PAEA Internal Medicine EOR Exam
Questions and Answers (Most Recent
Version, Complete Study Material)
1° (Essential) Hypertension - Correct Answers
✅Hypertension with no identifiable cause. Represents
95% of cases of hypertension.Risk factors include a family
history of hypertension or heart disease, a high-sodium
diet, smoking, obesity, race (blacks > whites), and
advanced age.
1° (Essential) Hypertension Dx - Correct Answers
✅Conduct cardiovascular, neurologic, ophthalmologic,
and abdominal exams.
■ Obtain a UA, BUN/creatinine, CBC, and electrolytes to
assess the extent of end-organ damage.
1° (Essential) Hypertension History/PE - Correct
Answers ✅Hypertension is asymptomatic until
complications develop.
■ Patients should be evaluated for end-organ damage to
the brain (stroke, dementia), eye (cotton-wool exudates,
hemorrhage), heart (LVH), and kidney (proteinuria,
chronic kidney disease). Renal bruits may signify renal
artery stenosis as the cause of hypertension.
1° (Essential) Hypertension Tx - Correct Answers
✅Rule out 2° causes of hypertension, particularly in
younger patients.
,PAEA Internal Medicine EOR Exam
Questions and Answers (Most Recent
Version, Complete Study Material)
■ Begin with lifestyle modifications (e.g., weight loss,
smoking cessation, salt reduction). Weight loss is the
single most effective lifestyle modification.
■ Diuretics (which are inexpensive and particularly
effective in African-Americans), ACEIs, and β-blockers
(which are beneficial for patients with CAD) have been
shown to ↓ mortality in uncomplicated hypertension.
start with ACEi in non africans under 55yo, start with
CCBs if african american or over 55. If that is not enough
add the CCB or ACEi. if still not enough add diuretic
(thiazide)
1st line treatment for active seizures in ED - Correct
Answers ✅Benzodiazepines (midazolam, lorazepam,
diazepam), Short acting barbiturates (phenobarbital,
thiopental)
1st thing to do when you find a pulmonary nodule on
Chest X-ray?
Benign vs. malignant nodules - Correct Answers ✅Look
at old chest Xray
,PAEA Internal Medicine EOR Exam
Questions and Answers (Most Recent
Version, Complete Study Material)
Benign:
- Pt < 40
- < 3 cm
- Concentric calfication
Malignant:
- Pt > 40
- > 3 cm
- Eccentric calcification
2 most common causes of cirrhosis - Correct Answers
✅Alcoholic liver disease, Hepatitis C
2nd line treatment for active seizures in ED - Correct
Answers ✅Phenytoin/fosphenytoin, Magnesium (for
seizures thought to be due to eclampsia), Valproate
a giemsa or silver stain can be used to diagnose what
condition for hiv pts - Correct Answers ✅pneumocystis
pneumonia
, PAEA Internal Medicine EOR Exam
Questions and Answers (Most Recent
Version, Complete Study Material)
A. The best initial test to diagnosis bronchiectasis?
B. What is the most accurate test for bronchiectasis? -
Correct Answers ✅A. CXR
B. CT Scan
In addition , sputum culture can be order to dt infection.
ACEi protects the - Correct Answers ✅Kidney. That way
it's good for DM pt.
Switch to ARBs if pt have cough symptoms.
Acromegaly - Correct Answers ✅Pituitary tumore
causing increased growth hormone secretion
tx: transsphenoidal resection of pituitary
Acute Bronchitis: - Correct Answers ✅∙5% of adults
annually.
∙Last 1-3 weeks.
∙Viral so do not use abx
Questions and Answers (Most Recent
Version, Complete Study Material)
1° (Essential) Hypertension - Correct Answers
✅Hypertension with no identifiable cause. Represents
95% of cases of hypertension.Risk factors include a family
history of hypertension or heart disease, a high-sodium
diet, smoking, obesity, race (blacks > whites), and
advanced age.
1° (Essential) Hypertension Dx - Correct Answers
✅Conduct cardiovascular, neurologic, ophthalmologic,
and abdominal exams.
■ Obtain a UA, BUN/creatinine, CBC, and electrolytes to
assess the extent of end-organ damage.
1° (Essential) Hypertension History/PE - Correct
Answers ✅Hypertension is asymptomatic until
complications develop.
■ Patients should be evaluated for end-organ damage to
the brain (stroke, dementia), eye (cotton-wool exudates,
hemorrhage), heart (LVH), and kidney (proteinuria,
chronic kidney disease). Renal bruits may signify renal
artery stenosis as the cause of hypertension.
1° (Essential) Hypertension Tx - Correct Answers
✅Rule out 2° causes of hypertension, particularly in
younger patients.
,PAEA Internal Medicine EOR Exam
Questions and Answers (Most Recent
Version, Complete Study Material)
■ Begin with lifestyle modifications (e.g., weight loss,
smoking cessation, salt reduction). Weight loss is the
single most effective lifestyle modification.
■ Diuretics (which are inexpensive and particularly
effective in African-Americans), ACEIs, and β-blockers
(which are beneficial for patients with CAD) have been
shown to ↓ mortality in uncomplicated hypertension.
start with ACEi in non africans under 55yo, start with
CCBs if african american or over 55. If that is not enough
add the CCB or ACEi. if still not enough add diuretic
(thiazide)
1st line treatment for active seizures in ED - Correct
Answers ✅Benzodiazepines (midazolam, lorazepam,
diazepam), Short acting barbiturates (phenobarbital,
thiopental)
1st thing to do when you find a pulmonary nodule on
Chest X-ray?
Benign vs. malignant nodules - Correct Answers ✅Look
at old chest Xray
,PAEA Internal Medicine EOR Exam
Questions and Answers (Most Recent
Version, Complete Study Material)
Benign:
- Pt < 40
- < 3 cm
- Concentric calfication
Malignant:
- Pt > 40
- > 3 cm
- Eccentric calcification
2 most common causes of cirrhosis - Correct Answers
✅Alcoholic liver disease, Hepatitis C
2nd line treatment for active seizures in ED - Correct
Answers ✅Phenytoin/fosphenytoin, Magnesium (for
seizures thought to be due to eclampsia), Valproate
a giemsa or silver stain can be used to diagnose what
condition for hiv pts - Correct Answers ✅pneumocystis
pneumonia
, PAEA Internal Medicine EOR Exam
Questions and Answers (Most Recent
Version, Complete Study Material)
A. The best initial test to diagnosis bronchiectasis?
B. What is the most accurate test for bronchiectasis? -
Correct Answers ✅A. CXR
B. CT Scan
In addition , sputum culture can be order to dt infection.
ACEi protects the - Correct Answers ✅Kidney. That way
it's good for DM pt.
Switch to ARBs if pt have cough symptoms.
Acromegaly - Correct Answers ✅Pituitary tumore
causing increased growth hormone secretion
tx: transsphenoidal resection of pituitary
Acute Bronchitis: - Correct Answers ✅∙5% of adults
annually.
∙Last 1-3 weeks.
∙Viral so do not use abx
