PAEA EOC EXAM, PAEA SUMMATIVE PRACTICE (NEW UPDATED VERSION) LATEST
ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS) |
GUARANTEED PASS A+ [2026]
1. A 65-year-old man presents with chest pain radiating to his left arm. EKG shows ST-elevation
in leads II, III, and aVF. Which coronary artery is most likely occluded?
A) Left anterior descending
B) Left circumflex
C) Right coronary artery
D) Posterior descending artery
Rationale: ST-elevation in II, III, and aVF indicates an inferior MI, usually supplied by the right
coronary artery.
2. A patient with type 2 diabetes presents with polyuria, polydipsia, and fruity-smelling breath.
Which lab finding is most consistent with this presentation?
A) Hypoglycemia
B) Hyperosmolar hyperglycemic state
C) Diabetic ketoacidosis
D) Hypokalemia
Rationale: Polyuria, polydipsia, and fruity breath suggest DKA; labs would show
hyperglycemia, ketonemia, and metabolic acidosis.
3. A 24-year-old woman presents with acute onset shortness of breath and pleuritic chest pain
after a long flight. What is the most likely diagnosis?
A) Pneumonia
B) Pulmonary embolism
C) Asthma exacerbation
D) Myocardial infarction
Rationale: Acute dyspnea with recent immobilization suggests PE. Risk factors include
prolonged travel, OCP use, and hypercoagulable states.
2026 Graded A+ EXAM
,4. A 50-year-old man presents with fatigue, jaundice, and elevated AST > ALT. Which is the
most likely cause?
A) Alcoholic hepatitis
B) Viral hepatitis
C) Non-alcoholic fatty liver disease
D) Hemochromatosis
Rationale: AST:ALT > 2:1 is classic for alcoholic hepatitis.
5. A patient with asthma presents with wheezing and use of accessory muscles. Which is the
first-line therapy?
A) Oral prednisone
B) Inhaled corticosteroid
C) Short-acting beta-agonist (SABA)
D) Leukotriene receptor antagonist
Rationale: Acute exacerbations are treated with inhaled SABA for rapid bronchodilation.
6. A 70-year-old woman presents with sudden onset unilateral weakness and slurred speech. CT
scan shows no hemorrhage. What is the next step?
A) Administer tPA if within window
B) Immediate anticoagulation
C) Surgery
D) Observation only
Rationale: Ischemic stroke without hemorrhage is treated with tPA if within 3–4.5 hours from
onset.
7. A patient presents with fever, sore throat, and posterior cervical lymphadenopathy. Rapid strep
test is positive. Best initial treatment?
A) Amoxicillin
B) Azithromycin
C) Ciprofloxacin
D) No antibiotics
Rationale: Group A streptococcal pharyngitis is treated with penicillin or amoxicillin.
2026 Graded A+ EXAM
, what exactly causes the occlusive vascular disease of thromboangiitis obliterans? -
CORRECT ✔✔✔✔✔ 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? - CORRECT ✔✔✔✔✔ 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? -
CORRECT ✔✔✔✔✔ 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? - CORRECT
✔✔✔✔✔ benzodiazepine early
no beta blockers
If PCI cannot be done for a STEMI patient within 120 minutes, what should be done? -
CORRECT ✔✔✔✔✔ 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? - CORRECT ✔✔✔✔✔ catheter-based arteriography (digital subtraction
arteriography) provides the most useful information. can also help with treatment
can help distinguish between thrombosis and embolus
where are arterial emboli often found? - CORRECT ✔✔✔✔✔ lower extremities more
common than upper extremities
The common femoral, common iliac, and popliteal artery bifurcations are frequent
locations
2026 Graded A+ EXAM
ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS) |
GUARANTEED PASS A+ [2026]
1. A 65-year-old man presents with chest pain radiating to his left arm. EKG shows ST-elevation
in leads II, III, and aVF. Which coronary artery is most likely occluded?
A) Left anterior descending
B) Left circumflex
C) Right coronary artery
D) Posterior descending artery
Rationale: ST-elevation in II, III, and aVF indicates an inferior MI, usually supplied by the right
coronary artery.
2. A patient with type 2 diabetes presents with polyuria, polydipsia, and fruity-smelling breath.
Which lab finding is most consistent with this presentation?
A) Hypoglycemia
B) Hyperosmolar hyperglycemic state
C) Diabetic ketoacidosis
D) Hypokalemia
Rationale: Polyuria, polydipsia, and fruity breath suggest DKA; labs would show
hyperglycemia, ketonemia, and metabolic acidosis.
3. A 24-year-old woman presents with acute onset shortness of breath and pleuritic chest pain
after a long flight. What is the most likely diagnosis?
A) Pneumonia
B) Pulmonary embolism
C) Asthma exacerbation
D) Myocardial infarction
Rationale: Acute dyspnea with recent immobilization suggests PE. Risk factors include
prolonged travel, OCP use, and hypercoagulable states.
2026 Graded A+ EXAM
,4. A 50-year-old man presents with fatigue, jaundice, and elevated AST > ALT. Which is the
most likely cause?
A) Alcoholic hepatitis
B) Viral hepatitis
C) Non-alcoholic fatty liver disease
D) Hemochromatosis
Rationale: AST:ALT > 2:1 is classic for alcoholic hepatitis.
5. A patient with asthma presents with wheezing and use of accessory muscles. Which is the
first-line therapy?
A) Oral prednisone
B) Inhaled corticosteroid
C) Short-acting beta-agonist (SABA)
D) Leukotriene receptor antagonist
Rationale: Acute exacerbations are treated with inhaled SABA for rapid bronchodilation.
6. A 70-year-old woman presents with sudden onset unilateral weakness and slurred speech. CT
scan shows no hemorrhage. What is the next step?
A) Administer tPA if within window
B) Immediate anticoagulation
C) Surgery
D) Observation only
Rationale: Ischemic stroke without hemorrhage is treated with tPA if within 3–4.5 hours from
onset.
7. A patient presents with fever, sore throat, and posterior cervical lymphadenopathy. Rapid strep
test is positive. Best initial treatment?
A) Amoxicillin
B) Azithromycin
C) Ciprofloxacin
D) No antibiotics
Rationale: Group A streptococcal pharyngitis is treated with penicillin or amoxicillin.
2026 Graded A+ EXAM
, what exactly causes the occlusive vascular disease of thromboangiitis obliterans? -
CORRECT ✔✔✔✔✔ 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? - CORRECT ✔✔✔✔✔ 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? -
CORRECT ✔✔✔✔✔ 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? - CORRECT
✔✔✔✔✔ benzodiazepine early
no beta blockers
If PCI cannot be done for a STEMI patient within 120 minutes, what should be done? -
CORRECT ✔✔✔✔✔ 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? - CORRECT ✔✔✔✔✔ catheter-based arteriography (digital subtraction
arteriography) provides the most useful information. can also help with treatment
can help distinguish between thrombosis and embolus
where are arterial emboli often found? - CORRECT ✔✔✔✔✔ lower extremities more
common than upper extremities
The common femoral, common iliac, and popliteal artery bifurcations are frequent
locations
2026 Graded A+ EXAM
