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PAEA FAMILY MEDICINE EXAM / LATEST PAEA FAMILY MEDICINE EXAM TEST BANK COMPLETE ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (100% CORRECT VERIFIED ANSWERS) A NEW UPDATED VERSION |ALREADY GRADED A+ (FULL REVISED EXAM)$17.99
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PAEA FAMILY MEDICINE EXAM / LATEST PAEA FAMILY MEDICINE EXAM TEST BANK COMPLETE ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (100% CORRECT VERIFIED ANSWERS) A NEW UPDATED VERSION |ALREADY GRADED A+ (FULL REVISED EXAM)
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Course
PAEA FAMILY MEDICINE
Institution
PAEA FAMILY MEDICINE
Book
The Physician Assistant Student\'s Guide to the Clinical Year: Family Medicine
PAEA FAMILY MEDICINE EXAM / LATEST PAEA FAMILY MEDICINE EXAM TEST BANK COMPLETE ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (100% CORRECT VERIFIED ANSWERS) A NEW UPDATED VERSION |ALREADY GRADED A+ (FULL REVISED EXAM)
PAEA FAMILY MEDICINE EXAM / LATEST PAEA FAMILY
MEDICINE EXAM TEST BANK COMPLETE ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (100% CORRECT VERIFIED ANSWERS) A
NEW UPDATED VERSION |ALREADY GRADED A+ (FULL
REVISED 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)
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: 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)
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, or sexual activity and activities such as gardening, golfing, and horseback
riding do not precipitate AAA rupture
Moderate physical therapy may also limit aneurysm expansion. In experimental
aneurysms, increased aortic blood flow appears to inhibit AAA expansion
However, heavy lifting, especially while holding the breath, and other activities that
lead to Valsalva transiently induce significant increases in blood pressure and should
be avoided
gold standard for dx renal artery stenosis? what can be used to monitor disease
progression? - ANSWER: renal arteriography
, But really a spiral CT angiography is very useful and probably more likely done first
duplex doppler US can be used to monitor disease progression
what are some symptoms of mitral valve prolapse syndrome? - ANSWER: various
nonspecific symptoms such as palpitations, dyspnea, exercise intolerance, anxiety
disorders, and dizziness
since symptoms are relatively uncommon, what physical exam findings are
associated with mitral valve prolapse? - ANSWER: non-ejection click in systole
click is mobile, meaning its timing varies with maneuvers that change the left
ventricular volume, occurring earlier in systole with sitting, standing, or other
interventions that reduce ventricular size, or later with those interventions that
increase chamber size such as squatting
People with MVP tend to have lower BMIs
how would you distinguish vasospastic angina and angina associated with CAD? -
ANSWER: quality of the CP is typically indistinguishable of the two
patients with vasospastic angina report that their episodes are predominantly at rest
and that many occur from midnight to early morning, while effort tolerance is
usually preserved. CP generally lasts 5 to 15 minutes
Patients with vasospastic angina are often younger and exhibit fewer classic
cardiovascular risk factors and may be associated with other vasospastic disorders,
such as Raynaud's phenomenon and migraine headache
Exercise does not usually provoke an episode of spasm
ECG may reveal transient ST-segment elevation or depression in multiple lead but
troponins will not be elevated
where do karposi sarcoma lesions typically occur? describe their appearance. -
ANSWER: often on distal extremities, such as lower legs and feet
purplish, reddish blue, or dark brown/black macules, plaques, and nodules on the
skin. Nodular lesions may ulcerate and bleed easily
common in poorly controlled HIV
how would you treat hidradenitis suppurativa? - ANSWER: topical clindamycin
if fail topical therapy, oral tetracyclines are suggested
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