes that may be
elevated in patients with inflammatory myopathy
Gottron papules and the heliotrope eruption is associated with
what inflammatory condition? - ---ANSWERS----
dermatomyositis
These skin lesions are pathognomonic
What are some nonpharmacological management options for
sle? - ---ANSWERS----sun protection
Vitamin d supplement due to sun avoidance
Smoking cessatin
Current vaccinations (caution with live attenuated in pt receiving
immunotherapy)
Allergies to antibiotics are common in patients with sle. What
antibiotic is often implicated? - ---ANSWERS----up to 30
percent of patients have an allergy to sulfonamide-containing
antibiotics that include sulfamethoxazole
,What are the two anatomic general locations of hip fractures? - -
--ANSWERS----intracapsular (femoral neck and head)
Extracapsular (intertrochanteric and subtrochanteric)
How do fractures of the hip often present? What is different in
intracapsular vs. Extracapsular fractures, as far as s&sx? - ---
ANSWERS----hx of a fall in older patient
Injured leg is shorted and externally rotated (if femur displaced)
Ecchymosis (more common with extracapsular fx than
intracapsular)
Hip pain
Swelling
In intracapsular (femoral head) may complain of vague knee,
buttock, or groin pain
Describe the headaches often associated with osa - ---
ANSWERS----morning headaches
Usually bifrontal and squeezing in quality
No associated nausea, photophobia, or phonophobia
Typically occur daily or most days of the week and may last for
several hours after awakening
What is the gold standard for diagnosing osa? - ---ANSWERS---
-in-laboratory polysomnography
In patients with a high pretest probability of moderate to severe
uncomplicated osa, home sleep apnea testing (hsat) with an
adequate device is an appropriate alternative
***osa is not a clinical diagnosis
, What are the two criteria seen on polysomnography that can be
used to dx osa? - ---ANSWERS----there are five or more
predominantly obstructive respiratory events per hours of sleep
in a symptomatic pt or comorbid conditions
Or
There are 15 or more predominantly obstructive respiratory
events (apneas, hypopneas, or reras) per hour of sleep
regardless of sx or comorbidities
What are some behavior modifications you can suggest to your
patient diagnosed with osa? - ---ANSWERS----weight loss
Regular exercise
Avoid alcohol
Avoid certain medications (such as benzos, opiates)
What is used in the treatment of acute asthma exacerbation? (4)
- ---ANSWERS----supplemental o2 if hypoxic
Inhalation of a bronchodilator (saba: albuterol or levalbuterol,
typically nebulized)
Inhalation of muscarinic antagonist (sama: ipratropium)
Systemic glucocorticoids (iv and oral have same effects, may
need iv if in respiratory distress or cannot take oral)
While increasing the dose of inhaled glucocorticoids is
recommended for patients with gradually deteriorating control of
asthma, high-dose inhaled glucocorticoids are not recommended
as an alternative to oral glucocorticoid for pts presenting to the
ed
How would you treat a case of acute bronchitis? - ---ANSWERS-
---otc medications, such as dextromethorphan or guaifenesin
CORRECT QUESTIONS AND DETAILED ANSWERS ACTUAL
2025/26 GRADED A+ GUARANTEED PASS
Which type of molar pregnancy has a higher risk of malignancy?
- ---ANSWERS----complete molar (diploid, homozygous 46xx
mc, sperm genetics only) - produce higher levels of hcg than
partial moles
2 main risk factors for the development of molar pregnancy? - --
-ANSWERS----extremes of maternal age (<15 or >35)
Hx of previous molar
What is the imaging of choice for a suspected molar pregnancy in
the case of hcg >100,00? And what is found on this imaging that is
characteristic of molar pregnancy? - ---ANSWERS----
transvaginal us
Complete molar: absent amniotic fluid, absent embryo. Central
heterogeneous mass with numerous discrete anechoic spaces
("snowstorm" appearance); ovarian theca lutein cysts
Partial molar: may identify a fetus with growth restriction, "swiss
cheese pattern." no theca lutein cysts
Symptoms commonly seen with acute compartment syndrome?
(3) - ---ANSWERS----pain out of proportion to apparent injury
(early and common finding)
Persistent deep ache or burning pain
Paresthesias (onset within approximately 30 minutes to two
hours of acs; suggests ischemic nerve dysfunction)
,What finding may be seen on physical exam of compartment
syndrome? - ---ANSWERS----pain with passive stretch of
muscles in the affected compartment (early finding)
Tense compartment with a firm "wood-like" feeling
Pallor from vascular insufficiency (uncommon)
Diminished sensation
What disease is seen in 10% of the cases of polymyositis? - ---
ANSWERS----interstitial lung disease
What muscle enzymes are often increased in polymyositis? (4) -
---ANSWERS----creatine kinase (ck), lactate dehydrogenase
(ldh), aldolase, aspartate aminotransferase (ast), and alanine
aminotransferase (alt) are all muscle enzymes that may be
elevated in patients with inflammatory myopathy
Gottron papules and the heliotrope eruption is associated with
what inflammatory condition? - ---ANSWERS----
dermatomyositis
These skin lesions are pathognomonic
What are some nonpharmacological management options for
sle? - ---ANSWERS----sun protection
Vitamin d supplement due to sun avoidance
Smoking cessatin
Current vaccinations (caution with live attenuated in pt receiving
immunotherapy)
Allergies to antibiotics are common in patients with sle. What
antibiotic is often implicated? - ---ANSWERS----up to 30
percent of patients have an allergy to sulfonamide-containing
antibiotics that include sulfamethoxazole
,What are the two anatomic general locations of hip fractures? - -
--ANSWERS----intracapsular (femoral neck and head)
Extracapsular (intertrochanteric and subtrochanteric)
How do fractures of the hip often present? What is different in
intracapsular vs. Extracapsular fractures, as far as s&sx? - ---
ANSWERS----hx of a fall in older patient
Injured leg is shorted and externally rotated (if femur displaced)
Ecchymosis (more common with extracapsular fx than
intracapsular)
Hip pain
Swelling
In intracapsular (femoral head) may complain of vague knee,
buttock, or groin pain
Describe the headaches often associated with osa - ---
ANSWERS----morning headaches
Usually bifrontal and squeezing in quality
No associated nausea, photophobia, or phonophobia
Typically occur daily or most days of the week and may last for
several hours after awakening
What is the gold standard for diagnosing osa? - ---ANSWERS---
-in-laboratory polysomnography
In patients with a high pretest probability of moderate to severe
uncomplicated osa, home sleep apnea testing (hsat) with an
adequate device is an appropriate alternative
***osa is not a clinical diagnosis
, What are the two criteria seen on polysomnography that can be
used to dx osa? - ---ANSWERS----there are five or more
predominantly obstructive respiratory events per hours of sleep
in a symptomatic pt or comorbid conditions
Or
There are 15 or more predominantly obstructive respiratory
events (apneas, hypopneas, or reras) per hour of sleep
regardless of sx or comorbidities
What are some behavior modifications you can suggest to your
patient diagnosed with osa? - ---ANSWERS----weight loss
Regular exercise
Avoid alcohol
Avoid certain medications (such as benzos, opiates)
What is used in the treatment of acute asthma exacerbation? (4)
- ---ANSWERS----supplemental o2 if hypoxic
Inhalation of a bronchodilator (saba: albuterol or levalbuterol,
typically nebulized)
Inhalation of muscarinic antagonist (sama: ipratropium)
Systemic glucocorticoids (iv and oral have same effects, may
need iv if in respiratory distress or cannot take oral)
While increasing the dose of inhaled glucocorticoids is
recommended for patients with gradually deteriorating control of
asthma, high-dose inhaled glucocorticoids are not recommended
as an alternative to oral glucocorticoid for pts presenting to the
ed
How would you treat a case of acute bronchitis? - ---ANSWERS-
---otc medications, such as dextromethorphan or guaifenesin
