Page 1 of 445
PAEASY EMERGENCY MEDICINE/ EOR/ER
2025/2026 PRACTICE EXAM BANK ALL COMPLETE
CURRENT TESTING QUESTION AND DETAILED
CORRECT ANSWER (VERIFIED)/GUARANTEED PASS
TOP-RATED A+.
PAEASY
Ace your PA Emergency Medicine End-of-Rotation (EOR) exam
with this targeted guide, designed to master acute care, trauma
management, and emergent procedures for physician assistant
practice. This resource delivers high-acuity, scenario-based
questions and evidence-based rationales covering diagnostics,
pharmacological interventions, and disposition planning.
A 33-year-old IV drug user presents to the emergency
department with chills, diaphoresis, anorexia, and malaise.
On physical exam, her temperature is 40°C, BP 98/55, P 115
bpm, and RR 22. Two separate blood cultures are positive for
S.aureus. Which of the following physical exam findings
would confirm a clinical diagnosis of infective endocarditis,
according to the Duke criteria?
A Increase in valvular regurgitation
B Irregularly irregularly pulse
, Page 2 of 445
C Osler's nodes
D Buccal hemmorhages
E Koplik spots ...... ANSWER ....... osler's nodes
Choice C, Osler's nodes, confirms the clinical diagnosis of
infective endocarditis, as it is a minor criteria. The Duke
criteria for the clinical diagnosis of infective endocarditis
requires the documentation of two major criteria, or one
major criteria and three minor criteria, or five minor criteria.
The patient demonstrates the presence of one major criteria
(two separate blood cultures with typical microorganisms for
infective endocarditis) and two minor criteria (fever greater
than 38.0°C and predisposing condition of IV drug use). Only
a new valvular regurgitation, not an increase or change in
preexisting murmur, is considered sufficient to qualify as a
major criteria, so choice A is incorrect. An irregularly
irregular pulse, choice B, is commonly seen in patients with
atrial fibrillation, not with infective endocarditis. Choice D,
conjunctival hemorrhages, not buccal hemorrhages, are one
of the minor criteria. Choice E, Koplik spots, are buccal
lesions seen in patients infected with measles, whereas the
presence of Roth's spots does fulfill one of the minor
criteria.
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What is the most likely reason for a patient to have
cardiogenic shock?
A Acute myocardial infarction
B Sepsis
C Trauma
D Aortic dissection
E Pericardial effusion ...... ANSWER ....... AMI
While trauma can account for a patient being subjected to
cardiogenic shock, the overwhelming etiology for the shock
comes from an MI.
A fracture involving the medial epicondyle will most likely
cause damage to which nerve?
A Axillary
B Median
C Peroneal
D Radial
E Ulnar ...... ANSWER ....... ulnar
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Because the ulnar nerve passes through the cubital tunnel,
which is a groove on the posterior aspect of the medial
epicondyle, any fractures involving the medial epicondyle
can also cause damage to the ulnar nerve. The median nerve
is most susceptible to injury at the carpal tunnel. Branches
of the radial nerve can become entrapped on the lateral side
of the elbow and the associated symptoms are often
confused with lateral epicondylitis. Radial nerve injuries are
more commonly associated with humeral shaft fractures.
The axillary nerve is significantly proximal to the medial
epicondyle and the peroneal nerve is in the leg
A 20-year-old male presents to the emergency department
complaining of pain to the right shoulder region while playing
basketball. He states that his arm was pulled back and
rotated while he was moving forward, and then felt a
popping sensation in the shoulder. Since then he has not
been able to move the shoulder at all due to pain and
immobility. It is suspected that he has a dislocation. Given
this scenario, what would be the most likely type? What type
of shoulder dislocation did he most likely experience?
A Anterior
B Inferior
PAEASY EMERGENCY MEDICINE/ EOR/ER
2025/2026 PRACTICE EXAM BANK ALL COMPLETE
CURRENT TESTING QUESTION AND DETAILED
CORRECT ANSWER (VERIFIED)/GUARANTEED PASS
TOP-RATED A+.
PAEASY
Ace your PA Emergency Medicine End-of-Rotation (EOR) exam
with this targeted guide, designed to master acute care, trauma
management, and emergent procedures for physician assistant
practice. This resource delivers high-acuity, scenario-based
questions and evidence-based rationales covering diagnostics,
pharmacological interventions, and disposition planning.
A 33-year-old IV drug user presents to the emergency
department with chills, diaphoresis, anorexia, and malaise.
On physical exam, her temperature is 40°C, BP 98/55, P 115
bpm, and RR 22. Two separate blood cultures are positive for
S.aureus. Which of the following physical exam findings
would confirm a clinical diagnosis of infective endocarditis,
according to the Duke criteria?
A Increase in valvular regurgitation
B Irregularly irregularly pulse
, Page 2 of 445
C Osler's nodes
D Buccal hemmorhages
E Koplik spots ...... ANSWER ....... osler's nodes
Choice C, Osler's nodes, confirms the clinical diagnosis of
infective endocarditis, as it is a minor criteria. The Duke
criteria for the clinical diagnosis of infective endocarditis
requires the documentation of two major criteria, or one
major criteria and three minor criteria, or five minor criteria.
The patient demonstrates the presence of one major criteria
(two separate blood cultures with typical microorganisms for
infective endocarditis) and two minor criteria (fever greater
than 38.0°C and predisposing condition of IV drug use). Only
a new valvular regurgitation, not an increase or change in
preexisting murmur, is considered sufficient to qualify as a
major criteria, so choice A is incorrect. An irregularly
irregular pulse, choice B, is commonly seen in patients with
atrial fibrillation, not with infective endocarditis. Choice D,
conjunctival hemorrhages, not buccal hemorrhages, are one
of the minor criteria. Choice E, Koplik spots, are buccal
lesions seen in patients infected with measles, whereas the
presence of Roth's spots does fulfill one of the minor
criteria.
, Page 3 of 445
What is the most likely reason for a patient to have
cardiogenic shock?
A Acute myocardial infarction
B Sepsis
C Trauma
D Aortic dissection
E Pericardial effusion ...... ANSWER ....... AMI
While trauma can account for a patient being subjected to
cardiogenic shock, the overwhelming etiology for the shock
comes from an MI.
A fracture involving the medial epicondyle will most likely
cause damage to which nerve?
A Axillary
B Median
C Peroneal
D Radial
E Ulnar ...... ANSWER ....... ulnar
, Page 4 of 445
Because the ulnar nerve passes through the cubital tunnel,
which is a groove on the posterior aspect of the medial
epicondyle, any fractures involving the medial epicondyle
can also cause damage to the ulnar nerve. The median nerve
is most susceptible to injury at the carpal tunnel. Branches
of the radial nerve can become entrapped on the lateral side
of the elbow and the associated symptoms are often
confused with lateral epicondylitis. Radial nerve injuries are
more commonly associated with humeral shaft fractures.
The axillary nerve is significantly proximal to the medial
epicondyle and the peroneal nerve is in the leg
A 20-year-old male presents to the emergency department
complaining of pain to the right shoulder region while playing
basketball. He states that his arm was pulled back and
rotated while he was moving forward, and then felt a
popping sensation in the shoulder. Since then he has not
been able to move the shoulder at all due to pain and
immobility. It is suspected that he has a dislocation. Given
this scenario, what would be the most likely type? What type
of shoulder dislocation did he most likely experience?
A Anterior
B Inferior
