1
PAEA EOC 2025, PAEA Summative Practice,
physician assistant exam, EOC questions and
answers, PAEA 250 questions, PA exam prep,
graded A+
What is the common causative "bug" in diaper dermatitis? - ANS :Candidiasis What combination
of major and minor criteria must you have to be diagnosed with Rhematic Fever? - ANS :2 Major
or 1 Major and 2 minor
What are the major criteria for Rheumatic fever? - ANS :1. Carditis
2. Erythema marginatum
3. Subcutaneous nodules
4. Chorea
5. Polyarthritis
What are the minor criteria for rhemuatic fever? - ANS :1. Fever
2. Polyarthalgias
3. Reversible prolongation of PR interval
4. Elevated ESR
5. Elevated CRP
Patients with acute rheumatic fever may have these positive titers - ANS :Includes positive
antistrepolysin-O (ASO), anti-DNase or antihyalurodinase titers.
P a g e 1 | 166
, 2
What is the treatment for acute rheumatic fever? - ANS :1. Bed rest. 2. Antibiotics DO NOT
modify the course of disease. 3. Anti-inflammatory drugs (NSAIDs) suppress the ssx but are not
curative (aspirin, corticosteroids, etc) 4. Decrease risk for dz by prevention and timely strep
treatment. 5. Secondary prevention of rheumatic fever, prevention of recurrent attacks =
penicillin G or V, or sulfadiazine. Erythomycin in PCN allergy
What can you use to as prophylaxis for rheumatic fever? - ANS :Benzathine Pencillin q 2 weeks
What is the most common valvular residual of rheumatic fever? - ANS :o Mitral insufficiency is
the most common valvular residual of acute rheumatic fever. Mitral stenosis is more commonly
seen 5-10 years after RF and therefore more commonly seen in adults. Aortic insufficiency is the
second most common valve affected.
Mucutaneous lymph node syndrome is also called... - ANS :kawasaki disease
Kawasaki disease most commonly affects what demographic? - ANS :male infants
What is the diagnostic criteria for kawasaki disease? - ANS :1. Acute onset fever (up to 105) for
atleast 4 days.
2. 4/5 of the following= Bilateral conjunctivitis, Cervical lymphadenopathy, Truncal
polymorphous rash, Oropharynx mucosal chanes injection, dry fissured lips, injected lips,
strawberry tongue, Peripheral extremity changes; edema, erythema, desquamation.
Patient presents with bilateral conjunctivitis, cervical lymphadenopathy, truncal polymporphous
rash, oropharynx mucosal chains injection, dry fissured lips, strawberry tongie, peripheral
edema and desquamation...what is the likely diagnosis? - ANS :kawasaki disease
P a g e 2 | 166
, 3
_________ are contraindicated in the treatment of kawasaki disease. - ANS :Corticosteroids
________ and __________ in kawasaki disease reduces the initial inflammation and reduces
incidence of complication - ANS :IV immunoglobulin and aspirin
What are potential complications of kawasaki disease? - ANS :coronary vasculitis and aneursym
formation
This is a disease of inflammation of medium and small size vessels;and is one of the most
common vasculitudes in children. - ANS :kawasaki disease
HCM murmurs ______ with squat or hand grip & leg elevation and ______ with valsalva. - ANS
:decrease, increase
What will you find on physical exam in a patient with HCM? - ANS :PE: mitral regurgitation, S4
and prominent left ventricular impulse.
In HCM:
Echocardiogram will show septal wall thickness and ejection fraction > __%. EKG reveals____. -
ANS :60, LVH
What is the treatment for HCM if symptomatic? - ANS :BB's (propranolol) and CCB (verapamil
What are the most common causes of syncope in adolescents? - ANS :dehydration (MOST
COMMON)
P a g e 3 | 166
, 4
fear and pain
medical conditions
What is the sanfransico syncope rule? - ANS :Preceding or provocative event: prolonged
standing (vasovagal), immediately on standing (orthostatic), with exertion (aortic stenosis, CAD,
cardiomyopathy, Arrhythmia, Misc causes), after exertion in athlete (vasovagal syncope),
valsalva (reflex mediated syncope), neck rotation or pressure (carotid sinus hypersensitivity),
use of arms (subclavian steal syndrome), stressful event (vasovagal)
What is the most common cyanotic congenital heart defect? - ANS :tetralogy of fallot
T or F, in Tetralogy of Fallot, cyanosis is due to L to R shunting and decreased pulmonary flow. -
ANS :False.
R to L shunting
What 4 defects does tetralogy of fallot refer to? - ANS :1-VSD, 2-Pulmonary stenosis, 3-
overriding aorta over the VSD, 4-RVH
What will physical exam reveal in tetralogy of fallot? - ANS :RV heave noted with loud systolic
ejection murmur at LSB. Clubbing of fingers may be present with older children. EKG reveals RV
enlargement and right axis deviation. CXR shows normal heart size and decreased pulmonary
vascularity
What are acute treatment options in tetralogy of fallot? - ANS :Acute treatment options = vagal
maneuvers, BBs, oxygen, vasoconstrictors, morphine and fluids
P a g e 4 | 166
PAEA EOC 2025, PAEA Summative Practice,
physician assistant exam, EOC questions and
answers, PAEA 250 questions, PA exam prep,
graded A+
What is the common causative "bug" in diaper dermatitis? - ANS :Candidiasis What combination
of major and minor criteria must you have to be diagnosed with Rhematic Fever? - ANS :2 Major
or 1 Major and 2 minor
What are the major criteria for Rheumatic fever? - ANS :1. Carditis
2. Erythema marginatum
3. Subcutaneous nodules
4. Chorea
5. Polyarthritis
What are the minor criteria for rhemuatic fever? - ANS :1. Fever
2. Polyarthalgias
3. Reversible prolongation of PR interval
4. Elevated ESR
5. Elevated CRP
Patients with acute rheumatic fever may have these positive titers - ANS :Includes positive
antistrepolysin-O (ASO), anti-DNase or antihyalurodinase titers.
P a g e 1 | 166
, 2
What is the treatment for acute rheumatic fever? - ANS :1. Bed rest. 2. Antibiotics DO NOT
modify the course of disease. 3. Anti-inflammatory drugs (NSAIDs) suppress the ssx but are not
curative (aspirin, corticosteroids, etc) 4. Decrease risk for dz by prevention and timely strep
treatment. 5. Secondary prevention of rheumatic fever, prevention of recurrent attacks =
penicillin G or V, or sulfadiazine. Erythomycin in PCN allergy
What can you use to as prophylaxis for rheumatic fever? - ANS :Benzathine Pencillin q 2 weeks
What is the most common valvular residual of rheumatic fever? - ANS :o Mitral insufficiency is
the most common valvular residual of acute rheumatic fever. Mitral stenosis is more commonly
seen 5-10 years after RF and therefore more commonly seen in adults. Aortic insufficiency is the
second most common valve affected.
Mucutaneous lymph node syndrome is also called... - ANS :kawasaki disease
Kawasaki disease most commonly affects what demographic? - ANS :male infants
What is the diagnostic criteria for kawasaki disease? - ANS :1. Acute onset fever (up to 105) for
atleast 4 days.
2. 4/5 of the following= Bilateral conjunctivitis, Cervical lymphadenopathy, Truncal
polymorphous rash, Oropharynx mucosal chanes injection, dry fissured lips, injected lips,
strawberry tongue, Peripheral extremity changes; edema, erythema, desquamation.
Patient presents with bilateral conjunctivitis, cervical lymphadenopathy, truncal polymporphous
rash, oropharynx mucosal chains injection, dry fissured lips, strawberry tongie, peripheral
edema and desquamation...what is the likely diagnosis? - ANS :kawasaki disease
P a g e 2 | 166
, 3
_________ are contraindicated in the treatment of kawasaki disease. - ANS :Corticosteroids
________ and __________ in kawasaki disease reduces the initial inflammation and reduces
incidence of complication - ANS :IV immunoglobulin and aspirin
What are potential complications of kawasaki disease? - ANS :coronary vasculitis and aneursym
formation
This is a disease of inflammation of medium and small size vessels;and is one of the most
common vasculitudes in children. - ANS :kawasaki disease
HCM murmurs ______ with squat or hand grip & leg elevation and ______ with valsalva. - ANS
:decrease, increase
What will you find on physical exam in a patient with HCM? - ANS :PE: mitral regurgitation, S4
and prominent left ventricular impulse.
In HCM:
Echocardiogram will show septal wall thickness and ejection fraction > __%. EKG reveals____. -
ANS :60, LVH
What is the treatment for HCM if symptomatic? - ANS :BB's (propranolol) and CCB (verapamil
What are the most common causes of syncope in adolescents? - ANS :dehydration (MOST
COMMON)
P a g e 3 | 166
, 4
fear and pain
medical conditions
What is the sanfransico syncope rule? - ANS :Preceding or provocative event: prolonged
standing (vasovagal), immediately on standing (orthostatic), with exertion (aortic stenosis, CAD,
cardiomyopathy, Arrhythmia, Misc causes), after exertion in athlete (vasovagal syncope),
valsalva (reflex mediated syncope), neck rotation or pressure (carotid sinus hypersensitivity),
use of arms (subclavian steal syndrome), stressful event (vasovagal)
What is the most common cyanotic congenital heart defect? - ANS :tetralogy of fallot
T or F, in Tetralogy of Fallot, cyanosis is due to L to R shunting and decreased pulmonary flow. -
ANS :False.
R to L shunting
What 4 defects does tetralogy of fallot refer to? - ANS :1-VSD, 2-Pulmonary stenosis, 3-
overriding aorta over the VSD, 4-RVH
What will physical exam reveal in tetralogy of fallot? - ANS :RV heave noted with loud systolic
ejection murmur at LSB. Clubbing of fingers may be present with older children. EKG reveals RV
enlargement and right axis deviation. CXR shows normal heart size and decreased pulmonary
vascularity
What are acute treatment options in tetralogy of fallot? - ANS :Acute treatment options = vagal
maneuvers, BBs, oxygen, vasoconstrictors, morphine and fluids
P a g e 4 | 166
