PAEA EOC & SUMMATIVE PRACTICE EXAM
NEWEST 2024-2025 COMPLETE 160 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
what is the first step in evaluation of a suspected thyroid nodule?
- ANSWER- US
Apparent nodularity in Hashimoto's thyroiditis may represent
focal enlargement from lymphocytic infiltrates, TSH-induced
hyperplasia of follicular tissue, or a thyroid tumor.
Ultrasonography may also help to distinguish among these
possibilities
what is the sonographic criteria for FNA of a thyroid nodule? -
ANSWER- Bx regardless of size if:
Subcapsular locations adjacent to the recurrent laryngeal nerve
or trachea
Extrathyroidal extension
Extrusion through rim calcifications
Associated with sonographically abnormal cervical lymph nodes
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Bx if > 1cm and:
Irregular margins
Microcalcifications
Taller than wide shape
Rim calcifications with extrusion of soft tissue
what makes up aspirin exacerbated respiratory disease (or
NSAID-exacerbated respiratory disease)? - ANSWER- asthma,
chronic rhinosinusitis (CRS) with nasal polyposis, and acute
upper and lower respiratory tract reactions
symptoms of nasal congestion and bronchoconstriction typically
begin 20 minutes to 3 hours after administration
what type of allergy is aspirin exacerbated respiratory diseaase
(AERD)? - ANSWER- pseudoallergy, not IgE mediated
In contrast, IgE-mediated "allergic" reactions result from the
formation of antibodies against a specific drug, haptenated drug,
or a group of structurally similar drugs
how would you treat otitis externa? what if the TM is
perforated? - ANSWER- mild disease - topical acetic acid +
hydrocortisone
,3|Page
moderate disease - topical abx + steroid to cover staph and
pseudomonas (first line consider quinolones (cipro) or
polymyxin-neomycin to cover both)
Preparations containing aminoglycosides should be avoided in
ears where the integrity of the tympanic membrane cannot be
confirmed
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
, 4|Page
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
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