PAEA EOC & SUMMATIVE PRACTICE EXAM
QUESTIONS WITH VERIFIED SOLUTIONS
NEWLY MODIFIED TESTED AND APPROVED
GRADED A+
what are 3 serum markers that have a role in testicular cancer? --
ANSWER--alpha-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? --
ANSWER--Hodgkin's lymphoma
painless cervical LAD
A 22 year old with recurrent, non-scarring, circular area of hear loss is
consistent with what? --ANSWER--alopecia areata
Page 1 of 52
,equally male and female occurence, between 15-29 years old
Tx for alopecia areata? --ANSWER--steroid cream/intralesional
minoxidil
phototherapy
topical immunotherapy
typically spontenous remissions, but recurrences
Term for diffuse hair loss typically after an inciting event, such as
stress --ANSWER--telogen effluvium
how does isotretinoin work to reduce acne? --ANSWER--it reduces
sebacous gland size and decreases skin oil
most common cause of acute pancreatitis? --ANSWER--gallstones
alcohol is 2nd MC
Page 2 of 52
,If NSAIDs are not working for osteoarthritis, what is a narcotic with
low abuse potential that can be used? --ANSWER--tramadol
3 predictors of future fractures with osteoporosis --ANSWER--age
low bone mineral density
hx of previous fracture
bamboo spine is pathognomonic for? --ANSWER--ankylosing
spondylitis
what other organ system/issue is seen with ankylosing spondylitis? --
ANSWER--anterior uveitis
Name some HLA B27 postive diseases --ANSWER--
psoriasis/psoriatic arthritis
ankylosing spondylitis
reactive arthritis
Crohns/UC
which joints are typically affected with Reiter's disease/reactive
arthritis? --ANSWER--larger joints
Page 3 of 52
, what can increase the incidence of fibrocystic changes in the breast?
Does this increase the risk for breast cancer? --ANSWER--alcohol
consumption
No increased risk for breast CA
what are some scenarios that make a UTI complicated? --ANSWER--
pregnancy
poor controlled DM
hospital acquired
renal trasnplant
urinary tract obstruction
immunocompromised
AKI or CKD
what are the USPSTF guidelines for breast cancer screening? --
ANSWER--recommend screening ages 50-74 biennially (every 2
years) with mammagraphy
Page 4 of 52
QUESTIONS WITH VERIFIED SOLUTIONS
NEWLY MODIFIED TESTED AND APPROVED
GRADED A+
what are 3 serum markers that have a role in testicular cancer? --
ANSWER--alpha-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? --
ANSWER--Hodgkin's lymphoma
painless cervical LAD
A 22 year old with recurrent, non-scarring, circular area of hear loss is
consistent with what? --ANSWER--alopecia areata
Page 1 of 52
,equally male and female occurence, between 15-29 years old
Tx for alopecia areata? --ANSWER--steroid cream/intralesional
minoxidil
phototherapy
topical immunotherapy
typically spontenous remissions, but recurrences
Term for diffuse hair loss typically after an inciting event, such as
stress --ANSWER--telogen effluvium
how does isotretinoin work to reduce acne? --ANSWER--it reduces
sebacous gland size and decreases skin oil
most common cause of acute pancreatitis? --ANSWER--gallstones
alcohol is 2nd MC
Page 2 of 52
,If NSAIDs are not working for osteoarthritis, what is a narcotic with
low abuse potential that can be used? --ANSWER--tramadol
3 predictors of future fractures with osteoporosis --ANSWER--age
low bone mineral density
hx of previous fracture
bamboo spine is pathognomonic for? --ANSWER--ankylosing
spondylitis
what other organ system/issue is seen with ankylosing spondylitis? --
ANSWER--anterior uveitis
Name some HLA B27 postive diseases --ANSWER--
psoriasis/psoriatic arthritis
ankylosing spondylitis
reactive arthritis
Crohns/UC
which joints are typically affected with Reiter's disease/reactive
arthritis? --ANSWER--larger joints
Page 3 of 52
, what can increase the incidence of fibrocystic changes in the breast?
Does this increase the risk for breast cancer? --ANSWER--alcohol
consumption
No increased risk for breast CA
what are some scenarios that make a UTI complicated? --ANSWER--
pregnancy
poor controlled DM
hospital acquired
renal trasnplant
urinary tract obstruction
immunocompromised
AKI or CKD
what are the USPSTF guidelines for breast cancer screening? --
ANSWER--recommend screening ages 50-74 biennially (every 2
years) with mammagraphy
Page 4 of 52
