PAEA Internal Medicine EOR Exam Questions And Answers |Latest Version |2025/2026 |Graded A+

PAEA Internal Medicine EOR Exam Questions And Answers |Latest Version |2025/2026 |Graded A+ 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 useCauses 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, vasoconstrictionsweating 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.