Page 1 of 57
PAEA EOC & Summative Practice EXAM QUESTIONS
AND CORRECT DETAILED SOLUTIONS WITH
RATIONALES LATEST UPDATED VERSION JUST
RELEASED
Question: 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
Question: 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,
or sexual activity and activities such as gardening, golfing, and horseback riding do not
precipitate AAA rupture
Q:what exactly causes the occlusive vascular disease of thromboangiitis obliterans? -
ANSWER✔✔aka Buerger's disease
inflammatory thrombi affecting the medium and small vessels (nonatherosclerosis)
, Page 2 of 57
polymorphonuclear leukocytes, microabscesses, and multinucleated giant cells may be presen
Question: 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)
Question: 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
Question: how would you manage a patient with a MI in the setting of cocaine use? -
ANSWER✔✔benzodiazepine early
no beta blockers
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Question: 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
Question: If you suspect an acute limb ischemia due to arterial embolism, what imaging should
you get? - ANSWER✔✔catheter-based arteriography (digital subtraction arteriography) provides
the most useful information. can also help with treatment
can help distinguish between thrombosis and embolus
, Page 4 of 57
Question: 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
Question: 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)
physical exam (look for abominal/renal bruits)
labs (electrolytes, glucose, creatinine, UA)
PAEA EOC & Summative Practice EXAM QUESTIONS
AND CORRECT DETAILED SOLUTIONS WITH
RATIONALES LATEST UPDATED VERSION JUST
RELEASED
Question: 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
Question: 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,
or sexual activity and activities such as gardening, golfing, and horseback riding do not
precipitate AAA rupture
Q:what exactly causes the occlusive vascular disease of thromboangiitis obliterans? -
ANSWER✔✔aka Buerger's disease
inflammatory thrombi affecting the medium and small vessels (nonatherosclerosis)
, Page 2 of 57
polymorphonuclear leukocytes, microabscesses, and multinucleated giant cells may be presen
Question: 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)
Question: 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
Question: how would you manage a patient with a MI in the setting of cocaine use? -
ANSWER✔✔benzodiazepine early
no beta blockers
, Page 3 of 57
Question: 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
Question: If you suspect an acute limb ischemia due to arterial embolism, what imaging should
you get? - ANSWER✔✔catheter-based arteriography (digital subtraction arteriography) provides
the most useful information. can also help with treatment
can help distinguish between thrombosis and embolus
, Page 4 of 57
Question: 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
Question: 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)
physical exam (look for abominal/renal bruits)
labs (electrolytes, glucose, creatinine, UA)
