1|Page
PAEA EOC & Summative Exam 2026 | Actual Exam
with Complete Questions | Physician Assistant
Education Association || Verified Exam!!| End of
Curriculum & Summative Assessment ||Newest
Exam!!!
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)
,2|Page
what heart failure treatment provides a benefit of reduction
in morbidity and mortality? - Answer-ACE inhibitors
beta blockers can also reduce M&M
diuretics have no reduction in mortality
how would you manage a patient with a MI in the setting of
cocaine use? - Answer-benzodiazepine early
no beta blockers
If PCI cannot be done for a STEMI patient within 120
minutes, what should be done? - Answer-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? - Answer-
,3|Page
catheter-based arteriography (digital subtraction
arteriography) provides the most useful information. can
also help with treatment
can help distinguish between thrombosis and embolus
where are arterial emboli often found? - Answer-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? -
Answer-24-hour ambulatory monitoring (to ensure not
white coat)
medical hx (assess adherence to meds, other meds)
, 4|Page
physical exam (look for abominal/renal bruits)
labs (electrolytes, glucose, creatinine, UA)
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? - Answer-fibromuscular
dysplasia (usually in a young pt)
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
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,
PAEA EOC & Summative Exam 2026 | Actual Exam
with Complete Questions | Physician Assistant
Education Association || Verified Exam!!| End of
Curriculum & Summative Assessment ||Newest
Exam!!!
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)
,2|Page
what heart failure treatment provides a benefit of reduction
in morbidity and mortality? - Answer-ACE inhibitors
beta blockers can also reduce M&M
diuretics have no reduction in mortality
how would you manage a patient with a MI in the setting of
cocaine use? - Answer-benzodiazepine early
no beta blockers
If PCI cannot be done for a STEMI patient within 120
minutes, what should be done? - Answer-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? - Answer-
,3|Page
catheter-based arteriography (digital subtraction
arteriography) provides the most useful information. can
also help with treatment
can help distinguish between thrombosis and embolus
where are arterial emboli often found? - Answer-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? -
Answer-24-hour ambulatory monitoring (to ensure not
white coat)
medical hx (assess adherence to meds, other meds)
, 4|Page
physical exam (look for abominal/renal bruits)
labs (electrolytes, glucose, creatinine, UA)
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? - Answer-fibromuscular
dysplasia (usually in a young pt)
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
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,
