PAEA EOC & SUMMATIVE PRACTICE EXAM 2025 UPDATE
QUESTIONS AND CORRECT VERIFIED ANSWERS ALREADY
GRADED A+ (BRAND NEW VISION)
S&Sx of Horner syndrome - answersipsilateral ptosis
narrowing of the palpebral fissure
miosis
enophthalmos
anhidrosis
what most commonly causes pancoast syndrome? - answersnon small cell lung carcinoma
(squamous cell)
is phrenic nerve paralysis more commonly bilateral or unilateral? - answersmore commonly
unilateral
common etiologies of phrenic nerve paralysis - answersinjury during cardiac surgery
Herpes zoster, poliomyelitis, and other viral infections
may be idiopathic (frequently found incidentally on radiography)
how would you work up a painless testicular mass for suspected cancer? - answersscrotal
ultrasound followed by radiographic testing, measurement of serum tumor markers, radical
inguinal orchiectomy, and in some cases, retroperitoneal lymph node dissection
what are 3 serum markers that have a role in testicular cancer? - answersalpha-fetoprotein
(AFP) (not elevated in pure seminomas)
beta human chorionic gonadotropin (beta-hCG)
,lactate dehydrogenase (LDH)
A 17 year old male present with 10 lb wt loss and sweating throughout the night. A lymph node
biopsy shows Reed sternberg cells. Dx?
is the lymphadenopathy with this condition painful or painless? - answersHodgkin's lymphoma
painless cervical LAD
A 22 year old with recurrent, non-scarring, circular area of hear loss is consistent with what? -
answersalopecia areata
equally male and female occurence, between 15-29 years old
Tx for alopecia areata? - answerssteroid cream/intralesional
minoxidil
phototherapy
topical immunotherapy
typically spontenous remissions, but recurrences
Term for diffuse hair loss typically after an inciting event, such as stress - answerstelogen
effluvium
how does isotretinoin work to reduce acne? - answersit reduces sebacous gland size and
decreases skin oil
,most common cause of acute pancreatitis? - answersgallstones
alcohol is 2nd MC
If NSAIDs are not working for osteoarthritis, what is a narcotic with low abuse potential that can
be used? - answerstramadol
3 predictors of future fractures with osteoporosis - answersage
low bone mineral density
hx of previous fracture
bamboo spine is pathognomonic for? - answersankylosing spondylitis
what other organ system/issue is seen with ankylosing spondylitis? - answersanterior uveitis
Name some HLA B27 postive diseases - answerspsoriasis/psoriatic arthritis
ankylosing spondylitis
reactive arthritis
Crohns/UC
which joints are typically affected with Reiter's disease/reactive arthritis? - answerslarger joints
Does this increase the risk for breast cancer? - answersalcohol consumption
No increased risk for breast CA
, what are some scenarios that make a UTI complicated? - answerspregnancy
poor controlled DM
hospital acquired
renal trasnplant
urinary tract obstruction
immunocompromised
AKI or CKD
what are the USPSTF guidelines for breast cancer screening? - answersrecommend screening
ages 50-74 biennially (every 2 years) with mammagraphy
American cancer society recommends screening start at age 45 based on the finding that the
absolute risks of breast cancer occurrence and death for women ages 45 to 49 are more similar
to those for women ages 50 to 54
what is a long term side effect of phenytoin? - answersosteomalacia - altered bone and mineral
metabolism and decreased bone density, related in part to induction of the CYP enzyme system
and increased vitamin D catabolism
differentiated spondylolysis and spondylolithesis - answersspondylolysis - unilateral or bilateral
defect (fracture or separation) in the vertebral pars interarticularis, usually in the lower lumbar
vertebrae
when this defect is bilateral the vertebral body may slip anteriorly which is called
spondylolitheisis
What is the most common presenting symptom of bladder cancer? - answershematuria -
typically intermittent, gross, painless, and present throughout micturition
QUESTIONS AND CORRECT VERIFIED ANSWERS ALREADY
GRADED A+ (BRAND NEW VISION)
S&Sx of Horner syndrome - answersipsilateral ptosis
narrowing of the palpebral fissure
miosis
enophthalmos
anhidrosis
what most commonly causes pancoast syndrome? - answersnon small cell lung carcinoma
(squamous cell)
is phrenic nerve paralysis more commonly bilateral or unilateral? - answersmore commonly
unilateral
common etiologies of phrenic nerve paralysis - answersinjury during cardiac surgery
Herpes zoster, poliomyelitis, and other viral infections
may be idiopathic (frequently found incidentally on radiography)
how would you work up a painless testicular mass for suspected cancer? - answersscrotal
ultrasound followed by radiographic testing, measurement of serum tumor markers, radical
inguinal orchiectomy, and in some cases, retroperitoneal lymph node dissection
what are 3 serum markers that have a role in testicular cancer? - answersalpha-fetoprotein
(AFP) (not elevated in pure seminomas)
beta human chorionic gonadotropin (beta-hCG)
,lactate dehydrogenase (LDH)
A 17 year old male present with 10 lb wt loss and sweating throughout the night. A lymph node
biopsy shows Reed sternberg cells. Dx?
is the lymphadenopathy with this condition painful or painless? - answersHodgkin's lymphoma
painless cervical LAD
A 22 year old with recurrent, non-scarring, circular area of hear loss is consistent with what? -
answersalopecia areata
equally male and female occurence, between 15-29 years old
Tx for alopecia areata? - answerssteroid cream/intralesional
minoxidil
phototherapy
topical immunotherapy
typically spontenous remissions, but recurrences
Term for diffuse hair loss typically after an inciting event, such as stress - answerstelogen
effluvium
how does isotretinoin work to reduce acne? - answersit reduces sebacous gland size and
decreases skin oil
,most common cause of acute pancreatitis? - answersgallstones
alcohol is 2nd MC
If NSAIDs are not working for osteoarthritis, what is a narcotic with low abuse potential that can
be used? - answerstramadol
3 predictors of future fractures with osteoporosis - answersage
low bone mineral density
hx of previous fracture
bamboo spine is pathognomonic for? - answersankylosing spondylitis
what other organ system/issue is seen with ankylosing spondylitis? - answersanterior uveitis
Name some HLA B27 postive diseases - answerspsoriasis/psoriatic arthritis
ankylosing spondylitis
reactive arthritis
Crohns/UC
which joints are typically affected with Reiter's disease/reactive arthritis? - answerslarger joints
Does this increase the risk for breast cancer? - answersalcohol consumption
No increased risk for breast CA
, what are some scenarios that make a UTI complicated? - answerspregnancy
poor controlled DM
hospital acquired
renal trasnplant
urinary tract obstruction
immunocompromised
AKI or CKD
what are the USPSTF guidelines for breast cancer screening? - answersrecommend screening
ages 50-74 biennially (every 2 years) with mammagraphy
American cancer society recommends screening start at age 45 based on the finding that the
absolute risks of breast cancer occurrence and death for women ages 45 to 49 are more similar
to those for women ages 50 to 54
what is a long term side effect of phenytoin? - answersosteomalacia - altered bone and mineral
metabolism and decreased bone density, related in part to induction of the CYP enzyme system
and increased vitamin D catabolism
differentiated spondylolysis and spondylolithesis - answersspondylolysis - unilateral or bilateral
defect (fracture or separation) in the vertebral pars interarticularis, usually in the lower lumbar
vertebrae
when this defect is bilateral the vertebral body may slip anteriorly which is called
spondylolitheisis
What is the most common presenting symptom of bladder cancer? - answershematuria -
typically intermittent, gross, painless, and present throughout micturition
