PAEA EOC EXAM, PAEA SUMMATIVE PRACTICE
2025 BANK VERSION CURRENTLY TESTING
COMPLETE EXAM QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT ANSWERS)
/ALREADY GRADED A+
where do karposi sarcoma lesions typically occur? describe their appearance. -
ANSWER -often on distal extremities, such as lower legs and feet
purplish, reddish blue, or dark brown/black macules, plaques, and nodules on the
skin. Nodular lesions may ulcerate and bleed easily
common in poorly controlled HIV
how would you treat hidradenitis suppurativa? - ANSWER -topical clindamycin
if fail topical therapy, oral tetracyclines are suggested
Antiandrogenic drugs and metformin are additional treatment options that may be
used alone or in conjunction with antibiotic therapy
Pt with hypertriglyceridemia >885 mg/dL that required medical therapy due to no
improvement after lifestyle changes and statin. how would you treat? - ANSWER -
fenofibrate
fenofibrate is better than gemfibrozil bc can be used with a statin. Gemfibrozil has
a higher risk of muscle toxicity
how would you initially treat a pt with hypertriglyceridemia? - ANSWER -
lifestyle changes (reduce EtOH consumption, aerobic exercise, better glycemic
control) and statin
, what causes subacute thyroiditis? - ANSWER -presumed to be caused by a viral
infection or a postviral inflammatory process. Many patients have a history of an
upper respiratory infection prior to the onset of thyroiditis
seasonal incidence (higher in summer)
Large-needle thyroid biopsies reveal widespread infiltration with neutrophils,
lymphocytes, histiocytes and giant cells, disruption and collapse of thyroid
follicles, and necrosis of thyroid follicular cells
how is the diagnosis of subacute thyroiditis made? - ANSWER -clinical dx
neck pain, thyroid tenderness
suppressed TSH
T3/T4 mildly elevated
if clinical dx is not certain, US can be used to distinguish subacute from Graves.
Graves has increased flow and subacute has decreased flow. FNA rarely
needed/used
what is the first step in evaluation of a suspected thyroid nodule? - ANSWER -US
Apparent nodularity in Hashimoto's thyroiditis may represent focal enlargement
from lymphocytic infiltrates, TSH-induced hyperplasia of follicular tissue, or a
thyroid tumor. Ultrasonography may also help to distinguish among these
possibilities
what is the sonographic criteria for FNA of a thyroid nodule? - ANSWER -Bx
regardless of size if:
Subcapsular locations adjacent to the recurrent laryngeal nerve or trachea
Extrathyroidal extension
Extrusion through rim calcifications
Associated with sonographically abnormal cervical lymph nodes
Bx if > 1cm and:
, Irregular margins
Microcalcifications
Taller than wide shape
Rim calcifications with extrusion of soft tissue
what makes up aspirin exacerbated respiratory disease (or NSAID-exacerbated
respiratory disease)? - ANSWER -asthma, chronic rhinosinusitis (CRS) with nasal
polyposis, and acute upper and lower respiratory tract reactions
symptoms of nasal congestion and bronchoconstriction typically begin 20 minutes
to 3 hours after administration
what type of allergy is aspirin exacerbated respiratory diseaase (AERD)? -
ANSWER -pseudoallergy, not IgE mediated
In contrast, IgE-mediated "allergic" reactions result from the formation of
antibodies against a specific drug, haptenated drug, or a group of structurally
similar drugs
how would you treat otitis externa? what if the TM is perforated? - ANSWER -
mild disease - topical acetic acid + hydrocortisone
moderate disease - topical abx + steroid to cover staph and pseudomonas (first line
consider quinolones (cipro) or polymyxin-neomycin to cover both)
Preparations containing aminoglycosides should be avoided in ears where the
integrity of the tympanic membrane cannot be confirmed
Treatment approach to HSV-1? - ANSWER -Acyclovir has the greatest in vitro
activity against HSV-1 and HSV-2. However, famciclovir and valacyclovir have
greater oral bioavailability than acyclovir and are dosed less frequently
HSV-1 oral leads to gingivostomatitis. usually self limiting but treat if
symptomatic. earlier the tx the better it works
2025 BANK VERSION CURRENTLY TESTING
COMPLETE EXAM QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT ANSWERS)
/ALREADY GRADED A+
where do karposi sarcoma lesions typically occur? describe their appearance. -
ANSWER -often on distal extremities, such as lower legs and feet
purplish, reddish blue, or dark brown/black macules, plaques, and nodules on the
skin. Nodular lesions may ulcerate and bleed easily
common in poorly controlled HIV
how would you treat hidradenitis suppurativa? - ANSWER -topical clindamycin
if fail topical therapy, oral tetracyclines are suggested
Antiandrogenic drugs and metformin are additional treatment options that may be
used alone or in conjunction with antibiotic therapy
Pt with hypertriglyceridemia >885 mg/dL that required medical therapy due to no
improvement after lifestyle changes and statin. how would you treat? - ANSWER -
fenofibrate
fenofibrate is better than gemfibrozil bc can be used with a statin. Gemfibrozil has
a higher risk of muscle toxicity
how would you initially treat a pt with hypertriglyceridemia? - ANSWER -
lifestyle changes (reduce EtOH consumption, aerobic exercise, better glycemic
control) and statin
, what causes subacute thyroiditis? - ANSWER -presumed to be caused by a viral
infection or a postviral inflammatory process. Many patients have a history of an
upper respiratory infection prior to the onset of thyroiditis
seasonal incidence (higher in summer)
Large-needle thyroid biopsies reveal widespread infiltration with neutrophils,
lymphocytes, histiocytes and giant cells, disruption and collapse of thyroid
follicles, and necrosis of thyroid follicular cells
how is the diagnosis of subacute thyroiditis made? - ANSWER -clinical dx
neck pain, thyroid tenderness
suppressed TSH
T3/T4 mildly elevated
if clinical dx is not certain, US can be used to distinguish subacute from Graves.
Graves has increased flow and subacute has decreased flow. FNA rarely
needed/used
what is the first step in evaluation of a suspected thyroid nodule? - ANSWER -US
Apparent nodularity in Hashimoto's thyroiditis may represent focal enlargement
from lymphocytic infiltrates, TSH-induced hyperplasia of follicular tissue, or a
thyroid tumor. Ultrasonography may also help to distinguish among these
possibilities
what is the sonographic criteria for FNA of a thyroid nodule? - ANSWER -Bx
regardless of size if:
Subcapsular locations adjacent to the recurrent laryngeal nerve or trachea
Extrathyroidal extension
Extrusion through rim calcifications
Associated with sonographically abnormal cervical lymph nodes
Bx if > 1cm and:
, Irregular margins
Microcalcifications
Taller than wide shape
Rim calcifications with extrusion of soft tissue
what makes up aspirin exacerbated respiratory disease (or NSAID-exacerbated
respiratory disease)? - ANSWER -asthma, chronic rhinosinusitis (CRS) with nasal
polyposis, and acute upper and lower respiratory tract reactions
symptoms of nasal congestion and bronchoconstriction typically begin 20 minutes
to 3 hours after administration
what type of allergy is aspirin exacerbated respiratory diseaase (AERD)? -
ANSWER -pseudoallergy, not IgE mediated
In contrast, IgE-mediated "allergic" reactions result from the formation of
antibodies against a specific drug, haptenated drug, or a group of structurally
similar drugs
how would you treat otitis externa? what if the TM is perforated? - ANSWER -
mild disease - topical acetic acid + hydrocortisone
moderate disease - topical abx + steroid to cover staph and pseudomonas (first line
consider quinolones (cipro) or polymyxin-neomycin to cover both)
Preparations containing aminoglycosides should be avoided in ears where the
integrity of the tympanic membrane cannot be confirmed
Treatment approach to HSV-1? - ANSWER -Acyclovir has the greatest in vitro
activity against HSV-1 and HSV-2. However, famciclovir and valacyclovir have
greater oral bioavailability than acyclovir and are dosed less frequently
HSV-1 oral leads to gingivostomatitis. usually self limiting but treat if
symptomatic. earlier the tx the better it works
