Price: $9.99
Format: Paperback / eBook
Content: 100% PAEA Blueprint Aligned
Deliverables: 14 Clinical System Reviews + 120-Question Practice Exam
The Family Medicine End of Rotation (EOR) exam is the broadest assessment in the physician assistant clinical year. Unlike specialty rotations where the scope is narrow, family medicine requires proficiency across the entire lifespan, from pediatric developmental milestones to geriatric end-of-life care. To pass with a high score, you must move beyond passive reading and focus on high-yield clinical presentations, initial diagnostic workups, and first-line treatment protocols.
Direct Alignment with the 2026 PAEA Blueprint
Success on the EOR requires studying specifically for what is tested. The Family Medicine End of Rotation Review: High-Yield Prep for Physician Assistants is built around the official PAEA topic list. This guide eliminates the noise of traditional textbooks and focuses on the high-probability topics that will actually appear on your 120-question exam.
The exam is weighted heavily toward three key areas:
- Cardiovascular Disorders (15%)
- Pulmonology Disorders (12%)
- Gastrointestinal & Nutritional Disorders (11%)
Mastering these three systems alone accounts for nearly 40% of your total score. Our guide prioritizes these high-yield systems while providing comprehensive coverage of the remaining 11 categories, including EENT, OB/GYN, Orthopedics, and Psychiatry.
Strategic Content Breakdown
Clinical rotations are fast-paced, and your study time is limited. Each chapter in this review book is written in a functional, declarative style. We emphasize pathophysiology only where it clarifies the "why" behind the clinical presentation.
Cardiovascular Pearls: Focus on the differentiation of murmurs, the management of hypertension according to current JNC and ACC/AHA guidelines, and the initial workup of stable vs. unstable angina in an outpatient setting.
Pulmonology High-Yields: You must be able to distinguish between obstructive and restrictive lung diseases on PFTs. Expect questions on the stepwise management of asthma and the appropriate antibiotic selection for community-acquired pneumonia (CAP) based on comorbidities.
Gastrointestinal Focus: The exam frequently tests the PALM-COEIN classification for abnormal uterine bleeding and the management of common primary care complaints like GERD, PUD, and biliary disease.
Master the 120-Question Practice Exam
The best way to prepare for a 120-question exam is to take a 120-question exam. At the conclusion of this book, you will find a full-length practice bank designed to simulate the real exam environment.
Each clinical vignette is crafted to mirror the difficulty level of the PAEA exam. We provide five answer choices for every item and detailed explanations that explain why the correct answer is the gold standard and why the distractors are incorrect. This active recall method is the most efficient way to identify and correct your knowledge gaps before test day.
Maximize Your CME Efficiency
While students focus on passing the EOR, practicing PAs must focus on maintaining certification. CME Review Courses offers an efficient way to use your CME money through our PANRE Review Course, which provides 100 hours of Category 1 AAPA Credit.
For those looking to enrich their education further, we offer CME with Amazon and Apple Gift Card add-ons. These packages allow you to add a gift card ranging from $100 to $1500 to your CME purchase, providing a streamlined way to acquire the medical resources or technology you need for your practice.
Clinical Assessment: Practice Questions
Question 1
Your patient is a 64-year-old male presenting with a 3-month history of exertional chest pain that is relieved by rest. He has a history of hypertension and tobacco use. His HR is 82, BP is 138/88 mmHg, and SaO2 is 98% on room air. An EKG performed in the office is normal. What is the most appropriate initial diagnostic test to evaluate for coronary artery disease in this patient?
A. Cardiac Catheterization
B. Exercise Stress Test
C. Coronary CT Angiography
D. Resting Echocardiogram
E. Pharmacologic Stress Test
Correct Answer: B. Exercise Stress Test
Explanation: In a patient with stable angina symptoms and a normal baseline EKG, the Exercise Stress Test is the appropriate initial non-invasive choice to evaluate for ischemia. It is cost-effective and provides functional data regarding the patient's exercise capacity. Cardiac Catheterization (A) is the gold standard but is invasive and reserved for patients with high-risk findings or refractory symptoms. Coronary CT Angiography (C) is useful for ruling out CAD in low-to-intermediate risk patients but is not the standard first-line functional test here. Resting Echocardiogram (D) evaluates wall motion and valves but does not assess for inducible ischemia. Pharmacologic Stress Test (E) is only indicated if the patient cannot exercise.
Question 2
Your patient is a 24-year-old female presenting with a "sore throat" and malaise for one week. On physical exam, you note posterior cervical lymphadenopathy and an enlarged spleen. Rapid strep test is negative. What is the most appropriate next step in diagnosis?
A. Throat Culture
B. Monospot (Heterophile Antibody) Test
C. CT Abdomen
D. Lateral Neck X-ray
E. CBC with Differential
Correct Answer: B. Monospot (Heterophile Antibody) Test
Explanation: The clinical presentation of posterior cervical lymphadenopathy and splenomegaly is highly suggestive of Infectious Mononucleosis. The Monospot test is the appropriate next step. Throat Culture (A) is redundant if the concern is viral mononucleosis. CT Abdomen (C) is not indicated for initial diagnosis, though it may visualize splenomegaly. Lateral Neck X-ray (D) is used for suspected epiglottitis, which presents with acute airway distress. CBC with Differential (E) may show atypical lymphocytosis but is less specific than the heterophile antibody test.
Question 3
Your patient is a 55-year-old male with a history of COPD presenting with increased cough and purulent sputum production. He is afebrile with a RR of 20 and SaO2 of 91% on room air. Chest X-ray shows no acute infiltrates. What is the first-line antibiotic treatment for this acute exacerbation of chronic bronchitis?
A. Vancomycin
B. Azithromycin
C. Ciprofloxacin
D. Metronidazole
E. Amoxicillin-clavulanate
Correct Answer: E. Amoxicillin-clavulanate
Explanation: In patients with COPD exacerbation and increased sputum purulence, Amoxicillin-clavulanate is a first-line choice to cover common pathogens like H. influenzae and M. catarrhalis. Vancomycin (A) is for MRSA and is not appropriate here. Azithromycin (B) is often used but has increasing resistance. Ciprofloxacin (C) is a fluoroquinolone typically reserved for suspected Pseudomonas. Metronidazole (D) covers anaerobes and is not indicated for standard COPD exacerbation.
Question 4
Your patient is a 42-year-old female complaining of a "burning" sensation in her chest that is worse after eating spicy foods and when lying down at night. She has tried OTC antacids with minimal relief. What is the most appropriate initial management step?
A. Upper Endoscopy (EGD)
B. Lifestyle modifications and H2-receptor antagonist
C. Referral to General Surgery
D. 24-hour pH monitoring
E. H. pylori stool antigen test
Correct Answer: B. Lifestyle modifications and H2-receptor antagonist
Explanation: For uncomplicated Gastroesophageal Reflux Disease (GERD) without "alarm symptoms" (dysphagia, weight loss, anemia), the initial step is lifestyle modifications and H2-receptor antagonists or PPIs. Upper Endoscopy (A) is reserved for patients over 50 or those with alarm symptoms. Referral to General Surgery (C) is only for refractory cases requiring fundoplication. 24-hour pH monitoring (D) is the gold standard but is not the initial step. H. pylori testing (E) is more relevant for suspected peptic ulcer disease rather than classic GERD.
About the Author
Jeremy Boroff PA-C is a veteran healthcare provider with over 30 years of experience in the medical field. Having served as a Physician Assistant for over 24 years and a Registered Respiratory Therapist for 7 years, Jeremy has a profound understanding of clinical education. He has spent over two decades in the Emergency Department at St. Rita’s Medical Center and is the CEO of CME Review Courses. His mission is to provide PAs and PA students with the high-yield tools they need to succeed in their careers.
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