PAEA EOC & SUMMATIVE
PRACTICE EXAM NEWEST
2024-2025 COMPLETE 168
QUESTIONS AND CORRECT
DETAILED ANSWERS
(VERIFIED ANSWERS)
What is the most common presenting symptom of bladder
cancer? -ANSWER-✔✔hematuria - typically intermittent,
gross, painless, and present throughout micturition
*likelihood increases when it is gross, rather than
microscopic
this type of arthritis typically presents in one joint (typically
larger joints), with fever, and restricted movement -ANSWER-
✔✔septic arthritis
,medical management suggested for patients with primary
enuresis that have failed initial management -ANSWER-
✔✔desmopressin (DDAVP)
can also use a bed alarm, but not recommended to use
simultaneously with desmopressin
initial management: treat coexisting issues (constipation),
motivational therapy, restricting fluids in evening, frequent
voiding during day and before bed
neovascularization of the retina has a risk of what? -
ANSWER-✔✔vitreous hemorrhage (as well as traction
retinal detachment)
neovascularization commonly occurs in cental retinal vein
occlusion ("blood and thunder")
which immunoglobin is associated with urticaria? -ANSWER-
✔✔IgE
,preferred treatment for toxoplasmosis -ANSWER-
✔✔sulfadiazine and pyrimethamine
what exactly causes the occlusive vascular disease of
thromboangiitis obliterans? -ANSWER-✔✔aka Buerger's
disease
inflammatory thrombi affecting the medium and small vessels
(nonatherosclerosis)
polymorphonuclear leukocytes, microabscesses, and
multinucleated giant cells may be presen
Treatment options for thromboangiitis obliterans? -ANSWER-
✔✔smoking cessation most important!
cilostazol (PDE 3 inhibitor) has vasodilator properties
(alleviated symptoms)
if raynauds also present, CCB (nifedipine)
, what heart failure treatment provides a benefit of reduction
in morbidity and mortality? -ANSWER-✔✔ACE inhibitors
beta blockers can also reduce M&M
diuretics have no reduction in mortality
how would you manage a patient with a MI in the setting of
cocaine use? -ANSWER-✔✔benzodiazepine early
no beta blockers
If PCI cannot be done for a STEMI patient within 120 minutes,
what should be done? -ANSWER-✔✔fibrolytic therapy
then do PCI & coronary angiography when it can be done
ideally PCI is done within 90 minutes
fibrolytic therapy can be used up to 12 hours of symptoms
If you suspect an acute limb ischemia due to arterial
embolism, what imaging should you get? -ANSWER-
✔✔catheter-based arteriography (digital subtraction
PRACTICE EXAM NEWEST
2024-2025 COMPLETE 168
QUESTIONS AND CORRECT
DETAILED ANSWERS
(VERIFIED ANSWERS)
What is the most common presenting symptom of bladder
cancer? -ANSWER-✔✔hematuria - typically intermittent,
gross, painless, and present throughout micturition
*likelihood increases when it is gross, rather than
microscopic
this type of arthritis typically presents in one joint (typically
larger joints), with fever, and restricted movement -ANSWER-
✔✔septic arthritis
,medical management suggested for patients with primary
enuresis that have failed initial management -ANSWER-
✔✔desmopressin (DDAVP)
can also use a bed alarm, but not recommended to use
simultaneously with desmopressin
initial management: treat coexisting issues (constipation),
motivational therapy, restricting fluids in evening, frequent
voiding during day and before bed
neovascularization of the retina has a risk of what? -
ANSWER-✔✔vitreous hemorrhage (as well as traction
retinal detachment)
neovascularization commonly occurs in cental retinal vein
occlusion ("blood and thunder")
which immunoglobin is associated with urticaria? -ANSWER-
✔✔IgE
,preferred treatment for toxoplasmosis -ANSWER-
✔✔sulfadiazine and pyrimethamine
what exactly causes the occlusive vascular disease of
thromboangiitis obliterans? -ANSWER-✔✔aka Buerger's
disease
inflammatory thrombi affecting the medium and small vessels
(nonatherosclerosis)
polymorphonuclear leukocytes, microabscesses, and
multinucleated giant cells may be presen
Treatment options for thromboangiitis obliterans? -ANSWER-
✔✔smoking cessation most important!
cilostazol (PDE 3 inhibitor) has vasodilator properties
(alleviated symptoms)
if raynauds also present, CCB (nifedipine)
, what heart failure treatment provides a benefit of reduction
in morbidity and mortality? -ANSWER-✔✔ACE inhibitors
beta blockers can also reduce M&M
diuretics have no reduction in mortality
how would you manage a patient with a MI in the setting of
cocaine use? -ANSWER-✔✔benzodiazepine early
no beta blockers
If PCI cannot be done for a STEMI patient within 120 minutes,
what should be done? -ANSWER-✔✔fibrolytic therapy
then do PCI & coronary angiography when it can be done
ideally PCI is done within 90 minutes
fibrolytic therapy can be used up to 12 hours of symptoms
If you suspect an acute limb ischemia due to arterial
embolism, what imaging should you get? -ANSWER-
✔✔catheter-based arteriography (digital subtraction
