PAEA EOC EXAM (NEW UPDATED VERSION) LATEST ACTUAL EXAM QUESTIONS
AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS) | GUARANTEED
PASS A+ [2025]
PAEA EOC LONG-FORM PRACTICE
QUESTIONS — SET 1 (Questions 1–250)
1. Cardiology – Atrial Fibrillation
A 76-year-old woman with HTN and HFpEF presents with palpitations and dyspnea. HR 148,
irregularly irregular. BP 138/82. ECG shows atrial fibrillation with RVR. She is
hemodynamically stable. What is the next best step?
2. Pulmonology – Asthma Exacerbation
A 23-year-old woman with asthma presents with SOB and wheezing after exposure to cat
dander. Peak flow is 45% predicted after two albuterol nebs. She is speaking in short sentences.
What is the next intervention?
3. Endocrine – DKA
A 21-year-old man with type 1 diabetes presents with vomiting and abdominal pain. Labs:
glucose 620, pH 7.12, bicarb 10, potassium 5.8. What is the first step in management?
4. GI – Upper GI Bleed
A 68-year-old man presents with melena, dizziness, and hypotension. Hg 7.2. What is the next
best step?
,5. Infectious Disease – Meningitis
A 29-year-old man presents with fever, neck stiffness, photophobia. LP: neutrophils, low
glucose, high protein. What is the immediate treatment?
6. Neurology – Stroke
A 59-year-old woman has sudden aphasia and right-sided weakness. Onset 45 minutes ago. CT
negative. Next step?
7. Renal – AKI
A 78-year-old man on lisinopril and furosemide presents with rising creatinine after dehydration.
BUN:Cr = 36:1. What is the likely diagnosis?
8. OB/GYN – Ectopic Pregnancy
A 26-year-old woman presents with severe unilateral pelvic pain and vaginal bleeding. hCG
2,400, no IUP on ultrasound. Diagnosis?
9. Dermatology – Cellulitis
A 50-year-old man has erythematous, warm, tender lower leg with fever. No abscess. Treatment?
10. Psych – Panic Attack
A 34-year-old woman presents with chest pain, palpitations, fear of dying, hyperventilation.
ECG normal. Diagnosis?
11. Cardiology – STEMI
A 62-year-old smoker presents with crushing chest pain and ST elevation in II, III, aVF. Next
step?
,12. Pulmonology – PE
A post-op patient develops sudden SOB and pleuritic chest pain. D-dimer high;
hemodynamically stable. Best initial imaging?
13. Endocrine – Hypothyroidism
A 44-year-old woman with fatigue, weight gain, cold intolerance has high TSH, low free T4.
Diagnosis?
14. GI – Diverticulitis
A 55-year-old man presents with LLQ pain, fever, leukocytosis. CT shows inflamed diverticula.
Treatment?
15. Rheum – Gout
A 60-year-old man with acute big toe pain, red, swollen. Joint aspiration shows negatively
birefringent crystals. Treatment?
16. Heme – Anemia
A 22-year-old vegetarian with fatigue has low Hg, low ferritin, high TIBC. Diagnosis?
17. Nephrology – Nephrotic Syndrome
A 7-year-old boy with edema, frothy urine, hypoalbuminemia. Diagnosis?
18. ID – Influenza
A 42-year-old woman with fever, cough, myalgias, symptoms for 24 hours. Best treatment?
, 19. Neuro – Seizure
A 38-year-old man presents with tonic-clonic seizure. Glucose 35. What is first step?
20. Cardiology – Aortic Stenosis
A 79-year-old with syncope on exertion, harsh systolic murmur radiating to carotids. Diagnosis?
21. Pulmonology – Pneumonia
A 66-year-old with fever, productive cough, lobar infiltrate. Outpatient treatment?
22. GI – C. diff
A hospitalized patient on recent antibiotics develops watery diarrhea and abdominal pain. Next
step?
23. Endocrine – HHS
A 72-year-old man with confusion and severe hyperglycemia (980 mg/dL) without acidosis.
Diagnosis?
24. OB/GYN – Preeclampsia
A 30-year-old at 34 weeks with BP 168/100, proteinuria. Diagnosis?
25. Psych – Depression
A 40-year-old woman with low mood, anhedonia for 6 weeks. Treatment?
AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS) | GUARANTEED
PASS A+ [2025]
PAEA EOC LONG-FORM PRACTICE
QUESTIONS — SET 1 (Questions 1–250)
1. Cardiology – Atrial Fibrillation
A 76-year-old woman with HTN and HFpEF presents with palpitations and dyspnea. HR 148,
irregularly irregular. BP 138/82. ECG shows atrial fibrillation with RVR. She is
hemodynamically stable. What is the next best step?
2. Pulmonology – Asthma Exacerbation
A 23-year-old woman with asthma presents with SOB and wheezing after exposure to cat
dander. Peak flow is 45% predicted after two albuterol nebs. She is speaking in short sentences.
What is the next intervention?
3. Endocrine – DKA
A 21-year-old man with type 1 diabetes presents with vomiting and abdominal pain. Labs:
glucose 620, pH 7.12, bicarb 10, potassium 5.8. What is the first step in management?
4. GI – Upper GI Bleed
A 68-year-old man presents with melena, dizziness, and hypotension. Hg 7.2. What is the next
best step?
,5. Infectious Disease – Meningitis
A 29-year-old man presents with fever, neck stiffness, photophobia. LP: neutrophils, low
glucose, high protein. What is the immediate treatment?
6. Neurology – Stroke
A 59-year-old woman has sudden aphasia and right-sided weakness. Onset 45 minutes ago. CT
negative. Next step?
7. Renal – AKI
A 78-year-old man on lisinopril and furosemide presents with rising creatinine after dehydration.
BUN:Cr = 36:1. What is the likely diagnosis?
8. OB/GYN – Ectopic Pregnancy
A 26-year-old woman presents with severe unilateral pelvic pain and vaginal bleeding. hCG
2,400, no IUP on ultrasound. Diagnosis?
9. Dermatology – Cellulitis
A 50-year-old man has erythematous, warm, tender lower leg with fever. No abscess. Treatment?
10. Psych – Panic Attack
A 34-year-old woman presents with chest pain, palpitations, fear of dying, hyperventilation.
ECG normal. Diagnosis?
11. Cardiology – STEMI
A 62-year-old smoker presents with crushing chest pain and ST elevation in II, III, aVF. Next
step?
,12. Pulmonology – PE
A post-op patient develops sudden SOB and pleuritic chest pain. D-dimer high;
hemodynamically stable. Best initial imaging?
13. Endocrine – Hypothyroidism
A 44-year-old woman with fatigue, weight gain, cold intolerance has high TSH, low free T4.
Diagnosis?
14. GI – Diverticulitis
A 55-year-old man presents with LLQ pain, fever, leukocytosis. CT shows inflamed diverticula.
Treatment?
15. Rheum – Gout
A 60-year-old man with acute big toe pain, red, swollen. Joint aspiration shows negatively
birefringent crystals. Treatment?
16. Heme – Anemia
A 22-year-old vegetarian with fatigue has low Hg, low ferritin, high TIBC. Diagnosis?
17. Nephrology – Nephrotic Syndrome
A 7-year-old boy with edema, frothy urine, hypoalbuminemia. Diagnosis?
18. ID – Influenza
A 42-year-old woman with fever, cough, myalgias, symptoms for 24 hours. Best treatment?
, 19. Neuro – Seizure
A 38-year-old man presents with tonic-clonic seizure. Glucose 35. What is first step?
20. Cardiology – Aortic Stenosis
A 79-year-old with syncope on exertion, harsh systolic murmur radiating to carotids. Diagnosis?
21. Pulmonology – Pneumonia
A 66-year-old with fever, productive cough, lobar infiltrate. Outpatient treatment?
22. GI – C. diff
A hospitalized patient on recent antibiotics develops watery diarrhea and abdominal pain. Next
step?
23. Endocrine – HHS
A 72-year-old man with confusion and severe hyperglycemia (980 mg/dL) without acidosis.
Diagnosis?
24. OB/GYN – Preeclampsia
A 30-year-old at 34 weeks with BP 168/100, proteinuria. Diagnosis?
25. Psych – Depression
A 40-year-old woman with low mood, anhedonia for 6 weeks. Treatment?
