PAEA EOC 2025, PAEA SUMMATIVE PRACTICE, PHYSICIAN ASSISTANT EXAM,
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Which type of molar pregnancy has a higher risk of malignancy? -
answer-complete molar (diploid, homozygous 46xx mc, sperm
genetics only) - produce higher levels of hcg than partial moles
2 main risk factors for the development of molar pregnancy? -
answer-extremes of maternal age (<15 or >35)
Hx of previous molar
What is the imaging of choice for a suspected molar pregnancy in
the case of hcg >100,00? And what is found on this imaging that
is characteristic of molar pregnancy? - answer-transvaginal us
Complete molar: absent amniotic fluid, absent embryo. Central
heterogeneous mass with numerous discrete anechoic spaces
("snowstorm" appearance); ovarian theca lutein cysts
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Partial molar: may identify a fetus with growth restriction, "swiss
cheese pattern." no theca lutein cysts
Symptoms commonly seen with acute compartment syndrome?
(3) - answer-pain out of proportion to apparent injury (early and
common finding)
Persistent deep ache or burning pain
Paresthesias (onset within approximately 30 minutes to two hours
of acs; suggests ischemic nerve dysfunction)
What finding may be seen on physical exam of compartment
syndrome? - answer-pain with passive stretch of muscles in the
affected compartment (early finding)
Tense compartment with a firm "wood-like" feeling
Pallor from vascular insufficiency (uncommon)
Diminished sensation
What disease is seen in 10% of the cases of polymyositis? -
answer-interstitial lung disease
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What muscle enzymes are often increased in polymyositis? (4) -
answer-creatine kinase (ck), lactate dehydrogenase (ldh),
aldolase, aspartate aminotransferase (ast), and alanine
aminotransferase (alt) are all muscle enzymes that may be
elevated in patients with inflammatory myopathy
Gottron papules and the heliotrope eruption is associated with
what inflammatory condition? - answer-dermatomyositis
These skin lesions are pathognomonic
What exactly causes the occlusive vascular disease of
thromboangiitis obliterans? - answer-aka buerger's disease
Inflammatory thrombi affecting the medium and small vessels
(nonatherosclerosis)
Polymorphonuclear leukocytes, microabscesses, and
multinucleated giant cells may be presen
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Treatment options for thromboangiitis obliterans? - answer-
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? - answer-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? - answer-benzodiazepine early
No beta blockers
If pci cannot be done for a stemi patient within 120 minutes, what
should be done? - answer-fibrolytic therapy