FAMILY MEDICINE PAEA EOR EXAM
2025 QUESTIONS AND ANSWERS
Anorexia Nervosa Clinical Manifestations - ANS 1. BMI <17%*
2. misuse of weight loss medications (laxatives, enema, diuretics...)
Anorexia Nervosa Diagnosis - ANS 1. Vital signs: emaciated, hypotension, bradycardia,
skin/hair changes (lanugo), dry skin, salivary gland hypertrophy, amenorrhea
2. Labs: CBC: leukocytosis, leukopenia, anemia; hypokalemia, ↑BUN (dehydration),
hypothyroidism, arrhythmias
Generalized Anxiety Disorder - ANS Excessive anxiety or worry a majority of days in a 6
month period associated w/ ≥3: fatigue, restlessness, difficulty concentrating, muscle tension,
sleep disturbance, irritability, shakiness, headaches.
Generalized Anxiety Disorder Management - ANS 1. Antidepressants: SSRIs (paroxetine &
escitalopram)
2. Buspirone (Buspar): does not cause sedation
3. Benzodiazepines (short term only), beta blockers
4. Psychotherapy
Normal anxiety - ANS Diffuse, unpleasant, vague sense of apprehension, often accompanied
by autonomic symptoms (ex sweating, palpitations, etc)
Pathologic anxiety - ANS Sense of danger becomes prominent
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, Panic attack - ANS Episode of intense fear or discomfort, with ≥4 of the following sx
developing abruptly, reaching a peak in 10 minutes:
palpitations, trembling, choking feeling, parathesia, sweating, shortness of breath, chest pain,
chills of hot flashes, dizziness, fear of dying/losing control/being detached, nausea/abdominal
distress
OCD - ANS Obsessions, cumpulsions or both (75%)
Obsessions: recurrent/persistent thoughts; thoughts are NOT excessive worries about real life
problems
Compulsions: repetitive behaviors the person is driven to perform
Panic Disorder Criteria - ANS Symptoms not due to substance, medical condition or other
mental disorder
Recurrent, unexpected panic attacks (at least 2), not related to a trigger. Famial trait.
Panic attacked followed by concern about more attacks, worry about the implication of the
attacks, significant change in behavior realted to the attacks.
Agoraphobia - ANS Included with panic disorder
Anxiety about being in a certain place or situation (fear of crowds, wide open spaces, avoidance
of these situations)
Panic Disorder Management - ANS 1. SSRIs 1st line long-term tx* (paroxetine, sertraline,
fluoxetine)
2. Benzodiazepines: for acute attacks
3. Cognitive behavioral therapy (CBT)
Post-traumatic Stress Disorder (PTSD) - ANS 1. exposed to a traumatic event & actual or
threatened death or serious injury/violation to self or others AND
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2025 QUESTIONS AND ANSWERS
Anorexia Nervosa Clinical Manifestations - ANS 1. BMI <17%*
2. misuse of weight loss medications (laxatives, enema, diuretics...)
Anorexia Nervosa Diagnosis - ANS 1. Vital signs: emaciated, hypotension, bradycardia,
skin/hair changes (lanugo), dry skin, salivary gland hypertrophy, amenorrhea
2. Labs: CBC: leukocytosis, leukopenia, anemia; hypokalemia, ↑BUN (dehydration),
hypothyroidism, arrhythmias
Generalized Anxiety Disorder - ANS Excessive anxiety or worry a majority of days in a 6
month period associated w/ ≥3: fatigue, restlessness, difficulty concentrating, muscle tension,
sleep disturbance, irritability, shakiness, headaches.
Generalized Anxiety Disorder Management - ANS 1. Antidepressants: SSRIs (paroxetine &
escitalopram)
2. Buspirone (Buspar): does not cause sedation
3. Benzodiazepines (short term only), beta blockers
4. Psychotherapy
Normal anxiety - ANS Diffuse, unpleasant, vague sense of apprehension, often accompanied
by autonomic symptoms (ex sweating, palpitations, etc)
Pathologic anxiety - ANS Sense of danger becomes prominent
COPYRIGHT © 2025 THESTAR ALL RIGHTS RESERVED 1
, Panic attack - ANS Episode of intense fear or discomfort, with ≥4 of the following sx
developing abruptly, reaching a peak in 10 minutes:
palpitations, trembling, choking feeling, parathesia, sweating, shortness of breath, chest pain,
chills of hot flashes, dizziness, fear of dying/losing control/being detached, nausea/abdominal
distress
OCD - ANS Obsessions, cumpulsions or both (75%)
Obsessions: recurrent/persistent thoughts; thoughts are NOT excessive worries about real life
problems
Compulsions: repetitive behaviors the person is driven to perform
Panic Disorder Criteria - ANS Symptoms not due to substance, medical condition or other
mental disorder
Recurrent, unexpected panic attacks (at least 2), not related to a trigger. Famial trait.
Panic attacked followed by concern about more attacks, worry about the implication of the
attacks, significant change in behavior realted to the attacks.
Agoraphobia - ANS Included with panic disorder
Anxiety about being in a certain place or situation (fear of crowds, wide open spaces, avoidance
of these situations)
Panic Disorder Management - ANS 1. SSRIs 1st line long-term tx* (paroxetine, sertraline,
fluoxetine)
2. Benzodiazepines: for acute attacks
3. Cognitive behavioral therapy (CBT)
Post-traumatic Stress Disorder (PTSD) - ANS 1. exposed to a traumatic event & actual or
threatened death or serious injury/violation to self or others AND
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