PAEA EOC 2025, PAEA Summative Practice,
physician assistant exam, EOC questions and
answers, PAEA 150 questions, PA exam prep,
graded A+
2 most common pathogens of community acquired bacterial meningitis -
ANSWER>>S. pneumoniae followed by N. meningitidis
treatment options for postherpetic neuralgia? (3) - ANSWER>>Gabapentin,
pregabalin, and tricyclic antidepressants (TCAs: amitriptyline) are generally the
drugs of first choice
what is the single most important treatable risk factor for stroke? -
ANSWER>>Hypertension
what is used for long-term secondary prevention of stroke? - ANSWER>>Aspirin
is often used first line
other options: clopidogrel or aspirin-extended-release dipyridamole
which type of meningitis tends to have higher levels of WBCs in CSF? (WBCs may
be as much as 1000+) - ANSWER>>bacterial meningitis (will also see elevated
glucose and maybe elevated protein)
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TB meningitis can have elevated WBCs as well
what are some symptoms of autonomic instability associated with delirium? -
ANSWER>>tachycardia, HTN, fever, diaphoresis
wernicke's encephalopathy triad? cause of wernicke's encephalopathy? -
ANSWER>>confusion, ataxia, ophthalmoplegia
cause: thiamine deficiency
Ocular signs are the hallmark of the disease, including horizontal nystagmus,
bilateral abducens palsy, complete ophthalmoplegia, and pupillary
abnormalities
Pts who are fasting, receiving parenteral nutrition, recovering from GI surgery,
being fed after a period of starvation, undergoing hemodialysis, alcoholism, or
suffering from advanced cancer are particularly susceptible to this disorder
describe the tremor of parkinsons - ANSWER>>"pill rolling" tremor that is more
severe at rest- most noticeable when the tremulous body part is supported by
gravity and not engaged in purposeful activitie
*tremors with other disorders are usually action tremors
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Name the 4 cardinal clinical manifestations of Parkinsons disease
Which occurs later in PD? - ANSWER>>tremor (more so at rest)
bradykinesia (generalized slowness of movement) - MC feature, but generally
hard for patients to describe
rigidity (increased resistance to passive movement about a joint. cogwheel seen
in PD)
Postural instability (a feeling of imbalance and a tendency to fall; appears later
in PD course)
when is treatment indicated for women with pelvic organ prolapse? -
ANSWER>>Obstructed urination or defecation
hydronephrosis from chronic ureteral kinking
Tx indicated if symptoms, regardless of degree of prolapse, not indicated for
women with asymptomatic prolapse
What conservative treatments are recommended for pelvic organ prolapse
before moving to surgical options? - ANSWER>>vaginal pessary
pelvic floor muscle training
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what gynecologic infection has vaginal epithelial cells studded with adherent
coccobacilli that are best appreciated at the edge of the cell on microscopy? -
ANSWER>>bacterial vaginosis (clue cells)
What is the amsel criteria and what is it used to diagnose? - ANSWER>>used to
dx BV
At least 3 of the following criteria must be met:
1. homogenous, thin, grayish-white discharge
2. vaginal pH > 4.5
3. Postive whiff amine test
4. clue cells on wet mount
*technically gram stain is the gold standard for dx but its too expensive and
time consuming. Only used in research.
Name some common benign masses found in the breast -
ANSWER>>fibroadenoma
simple cyst
fibrocystic changes
galactocele
A 25 year old women presents with a palpable mass in her breast in the left
outer quadrant. what would be the next step in the work up of this mass? -
ANSWER>>diagnostic mammography