PAEA Internal Medicine EOR 2025/2026
Exam Questions and Answers | 100%
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Bell's Palsy - 🧠 ANSWER ✔✔causes cranial nerve 7 dysfunction
S/S of Bell's Palsy - 🧠 ANSWER ✔✔Has forehead involvement (whereas a
stroke does not affect forehead movement), facial weakness, inability to
keep one eye closed
Treatment for Bell's palsy - 🧠 ANSWER ✔✔Prednisone 60mg x 5 days,
Valcyclovir 1000mg TID x 7 days, artificial tears, lacri lube at night
When can I use tPA? - 🧠 ANSWER ✔✔ischemic stroke presenting within <3
hrs and CT head negative
How do you treat high BP with stroke? - 🧠 ANSWER ✔✔Nitroprusside
(short half life, easy to titrate) or IV labetalol
,What do you use for anticoagulation/antiplatelet therapy in stroke? - 🧠
ANSWER ✔✔ASA (not in hemorrhagic), heparin for thrombosis
What do you do differently to treat hemorrhagic stroke? - 🧠 ANSWER
✔✔Give prophylactic anticonvulsant like phenytoin because of increased
seizure risk, antiplatelet therapy contraindicated
Types of Hemorrhagic Stroke - 🧠 ANSWER ✔✔1. Intracerebral (10%):
results from rupture of small arterioles
2. Subarachnoid (3%): rupture of arterial aneurysms (hemorrhage into
subarachnoid space)
Causes of Intracerebral hemorrhagic stroke are what? - 🧠 ANSWER
✔✔HTN, amyloidosis, iatrogenic anticoagulation, vascular malformations,
cocaine use
Causes of Subarachnoid hemorrhagic stroke are what? - 🧠 ANSWER
✔✔berry aneurysm rupture, vascular malformation rupture
Signs and symptoms of Intracerebral hemorrhagic stroke are what? - 🧠
ANSWER ✔✔ICP rises, vasoconstriction-sweating
,Signs and symptoms of Subarachnoid hemorrhagic stroke are what? - 🧠
ANSWER ✔✔may be preceded by warning headache, neck/back pain,
"worst headache of my life," thunderclap, may have loss of consciousness
Treatment of Subarachnoid hemorrhage - 🧠 ANSWER ✔✔surgery, control
hypertension, analgesics
What is Complex regional pain syndrome (CRPS) - 🧠 ANSWER ✔✔Chronic
arm or leg pain developing after injury, surgery, stroke, or heart attack.
Signs and symptoms of complex regional pain syndrome are what? - 🧠
ANSWER ✔✔Pain out of proportion to injury. ANS sx: swelling, extremity
color changes, increased nail and hair growth.
Treatment for complex regional pain syndrome - 🧠 ANSWER
✔✔Amitriptyline, nortriptyline, gabapentin, pregabalin, lamotrigine; NSAIDs;
Calcitonin to reduce pain as adjunctive therapy; Bisphosphonates, IVIG,
regional nerve blocks, dorsal column stimulation
Vit C prophylaxis after fx
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, Imaging modality used to diagnose Subarachnoid Hemorrhage? - 🧠
ANSWER ✔✔CT without contrast. If CT negative but still suspect SAH, do
LP to look for RBC or xanthochromia (will not develop until 12hrs after
onset)
Delirium - 🧠 ANSWER ✔✔transient disorder characterized by impaired
attention, perception, memory and cognition. Sleep wake cycles interrupted
("sundowning"). Reduced alertness, activity levels change rapidly.
Treatment of Delirium - 🧠 ANSWER ✔✔treat underlying cause, Haloperidol
5-10mg for agitation, Lorazepam 0.5-2 mg
Dementia - 🧠 ANSWER ✔✔Loss of mental capacity. Psychosocial level and
cognitive abilities deteriorate and behavioral problems develop. Largest
categories are Alzheimer dz and vascular dementia. Hallucinations,
delusion, depression, repetitive behavior are common.
Treatment of Dementia - 🧠 ANSWER ✔✔Antipsychotics to manage
psychosis
Essential tremor does not occur at rest, occurs bilaterally, and has no
indication of other neuro signs. How do you treat essential tremor? - 🧠
ANSWER ✔✔Propranolol, Primidone (can combine these 2 if needed)
Exam Questions and Answers | 100%
Pass
Bell's Palsy - 🧠 ANSWER ✔✔causes cranial nerve 7 dysfunction
S/S of Bell's Palsy - 🧠 ANSWER ✔✔Has forehead involvement (whereas a
stroke does not affect forehead movement), facial weakness, inability to
keep one eye closed
Treatment for Bell's palsy - 🧠 ANSWER ✔✔Prednisone 60mg x 5 days,
Valcyclovir 1000mg TID x 7 days, artificial tears, lacri lube at night
When can I use tPA? - 🧠 ANSWER ✔✔ischemic stroke presenting within <3
hrs and CT head negative
How do you treat high BP with stroke? - 🧠 ANSWER ✔✔Nitroprusside
(short half life, easy to titrate) or IV labetalol
,What do you use for anticoagulation/antiplatelet therapy in stroke? - 🧠
ANSWER ✔✔ASA (not in hemorrhagic), heparin for thrombosis
What do you do differently to treat hemorrhagic stroke? - 🧠 ANSWER
✔✔Give prophylactic anticonvulsant like phenytoin because of increased
seizure risk, antiplatelet therapy contraindicated
Types of Hemorrhagic Stroke - 🧠 ANSWER ✔✔1. Intracerebral (10%):
results from rupture of small arterioles
2. Subarachnoid (3%): rupture of arterial aneurysms (hemorrhage into
subarachnoid space)
Causes of Intracerebral hemorrhagic stroke are what? - 🧠 ANSWER
✔✔HTN, amyloidosis, iatrogenic anticoagulation, vascular malformations,
cocaine use
Causes of Subarachnoid hemorrhagic stroke are what? - 🧠 ANSWER
✔✔berry aneurysm rupture, vascular malformation rupture
Signs and symptoms of Intracerebral hemorrhagic stroke are what? - 🧠
ANSWER ✔✔ICP rises, vasoconstriction-sweating
,Signs and symptoms of Subarachnoid hemorrhagic stroke are what? - 🧠
ANSWER ✔✔may be preceded by warning headache, neck/back pain,
"worst headache of my life," thunderclap, may have loss of consciousness
Treatment of Subarachnoid hemorrhage - 🧠 ANSWER ✔✔surgery, control
hypertension, analgesics
What is Complex regional pain syndrome (CRPS) - 🧠 ANSWER ✔✔Chronic
arm or leg pain developing after injury, surgery, stroke, or heart attack.
Signs and symptoms of complex regional pain syndrome are what? - 🧠
ANSWER ✔✔Pain out of proportion to injury. ANS sx: swelling, extremity
color changes, increased nail and hair growth.
Treatment for complex regional pain syndrome - 🧠 ANSWER
✔✔Amitriptyline, nortriptyline, gabapentin, pregabalin, lamotrigine; NSAIDs;
Calcitonin to reduce pain as adjunctive therapy; Bisphosphonates, IVIG,
regional nerve blocks, dorsal column stimulation
Vit C prophylaxis after fx
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, Imaging modality used to diagnose Subarachnoid Hemorrhage? - 🧠
ANSWER ✔✔CT without contrast. If CT negative but still suspect SAH, do
LP to look for RBC or xanthochromia (will not develop until 12hrs after
onset)
Delirium - 🧠 ANSWER ✔✔transient disorder characterized by impaired
attention, perception, memory and cognition. Sleep wake cycles interrupted
("sundowning"). Reduced alertness, activity levels change rapidly.
Treatment of Delirium - 🧠 ANSWER ✔✔treat underlying cause, Haloperidol
5-10mg for agitation, Lorazepam 0.5-2 mg
Dementia - 🧠 ANSWER ✔✔Loss of mental capacity. Psychosocial level and
cognitive abilities deteriorate and behavioral problems develop. Largest
categories are Alzheimer dz and vascular dementia. Hallucinations,
delusion, depression, repetitive behavior are common.
Treatment of Dementia - 🧠 ANSWER ✔✔Antipsychotics to manage
psychosis
Essential tremor does not occur at rest, occurs bilaterally, and has no
indication of other neuro signs. How do you treat essential tremor? - 🧠
ANSWER ✔✔Propranolol, Primidone (can combine these 2 if needed)
