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Family Medicine PAEA EOR questions and answers rated A+ 2024/2025
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Family Medicine PAEA EOR questions and answers rated A+ 2024/2025
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Anorexia Nervosa Clinical Manifestations - ANS1. BMI <17%*2. Misuse of weight loss medications (laxatives, enema, diuretics...)
Anorexia Nervosa Diagnosis - ANS1. Vital signs: emaciated, hypotension, bradycardia, skin/hair
changes (lanugo), dry skin, salivary gland hypertrophy, amenorrhea
2. Labs: CBC: leukocytosis, leukopenia, anemia; hypokalemia, ↑BUN (dehydration),
hypothyroidism, arrhythmias
Generalized Anxiety Disorder - ANSExcessive anxiety or worry a majority of days in a 6 month
period associated w/ ≥3: fatigue, restlessness, difficulty concentrating, muscle tension, sleep
disturbance, irritability, shakiness, headaches.
Generalized Anxiety Disorder Management - ANS1. Antidepressants: SSRIs (paroxetine &
escitalopram)
2. Buspirone (Buspar): does not cause sedation
3. Benzodiazepines (short term only), beta blockers
4. Psychotherapy
Normal anxiety - ANSDiffuse, unpleasant, vague sense of apprehension, often accompanied by
autonomic symptoms (ex sweating, palpitations, etc)
Pathologic anxiety - ANSSense of danger becomes prominent
Panic attack - ANSEpisode of intense fear or discomfort, with ≥4 of the following sx developing
abruptly, reaching a peak in 10 minutes:
palpitations, trembling, choking feeling, parathesia, sweating, shortness of breath, chest pain,
chills of hot flashes, dizziness, fear of dying/losing control/being detached, nausea/abdominal
distress
OCD - ANSObsessions, cumpulsions or both (75%)
Obsessions: recurrent/persistent thoughts; thoughts are NOT excessive worries about real life
problems
Compulsions: repetitive behaviors the person is driven to perform
Panic Disorder Criteria - ANSSymptoms not due to substance, medical condition or other mental
disorder
Recurrent, unexpected panic attacks (at least 2), not related to a trigger. Famial trait.
Panic attacked followed by concern about more attacks, worry about the implication of the
attacks, significant change in behavior realted to the attacks.
Agoraphobia - ANSIncluded with panic disorder
Anxiety about being in a certain place or situation (fear of crowds, wide open spaces, avoidance
of these situations)
, Panic Disorder Management - ANS1. SSRIs 1st line long-term tx* (paroxetine, sertraline,
fluoxetine)
2. Benzodiazepines: for acute attacks
3. Cognitive behavioral therapy (CBT)
Post-traumatic Stress Disorder (PTSD) - ANS1. Exposed to a traumatic event & actual or
threatened death or serious injury/violation to self or others AND
2. The response may involve helplessness, dissociative sx, avoidance of associated stimuli,
emotional numbing, increased autonomic arousal
OCD Management - ANS1. Antidepressants: SSRIs, TCAs
2. Cognitive behavioral therapy
Bipolar 1 Disorder Definition - ANS≥ 1 manic episode and occasional MAJOR DEPRESSIVE
episodes
PTSD MC group - ANSYoung adults (combat exp, urban violence, rape, assualt, other traumatic
event (ex. Adult survivors of sexual abuse)
PTSD Criteria - ANSTrauma is re-experienced: >1 month as recollections (goals, acting/feeling
if occasion had been habitual) AND avoidance of associated stimuli
Bipolar 1 Disorder strongest threat aspect - ANSFamily records*
PTSD Management - ANS1. Anti-depressants: SSRIs 1st line tx* (paroxetine, sertraline,
fluoxetine)
2. Cognitive behavioral remedy
Social Anxiety Disorder (Social Phobia) - ANSMarked or persistent fear of social or performance
situations wherein the character is exposed to scrutiny of others (fear of embarrassment).
Expected panic assaults.
Social Anxiety Disorder (Social Phobia) Management - ANS1. Antidepressants: SSRIs
2. Beta-blockers
three. Benzodiazepines
Acute Stress Disorder - ANSSimilar to PTSD but sx <1 month. Anxiety as a result of an
extraordinary life stress event
Acute Stress Disorder Management - ANSCounseling/psychotherapy. If persistent, tx as PTSD
Mania - ANSAbnormal & persistently elevated, expansive or irritable mood (at least 1 week, or
less if hospitalization required), marked impairment of social/occupational function
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