PAEA EOC & Summative Practice Exam Questions and
Answers (Latest Update 2023) 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
(nonatherosclerosis)
polymorphonuclear leukocytes, microabscesses, and multinucleated giant
cells may be presen
Treatment options for thromboangiitis obliterans? - correct answers
✅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? - correct answers ✅ACE inhibitors
beta blockers can also reduce M&M
diuretics have no reduction in mortality
,PAEA EOC & Summative Practice Exam Questions and
Answers (Latest Update 2023) Verified Answers
how would you manage a patient with a MI in the setting of cocaine use? -
correct answers ✅benzodiazepine early
no beta blockers
If PCI cannot be done for a STEMI patient within 120 minutes, what should
be done? - correct answers ✅fibrolytic therapy
then do PCI & coronary angiography when it can be done
ideally PCI is done within 90 minutes
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
(digital subtraction arteriography) provides the most useful information. can
also help with treatment
,PAEA EOC & Summative Practice Exam Questions and
Answers (Latest Update 2023) Verified Answers
can help distinguish between thrombosis and embolus
where are arterial emboli often found? - correct answers ✅lower
extremities more common than upper extremities
The common femoral, common iliac, and popliteal artery bifurcations are
frequent locations
majority originate in the heart
fun fact: Compared with thromboemboli, atheroemboli are less likely to
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)
medical hx (assess adherence to meds, other meds)
physical exam (look for abominal/renal bruits)
labs (electrolytes, glucose, creatinine, UA)
, PAEA EOC & Summative Practice Exam Questions and
Answers (Latest Update 2023) Verified Answers
If pheo suspected: measure fractionated metanephrines and catecholamines
in a 24-hour urine collection
other than atherosclerosis leading to renal artery stenosis and secondary
HTN, what is another causes of a renal-associated secondary HTN? - correct
answers ✅fibromuscular dysplasia (usually in a young pt)
most important modifable risk factor for AAA? - correct answers ✅smoking
cessation!
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
how should you educate a patient with AAA on exercise? - correct answers
✅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
Answers (Latest Update 2023) 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
(nonatherosclerosis)
polymorphonuclear leukocytes, microabscesses, and multinucleated giant
cells may be presen
Treatment options for thromboangiitis obliterans? - correct answers
✅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? - correct answers ✅ACE inhibitors
beta blockers can also reduce M&M
diuretics have no reduction in mortality
,PAEA EOC & Summative Practice Exam Questions and
Answers (Latest Update 2023) Verified Answers
how would you manage a patient with a MI in the setting of cocaine use? -
correct answers ✅benzodiazepine early
no beta blockers
If PCI cannot be done for a STEMI patient within 120 minutes, what should
be done? - correct answers ✅fibrolytic therapy
then do PCI & coronary angiography when it can be done
ideally PCI is done within 90 minutes
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
(digital subtraction arteriography) provides the most useful information. can
also help with treatment
,PAEA EOC & Summative Practice Exam Questions and
Answers (Latest Update 2023) Verified Answers
can help distinguish between thrombosis and embolus
where are arterial emboli often found? - correct answers ✅lower
extremities more common than upper extremities
The common femoral, common iliac, and popliteal artery bifurcations are
frequent locations
majority originate in the heart
fun fact: Compared with thromboemboli, atheroemboli are less likely to
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)
medical hx (assess adherence to meds, other meds)
physical exam (look for abominal/renal bruits)
labs (electrolytes, glucose, creatinine, UA)
, PAEA EOC & Summative Practice Exam Questions and
Answers (Latest Update 2023) Verified Answers
If pheo suspected: measure fractionated metanephrines and catecholamines
in a 24-hour urine collection
other than atherosclerosis leading to renal artery stenosis and secondary
HTN, what is another causes of a renal-associated secondary HTN? - correct
answers ✅fibromuscular dysplasia (usually in a young pt)
most important modifable risk factor for AAA? - correct answers ✅smoking
cessation!
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
how should you educate a patient with AAA on exercise? - correct answers
✅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
