PAEA Internal Medicine EOR Practice Exam
Questions with Complete
Solutions||Latest Update
2025/2026||BRAND NEW||Already
Graded A+
Bell's Palsy -CORRECTANSWER causes cranial nerve 7 dysfunction
S/S of Bell's Palsy -CORRECTANSWER Has forehead involvement (whereas a stroke does not
affect forehead movement), facial weakness, inability to keep one eye closed
Treatment for Bell's palsy -CORRECTANSWER Prednisone 60mg x 5 days, Valcyclovir 1000mg
TID x 7 days, artificial tears, lacri lube at night
When can I use tPA? -CORRECTANSWER ischemic stroke presenting within <3 hrs and CT head
negative
How do you treat high BP with stroke? -CORRECTANSWER Nitroprusside (short half life, easy to
titrate) or IV labetalol
What do you use for anticoagulation/antiplatelet therapy in stroke? -CORRECTANSWER ASA
(not in hemorrhagic), heparin for thrombosis
,What do you do differently to treat hemorrhagic stroke? -CORRECTANSWER Give prophylactic
anticonvulsant like phenytoin because of increased seizure risk, antiplatelet therapy
contraindicated
Types of Hemorrhagic Stroke -CORRECTANSWER 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? -CORRECTANSWER HTN, amyloidosis,
iatrogenic anticoagulation, vascular malformations, cocaine use
Causes of Subarachnoid hemorrhagic stroke are what? -CORRECTANSWER berry aneurysm
rupture, vascular malformation rupture
Signs and symptoms of Intracerebral hemorrhagic stroke are what? -CORRECTANSWER ICP
rises, vasoconstriction-sweating
Signs and symptoms of Subarachnoid hemorrhagic stroke are what? -CORRECTANSWER may be
preceded by warning headache, neck/back pain, "worst headache of my life," thunderclap, may
have loss of consciousness
Treatment of Subarachnoid hemorrhage -CORRECTANSWER surgery, control hypertension,
analgesics
What is Complex regional pain syndrome (CRPS) -CORRECTANSWER Chronic arm or leg pain
developing after injury, surgery, stroke, or heart attack.
,Signs and symptoms of complex regional pain syndrome are what? -CORRECTANSWER Pain out
of proportion to injury. ANS sx: swelling, extremity color changes, increased nail and hair
growth.
Treatment for complex regional pain syndrome -CORRECTANSWER Amitriptyline, nortriptyline,
gabapentin, pregabalin, lamotrigine; NSAIDs; Calcitonin to reduce pain as adjunctive therapy;
Bisphosphonates, IVIG, regional nerve blocks, dorsal column stimulation
Vit C prophylaxis after fx
Imaging modality used to diagnose Subarachnoid Hemorrhage? -CORRECTANSWER CT without
contrast. If CT negative but still suspect SAH, do LP to look for RBC or xanthochromia (will not
develop until 12hrs after onset)
Delirium -CORRECTANSWER transient disorder characterized by impaired attention, perception,
memory and cognition. Sleep wake cycles interrupted ("sundowning"). Reduced alertness,
activity levels change rapidly.
Treatment of Delirium -CORRECTANSWER treat underlying cause, Haloperidol 5-10mg for
agitation, Lorazepam 0.5-2 mg
Dementia -CORRECTANSWER Loss of mental capacity. Psychosocial level and cognitive abilities
deteriorate and behavioral problems develop. Largest categories are Alzheimer dz and vascular
dementia. Hallucinations, delusion, depression, repetitive behavior are common.
Treatment of Dementia -CORRECTANSWER Antipsychotics to manage psychosis
Essential tremor does not occur at rest, occurs bilaterally, and has no indication of other neuro
signs. How do you treat essential tremor? -CORRECTANSWER Propranolol, Primidone (can
combine these 2 if needed)
, Guillian Barre Syndrome -CORRECTANSWER Idiopathic polyneuropathy often following minor
infections, immunizations or surgical procedures. Most times no cause is identified.
How long does Guillian Barre Syndrome last? -CORRECTANSWER worst at 2-4 weeks after
onset, plateaus next 2-4 weeks, remits weeks-moats
Signs and symptoms of Guillian Barre Syndrome -CORRECTANSWER ascending symmetric
weakness and loss of DTR's, proximal muscles affected more than distal. Sensory abnormalities,
pain, tachycardia, sweating, impaired pulmonary function, paralytic ileus
How do you diagnose Guillian Barre? -CORRECTANSWER no fever at onset, CSF protein >45 and
low WBC, MRI shows selective enhancement of anterior spinal nerve roots
Treatment of Guillian Barre Syndrome -CORRECTANSWER IVIG or plasmapheresis, may need
intubation. Hospitalized pt with close monitoring. Recovery is slow but approximately 60% make
full recovery within 1 year.
What disease is a systemic inflammatory condition of medium and large vessels affecting people
over 50 years old, coexists with polymyalgia rheumatica and can cause blindness if not treated
appropriately? -CORRECTANSWER Giant cell arteritis
Signs and symptoms of Giant Cell Arteritis -CORRECTANSWER headache, scalp tenderness, jaw
claudication, throat pain, diplopia
Symptoms of polymyalgia rheumatica: pain of shoulder/pelvis
Giant Cell Arteritis Treatment -CORRECTANSWER Steroids immediately, do not wait for biopsy
results. Give low dose aspirin too.
Questions with Complete
Solutions||Latest Update
2025/2026||BRAND NEW||Already
Graded A+
Bell's Palsy -CORRECTANSWER causes cranial nerve 7 dysfunction
S/S of Bell's Palsy -CORRECTANSWER Has forehead involvement (whereas a stroke does not
affect forehead movement), facial weakness, inability to keep one eye closed
Treatment for Bell's palsy -CORRECTANSWER Prednisone 60mg x 5 days, Valcyclovir 1000mg
TID x 7 days, artificial tears, lacri lube at night
When can I use tPA? -CORRECTANSWER ischemic stroke presenting within <3 hrs and CT head
negative
How do you treat high BP with stroke? -CORRECTANSWER Nitroprusside (short half life, easy to
titrate) or IV labetalol
What do you use for anticoagulation/antiplatelet therapy in stroke? -CORRECTANSWER ASA
(not in hemorrhagic), heparin for thrombosis
,What do you do differently to treat hemorrhagic stroke? -CORRECTANSWER Give prophylactic
anticonvulsant like phenytoin because of increased seizure risk, antiplatelet therapy
contraindicated
Types of Hemorrhagic Stroke -CORRECTANSWER 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? -CORRECTANSWER HTN, amyloidosis,
iatrogenic anticoagulation, vascular malformations, cocaine use
Causes of Subarachnoid hemorrhagic stroke are what? -CORRECTANSWER berry aneurysm
rupture, vascular malformation rupture
Signs and symptoms of Intracerebral hemorrhagic stroke are what? -CORRECTANSWER ICP
rises, vasoconstriction-sweating
Signs and symptoms of Subarachnoid hemorrhagic stroke are what? -CORRECTANSWER may be
preceded by warning headache, neck/back pain, "worst headache of my life," thunderclap, may
have loss of consciousness
Treatment of Subarachnoid hemorrhage -CORRECTANSWER surgery, control hypertension,
analgesics
What is Complex regional pain syndrome (CRPS) -CORRECTANSWER Chronic arm or leg pain
developing after injury, surgery, stroke, or heart attack.
,Signs and symptoms of complex regional pain syndrome are what? -CORRECTANSWER Pain out
of proportion to injury. ANS sx: swelling, extremity color changes, increased nail and hair
growth.
Treatment for complex regional pain syndrome -CORRECTANSWER Amitriptyline, nortriptyline,
gabapentin, pregabalin, lamotrigine; NSAIDs; Calcitonin to reduce pain as adjunctive therapy;
Bisphosphonates, IVIG, regional nerve blocks, dorsal column stimulation
Vit C prophylaxis after fx
Imaging modality used to diagnose Subarachnoid Hemorrhage? -CORRECTANSWER CT without
contrast. If CT negative but still suspect SAH, do LP to look for RBC or xanthochromia (will not
develop until 12hrs after onset)
Delirium -CORRECTANSWER transient disorder characterized by impaired attention, perception,
memory and cognition. Sleep wake cycles interrupted ("sundowning"). Reduced alertness,
activity levels change rapidly.
Treatment of Delirium -CORRECTANSWER treat underlying cause, Haloperidol 5-10mg for
agitation, Lorazepam 0.5-2 mg
Dementia -CORRECTANSWER Loss of mental capacity. Psychosocial level and cognitive abilities
deteriorate and behavioral problems develop. Largest categories are Alzheimer dz and vascular
dementia. Hallucinations, delusion, depression, repetitive behavior are common.
Treatment of Dementia -CORRECTANSWER Antipsychotics to manage psychosis
Essential tremor does not occur at rest, occurs bilaterally, and has no indication of other neuro
signs. How do you treat essential tremor? -CORRECTANSWER Propranolol, Primidone (can
combine these 2 if needed)
, Guillian Barre Syndrome -CORRECTANSWER Idiopathic polyneuropathy often following minor
infections, immunizations or surgical procedures. Most times no cause is identified.
How long does Guillian Barre Syndrome last? -CORRECTANSWER worst at 2-4 weeks after
onset, plateaus next 2-4 weeks, remits weeks-moats
Signs and symptoms of Guillian Barre Syndrome -CORRECTANSWER ascending symmetric
weakness and loss of DTR's, proximal muscles affected more than distal. Sensory abnormalities,
pain, tachycardia, sweating, impaired pulmonary function, paralytic ileus
How do you diagnose Guillian Barre? -CORRECTANSWER no fever at onset, CSF protein >45 and
low WBC, MRI shows selective enhancement of anterior spinal nerve roots
Treatment of Guillian Barre Syndrome -CORRECTANSWER IVIG or plasmapheresis, may need
intubation. Hospitalized pt with close monitoring. Recovery is slow but approximately 60% make
full recovery within 1 year.
What disease is a systemic inflammatory condition of medium and large vessels affecting people
over 50 years old, coexists with polymyalgia rheumatica and can cause blindness if not treated
appropriately? -CORRECTANSWER Giant cell arteritis
Signs and symptoms of Giant Cell Arteritis -CORRECTANSWER headache, scalp tenderness, jaw
claudication, throat pain, diplopia
Symptoms of polymyalgia rheumatica: pain of shoulder/pelvis
Giant Cell Arteritis Treatment -CORRECTANSWER Steroids immediately, do not wait for biopsy
results. Give low dose aspirin too.
