1|Page
PAEA EOC & SUMMATIVE EXAM LATEST 2025/2026 ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
A week old infant presents with dyspnea. You hear a high-pitched
harsh holosystolic murmur at the left lower sternal border. Whats
the dx? - ANSWER-Ventricular septal defect
What is thromboangiitis obliterates (Buerger's disease? –
ANSWER-nonatherosclerotic inflammatory small/medium vessel
vasculitis leading to vas occlusive phenomena. Suspect in young
smokers with distal extremity ischemia/ischemic ulcers or
gangrenous digits
maculopapular rash starts on neck/trunk and spreads to face/
extremities. Affects children with sudden high fever. As fever
resolves, rash appears - ANSWER-Roseola
Only childhood viral exanthem that starts on the trunk and
spreads to the legs/neck - ANSWER-roseola
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diagnostic studies for thyroid nodule? - ANSWER-Ultrasound ->
thyroid uptake scan -> fine needle aspiration
history and physical for hypoparathyroidism? - ANSWER-Patients
will show signs of neuromuscular irritability with carpopedal
spasm, laryngeal spasm, tingling, tetany, and facial grimacing.
Chvostek's sign - Tap of facial nerve elicits cheek twitch
Trousseau's sign - BP cuff inflation elicits carpal spasm
name secretory products for various pituitary adenomas? -
ANSWER-prolactinoma (galactorrhea)- prolactin
Somatotroph Adenoma (Acromegaly) - growth hormone/ prolactin
Corticotroph Adenoma (Cushing's Syndrome) - ACTH
Thyrotroph Adenoma (Hyperthyroidism) - TSH
Non Secreting Adenoma - α alpha -subunit
What is Samter's triad? Treatment? - ANSWER-Aspirin-
exacerbated respiratory disease. asthma, sinus disease with
recurrent nasal polyps, and sensitivity to aspirin and other
NSAIDs.
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Treatment: managing asthma symptoms, taking corticosteroids,
and having nasal surgery to remove polyps
therapeutics for otitis externa? - ANSWER-Bacterial: Ciprofloxacin
0.3% and dexamethasone 0.1% suspension: 4 drops BID × 7
days or ofloxacin: 0.3% solution 10 drops once a day × 7 days
Fungal: % acetic acid 3-4 drops QID; clotrimazole 1% solution
Pt presents with eye pain. On fluorescein stain, you see dendritic
lesions. what's the dx? - ANSWER-herpes simplex virus keratitis
What is hairy oral leukoplakia? - ANSWER-an Epstein-Barr virus-
induced lesion that is not premalignant disorder that occurs
almost entirely in HIV infected patients
When is it appropriate to prescribe antidiarrheals? When is it not
appropriate? - ANSWER-Can use for patients with watery
diarrhea and no signs of systemic toxicity.
Do NOT use in bloody diarrhea of unknown cause.
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Describe Virchow's node - ANSWER-left supraclavicular
lymphadenopathy is often associated with gastric cancer
What is Gilbert's syndrome? - ANSWER-unconjugated
hyperbilirubinemia. usually asymptomatic aside from jaundice
which anemia commonly has neurologic symptoms? - ANSWER-
B12 deficient anemia
what type of anemia is common among alcoholics? - ANSWER-
folate deficiency anemia
what is the mechanism of hypercoagulability with factor V Leiden
mutation? - ANSWER-Mutated factor V resistant to breakdown by
activated Protein C
treatment for salmonellosis? - ANSWER-ceftriaxone 1 G IM,
ciprofloxacin 500 mg po bid for 10 to 14 days, levofloxacin 500
mg po or IV once/day for 14 days
PAEA EOC & SUMMATIVE EXAM LATEST 2025/2026 ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
A week old infant presents with dyspnea. You hear a high-pitched
harsh holosystolic murmur at the left lower sternal border. Whats
the dx? - ANSWER-Ventricular septal defect
What is thromboangiitis obliterates (Buerger's disease? –
ANSWER-nonatherosclerotic inflammatory small/medium vessel
vasculitis leading to vas occlusive phenomena. Suspect in young
smokers with distal extremity ischemia/ischemic ulcers or
gangrenous digits
maculopapular rash starts on neck/trunk and spreads to face/
extremities. Affects children with sudden high fever. As fever
resolves, rash appears - ANSWER-Roseola
Only childhood viral exanthem that starts on the trunk and
spreads to the legs/neck - ANSWER-roseola
,2|Page
diagnostic studies for thyroid nodule? - ANSWER-Ultrasound ->
thyroid uptake scan -> fine needle aspiration
history and physical for hypoparathyroidism? - ANSWER-Patients
will show signs of neuromuscular irritability with carpopedal
spasm, laryngeal spasm, tingling, tetany, and facial grimacing.
Chvostek's sign - Tap of facial nerve elicits cheek twitch
Trousseau's sign - BP cuff inflation elicits carpal spasm
name secretory products for various pituitary adenomas? -
ANSWER-prolactinoma (galactorrhea)- prolactin
Somatotroph Adenoma (Acromegaly) - growth hormone/ prolactin
Corticotroph Adenoma (Cushing's Syndrome) - ACTH
Thyrotroph Adenoma (Hyperthyroidism) - TSH
Non Secreting Adenoma - α alpha -subunit
What is Samter's triad? Treatment? - ANSWER-Aspirin-
exacerbated respiratory disease. asthma, sinus disease with
recurrent nasal polyps, and sensitivity to aspirin and other
NSAIDs.
,3|Page
Treatment: managing asthma symptoms, taking corticosteroids,
and having nasal surgery to remove polyps
therapeutics for otitis externa? - ANSWER-Bacterial: Ciprofloxacin
0.3% and dexamethasone 0.1% suspension: 4 drops BID × 7
days or ofloxacin: 0.3% solution 10 drops once a day × 7 days
Fungal: % acetic acid 3-4 drops QID; clotrimazole 1% solution
Pt presents with eye pain. On fluorescein stain, you see dendritic
lesions. what's the dx? - ANSWER-herpes simplex virus keratitis
What is hairy oral leukoplakia? - ANSWER-an Epstein-Barr virus-
induced lesion that is not premalignant disorder that occurs
almost entirely in HIV infected patients
When is it appropriate to prescribe antidiarrheals? When is it not
appropriate? - ANSWER-Can use for patients with watery
diarrhea and no signs of systemic toxicity.
Do NOT use in bloody diarrhea of unknown cause.
, 4|Page
Describe Virchow's node - ANSWER-left supraclavicular
lymphadenopathy is often associated with gastric cancer
What is Gilbert's syndrome? - ANSWER-unconjugated
hyperbilirubinemia. usually asymptomatic aside from jaundice
which anemia commonly has neurologic symptoms? - ANSWER-
B12 deficient anemia
what type of anemia is common among alcoholics? - ANSWER-
folate deficiency anemia
what is the mechanism of hypercoagulability with factor V Leiden
mutation? - ANSWER-Mutated factor V resistant to breakdown by
activated Protein C
treatment for salmonellosis? - ANSWER-ceftriaxone 1 G IM,
ciprofloxacin 500 mg po bid for 10 to 14 days, levofloxacin 500
mg po or IV once/day for 14 days
