PAEA EOC & SUMMATIVE PRACTICE TEST WITH WELL VERIFIED QUESTIONS AND CORRECT ANSWERS || GUARANTEED PASS | ALREADY GRADED A+
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PAEA EOC & SUMMATIVE PRACTICE
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PAEA EOC & SUMMATIVE PRACTICE
PAEA EOC & SUMMATIVE PRACTICE TEST
WITH WELL VERIFIED QUESTIONS AND
CORRECT ANSWERS || GUARANTEED PASS |
ALREADY GRADED A+
What is Gilbert's syndrome? - ANSWER-unconjugated hyperbilirubinemia.
usually asymptomatic aside from jaundice
which anemia commonly has neurologi...
PAEA EOC & SUMMATIVE PRACTICE TEST
WITH WELL VERIFIED QUESTIONS AND
CORRECT ANSWERS || GUARANTEED PASS |
ALREADY GRADED A+
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
How to dx histoplasmosis? - ANSWER-culture gold standard
fungal staining for quicker/fewer sensitive results
,test for antigen and antibodies
therapeutic options for postherpetic neuralgia? - ANSWER-Gabapentin or TCA,
topical lidocaine gel, capsaicin
Treatment approach to HSV-1? - ANSWER-Acyclovir has the greatest in vitro
activity against HSV-1 and HSV-2. However, famciclovir and valacyclovir have
greater oral bioavailability than acyclovir and are dosed less frequently
HSV-1 oral leads to gingivostomatitis. usually self-limiting but treat if
symptomatic. earlier the Tx the better it works
Pt has an acute onset of eye pain, vision blurring, and discharge. On physical exam
you see dendritic lesions on the cornea. Dx? - ANSWER-herpes simplex keratitis
how is the dx of herpes simplex keratitis established? - ANSWER-mostly clinical
Dx should be made in conjunction with an ophthalmologist
if dx uncertain can use detection of viral DNA via PCR testing from intraocular
fluid
what is the best imaging for suspected Ludwig’s angina or other deep neck space
infections? - ANSWER-CT is the imaging modality of choice
Where does Ludwig angina infection most commonly arise from? - ANSWER-an
infected second or third mandibular molar tooth infection moves to the sublingual
and submaxillary space bilaterally aggressive, rapidly spreading cellulitis,
WITHOUT lymphadenopathy
,Pt in ED is unresponsive and noted to be in ventricular fibrillation on the monitor.
What interventions should be initiated? - ANSWER-intervention: unsynchronized
cardioversion, start CPR
Pt is newly diagnosed with WPW. What is the intervention for the following?
-stable (wide complex) tachycardia
-unstable
-definitive - ANSWER--stable: 1st line procainamide. Amiodarone
-unstable: synchronized cardioversion
-definitive: radio frequency catheter ablation
criteria and therapeutics for hypertensive emergency? - ANSWER-SBP > 180
and/or DBP >120 WITH EVIDENCE OF END ORGAN DAMAGE
sodium nitroprusside
what serum level can help differentiate folate from B12 deficiency? - ANSWER-
elevated homocysteine with a normal MMA (methylmalonic acid) both elevated
homocysteine and MMA is a B12 deficiency, but additional folate deficiency
cannot be ruled out
what is factor V's role in the clotting cascade? - ANSWER-procoagulant clotting
factor that amplifies the production of thrombin, the central enzyme that converts
fibrinogen to fibrin. A small amount of thrombin at the site of a wound activates
factor V by limited proteolysis. Works as a positive feedback loop
What is occurring in Factor V Leiden that leads to increased risk of VTE? -
ANSWER-a single point mutation of the factor V gene leads to factor V being
insensitive to protein C (which is a natural anticoagulant)
, what anti-nausea medication is suggested for treatment of concussion? which
should be avoided? - ANSWER-ondansetron is recommended for the first 1-2 days
post-concussion avoid phenothiazines (metoclopramide & promethazine) due to
adverse SEs such as drowsiness and orthostatic hypotension
what route of administration should antibiotics be given for bacterial meningitis?
What should be given alongside the antibiotics while treating empirically? -
ANSWER-IV works best to help better penetrate the BBB. give dexamethasone
while organism is unknown. Intravenous administration of glucocorticoids (usually
dexamethasone) prior to or at the time of administering antibiotics has been
associated with a reduction in the rate of hearing loss, other neurologic
complications, and mortality in patients with meningitis caused by S. pneumoniae
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)
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
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