@PROFDOCDIGITALLIBRARIES
PAEA EOC & Summative Practice Exam Questions and
Answers (Latest Update 2025) Verified Answers
what exactly causes the occlusive vascular disease of thromboangiitis
obliterans? - correct answers aka Buerger's disease
inflammatory thrombi affecting the medium and small vessels
PR
(nonatherosclerosis)
O
polymorphonuclear leukocytes, microabscesses, and multinucleated giant
cells may be presen
FD
Treatment options for thromboangiitis obliterans? - correct answers
O
smoking cessation most important!
C
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? - correct answers ACE inhibitors
beta blockers can also reduce M&M
,@PROFDOCDIGITALLIBRARIES
diuretics have no reduction in mortality
how would you manage a patient with a MI in the setting of cocaine use? -
correct answers benzodiazepine early
no beta blockers
PR
If PCI cannot be done for a STEMI patient within 120 minutes, what should
be done? - correct answers fibrolytic therapy
O
FD
then do PCI & coronary angiography when it can be done
O
ideally PCI is done within 90 minutes
C
fibrolytic therapy can be used up to 12 hours of symptoms
If you suspect an acute limb ischemia due to arterial embolism, what
imaging should you get? - correct answers catheter-based arteriography
,@PROFDOCDIGITALLIBRARIES
(digital subtraction arteriography) provides the most useful information. can
also help with treatment
can help distinguish between thrombosis and embolus
where are arterial emboli often found? - correct answers lower
extremities more common than upper extremities
PR
The common femoral, common iliac, and popliteal artery bifurcations are
O
frequent locations
FD
majority originate in the heart
O
fun fact: Compared with thromboemboli, atheroemboli are less likely to
C
produce symptoms of acute limb ischemia
how would you work up a patient with treatment resistant hypertension that
you suspect a secondary cause? - correct answers 24-hour ambulatory
monitoring (to ensure not white coat)
, @PROFDOCDIGITALLIBRARIES
medical hx (assess adherence to meds, other meds)
physical exam (look for abominal/renal bruits)
labs (electrolytes, glucose, creatinine, UA)
If pheo suspected: measure fractionated metanephrines and catecholamines
in a 24-hour urine collection
PR
other than atherosclerosis leading to renal artery stenosis and secondary
HTN, what is another causes of a renal-associated secondary HTN? - correct
O
answers fibromuscular dysplasia (usually in a young pt)
FD
most important modifable risk factor for AAA? - correct answers smoking
O
cessation!
C
when is it okay to do screening survelliance for AAA rather than repair and
how often should you screen? - correct answers if AAA is <5.5 cm then
annual screening with US is recommended. may need every 6 months if
rapidly expanding or other concerns
PAEA EOC & Summative Practice Exam Questions and
Answers (Latest Update 2025) Verified Answers
what exactly causes the occlusive vascular disease of thromboangiitis
obliterans? - correct answers aka Buerger's disease
inflammatory thrombi affecting the medium and small vessels
PR
(nonatherosclerosis)
O
polymorphonuclear leukocytes, microabscesses, and multinucleated giant
cells may be presen
FD
Treatment options for thromboangiitis obliterans? - correct answers
O
smoking cessation most important!
C
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? - correct answers ACE inhibitors
beta blockers can also reduce M&M
,@PROFDOCDIGITALLIBRARIES
diuretics have no reduction in mortality
how would you manage a patient with a MI in the setting of cocaine use? -
correct answers benzodiazepine early
no beta blockers
PR
If PCI cannot be done for a STEMI patient within 120 minutes, what should
be done? - correct answers fibrolytic therapy
O
FD
then do PCI & coronary angiography when it can be done
O
ideally PCI is done within 90 minutes
C
fibrolytic therapy can be used up to 12 hours of symptoms
If you suspect an acute limb ischemia due to arterial embolism, what
imaging should you get? - correct answers catheter-based arteriography
,@PROFDOCDIGITALLIBRARIES
(digital subtraction arteriography) provides the most useful information. can
also help with treatment
can help distinguish between thrombosis and embolus
where are arterial emboli often found? - correct answers lower
extremities more common than upper extremities
PR
The common femoral, common iliac, and popliteal artery bifurcations are
O
frequent locations
FD
majority originate in the heart
O
fun fact: Compared with thromboemboli, atheroemboli are less likely to
C
produce symptoms of acute limb ischemia
how would you work up a patient with treatment resistant hypertension that
you suspect a secondary cause? - correct answers 24-hour ambulatory
monitoring (to ensure not white coat)
, @PROFDOCDIGITALLIBRARIES
medical hx (assess adherence to meds, other meds)
physical exam (look for abominal/renal bruits)
labs (electrolytes, glucose, creatinine, UA)
If pheo suspected: measure fractionated metanephrines and catecholamines
in a 24-hour urine collection
PR
other than atherosclerosis leading to renal artery stenosis and secondary
HTN, what is another causes of a renal-associated secondary HTN? - correct
O
answers fibromuscular dysplasia (usually in a young pt)
FD
most important modifable risk factor for AAA? - correct answers smoking
O
cessation!
C
when is it okay to do screening survelliance for AAA rather than repair and
how often should you screen? - correct answers if AAA is <5.5 cm then
annual screening with US is recommended. may need every 6 months if
rapidly expanding or other concerns
