1|Page
PAEA EOC EXAM, PAEA SUMMATIVE
PRACTICE 2025 BANK VERSION
CURRENTLY TESTING COMPLETE
EXAM QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100%
CORRECT ANSWERS) /ALREADY
GRADED A+
most important modifable risk factor for AAA? ......answer.....smoking
cessation!
when is it okay to do screening survelliance for AAA rather than repair and
how often should you screen? ......answer.....if AAA is <5.5 cm then annual
screening with US is recommended. may need every 6 months if rapidly
expanding or other concerns
,2|Page
how should you educate a patient with AAA on exercise?
......answer.....Patients should be counseled that moderate physical activity
such as running, biking, swimming, hiking, or sexual activity and activities
such as gardening, golfing, and horseback riding do not precipitate AAA
rupture
Moderate physical therapy may also limit aneurysm expansion. In
experimental aneurysms, increased aortic blood flow appears to inhibit AAA
expansion
However, heavy lifting, especially while holding the breath, and other
activities that lead to Valsalva transiently induce significant increases in
blood pressure and should be avoided
gold standard for dx renal artery stenosis? what can be used to monitor
disease progression? ......answer.....renal arteriography
But really a spiral CT angiography is very useful and probably more likely
done first
duplex doppler US can be used to monitor disease progression
,3|Page
what are some symptoms of mitral valve prolapse syndrome?
......answer.....various nonspecific symptoms such as palpitations, dyspnea,
exercise intolerance, anxiety disorders, and dizziness
since symptoms are relatively uncommon, what physical exam findings are
associated with mitral valve prolapse? ......answer.....non-ejection click in
systole
click is mobile, meaning its timing varies with maneuvers that change the
left ventricular volume, occurring earlier in systole with sitting, standing, or
other interventions that reduce ventricular size, or later with those
interventions that increase chamber size such as squatting
People with MVP tend to have lower BMIs
how would you distinguish vasospastic angina and angina associated with
CAD? ......answer.....quality of the CP is typically indistinguishable of the two
patients with vasospastic angina report that their episodes are
predominantly at rest and that many occur from midnight to early morning,
while effort tolerance is usually preserved. CP generally lasts 5 to 15 minutes
, 4|Page
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
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
PAEA EOC EXAM, PAEA SUMMATIVE
PRACTICE 2025 BANK VERSION
CURRENTLY TESTING COMPLETE
EXAM QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100%
CORRECT ANSWERS) /ALREADY
GRADED A+
most important modifable risk factor for AAA? ......answer.....smoking
cessation!
when is it okay to do screening survelliance for AAA rather than repair and
how often should you screen? ......answer.....if AAA is <5.5 cm then annual
screening with US is recommended. may need every 6 months if rapidly
expanding or other concerns
,2|Page
how should you educate a patient with AAA on exercise?
......answer.....Patients should be counseled that moderate physical activity
such as running, biking, swimming, hiking, or sexual activity and activities
such as gardening, golfing, and horseback riding do not precipitate AAA
rupture
Moderate physical therapy may also limit aneurysm expansion. In
experimental aneurysms, increased aortic blood flow appears to inhibit AAA
expansion
However, heavy lifting, especially while holding the breath, and other
activities that lead to Valsalva transiently induce significant increases in
blood pressure and should be avoided
gold standard for dx renal artery stenosis? what can be used to monitor
disease progression? ......answer.....renal arteriography
But really a spiral CT angiography is very useful and probably more likely
done first
duplex doppler US can be used to monitor disease progression
,3|Page
what are some symptoms of mitral valve prolapse syndrome?
......answer.....various nonspecific symptoms such as palpitations, dyspnea,
exercise intolerance, anxiety disorders, and dizziness
since symptoms are relatively uncommon, what physical exam findings are
associated with mitral valve prolapse? ......answer.....non-ejection click in
systole
click is mobile, meaning its timing varies with maneuvers that change the
left ventricular volume, occurring earlier in systole with sitting, standing, or
other interventions that reduce ventricular size, or later with those
interventions that increase chamber size such as squatting
People with MVP tend to have lower BMIs
how would you distinguish vasospastic angina and angina associated with
CAD? ......answer.....quality of the CP is typically indistinguishable of the two
patients with vasospastic angina report that their episodes are
predominantly at rest and that many occur from midnight to early morning,
while effort tolerance is usually preserved. CP generally lasts 5 to 15 minutes
, 4|Page
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
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
