SAEM Quick Review QUESTIONS AND ANSWERS ALL CORRECT
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SAEM
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SAEM
SAEM Quick Review QUESTIONS AND ANSWERS ALL CORRECT
Management of Large Subungual Hematoma Correct Answer: Drainage (18-Gauge) or Hot Micro-Cauterization
Reason to Avoid Suction in Ear Foreign Body Removal Correct Answer: Perforation of Tympanic Membrane
Management of Skin Abscess Correc...
saem quick review questions and answers all correct
management of large subungual hematoma
reason to avoid suction in ear foreign body removal
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SAEM Quick Review QUESTIONS AND ANSWERS ALL CORRECT
Management of Large Subungual Hematoma Correct Answer: Drainage (18-Gauge) or Hot Micro-
Cauterization
Reason to Avoid Suction in Ear Foreign Body Removal Correct Answer: Perforation of Tympanic
Membrane
Management of Skin Abscess Correct Answer: Linear Incision for Non-Face vs. Needle Drainage for Face
Catheter for Bartholin Cyst Correct Answer: Word
Grading of Laryngeal Opening Correct Answer: Cormack-Lehane
Preferred Induction Agent in Reactive Airway Disease for Dilation Effects Correct Answer: Ketamine
Induction Agent Avoided in Sepsis Due To Adrenal Suppression Correct Answer: Etomidate
Sudden-Onset Back Pain Worsened by Coughing Soon After Epidural Anesthesia Correct Answer:
Epidural Hematoma
Presentation of Adhesive Arachnoiditis Correct Answer: Progressive Neuropathy
Tom, Dick, and Very Nervous Harry Correct Answer: Anterior to Posterior of Medial Ankle: Tibialis
Posterior, Digitorum Longus, Vein, Nerve, Hallucis Longus
Absolute Contra-Indication to Crico-Thyrotomy Correct Answer: Age Under 5
Anesthesia for Suturing Distal Right Index Finger in Patient with Underlying Vascular Disease Correct
Answer: Lidocaine (2%) Without Epinephrine Around Digital Nerve for Fingers, Toes, Penis, Nose
Earliest Sign of Lidocaine Toxicity (Over 5 mg/kg) Correct Answer: Lightheadedness (Also Peri-Oral
Numbness, Tinnitus, Visual and Auditory Disturbances, Shivering, Twitching, and Generalized Tonic-
Clonic Seizures)
(1) Avoid Vertical Mattress Sutures.
(2) Avoid Topical Skin Adhesives (Risk of Dehiscence from Sweating). Correct Answer: Palm
Glottis Spasm and Chest Wall Rigidity from Sedative (Rapid High Dose of IV Form) Correct Answer:
Fentanyl (Effects Not Always Reversed by Naloxone)
Management of Long-Lasting L.P. Headache Correct Answer: Autologous Blood Patch
Timing of Tetanus Prophylaxis Correct Answer: Within First Few Days (Suture Within First 24 Hours)
Normal C.S.F.-to-Blood Glucose Ratio Correct Answer: 0.6
,Size of Needle Decompression Needle Correct Answer: 14 Gauge (2nd Intercostal at Midclavicular Line)
Large Paronychia and Cellulitis Correct Answer: Removal of Affected Nail Under Digital Block and
Antiobiotics
Signs of Acute Appendicitis Correct Answer: 1. Rovsing: Right Lower from Left Lower.
2. Psoas: Extension.
3. Obturator: Rotation.
Suggested by Abdominal Pain Preceding Nausea and Vomiting Correct Answer: Surgery (Small Bowel
Obstruction)
Peak of Gastric Acid Secretion at Rest Correct Answer: 2 A.M.
Timing of Presentation of Hypertrophic Pyloric Stenosis (Non-Bilious) vs. Intussusception (Bilious)
Correct Answer: 4 Weeks vs. 8 Months
Over 95% Sensitive and Specific for Renal Calculi Correct Answer: Helical C.T.
Intermittent Left Lower Quadrant Pain (Afebrile), Loose Stools (Non-Bloody); Good Follow-Up Correct
Answer: Discharge on High-Fiber Diet (Consider Laxatives and Stool Softeners)
Abdominal Wall Condition in Anti-Coagulated Patient with Trauma or Coughing Correct Answer: Rectus
Sheath Hematoma
(1) Age 30.
(2) Prior Abdominal Surgery or Pregnancy.
(3) Marathons. Correct Answer: Risk Factors for Cecal Volvulus
Possible Chest X-Ray Finding of Hepatic Abscess Correct Answer: Right-Sided Effusion and Elevated
Hemi-Diaphragm
Referred Pain from Ureteral Colic Correct Answer: Inguinal (Ovarian Torsion Does Not Cause Sacral Pain)
Elderly Patient, Diverticulitis Without Perforation (Peritonitis) Correct Answer: I.V. Fluids (Elderly), Anti-
Biotics, and Bowel Rest
Proximal vs. Distal Esophageal Perforation Correct Answer: Iatrogenic vs. Spontaneous
Indicated by Temperature over 105 Correct Answer: Non-Infectious
Extra-Pyramidal: Involuntary Periodic Movements of Tongue, Lips, or Mouth Correct Answer: Tardive
Dyskinesia
, Extra-Pyramidal: Torticollis, Fixed Upper Gaze (Oculogyric Crisis), or Arching of Back (Opisthotonus)
Correct Answer: Benztropine (2mg Cogentin) or Diphenhydramine (25mg) for Dystonia
Extra-Pyramidal: Restlessness Correct Answer: Beta-Blocker for Akathisia
E.C.G. Finding of Haloperidol Toxicity Correct Answer: Long Q.T.
Drug Causing Vertical Nystagmus Correct Answer: Phencyclidine (PCP)
Controls Agitation Without Respiratory Depression (Negligible Anticholinergic Side Effects) Correct
Answer: Haloperidol (5mg IM q30); B-52 is Benadryl, 5 Milligrams of Haloperidol, and 2 Milligrams of
Lorazepam
Risk of Protracted Struggle in Restraints Correct Answer: Metabolic Acidosis
Risk of Flumazenil in Chronic Benzodiazepine User Correct Answer: Withdrawal Seizures
Altered Chronic Alcoholic, Non-Gap Metabolic Acidosis Correct Answer: Isopropyl Alcohol - iso gives
*iso* (equal) gap metabolic acidosis
Glucose and Magnesium Recommendations for Altered Alcoholic Correct Answer: 1. Thiamine Before
Glucose; and,
2. Give Magnesium Regardless of Magnesium Level (Low Stores).
Global Inability to Relate to Environment and Process Sensory Input (Increased Alertness and
Psychomotor Activity) Correct Answer: Delirium
Most Common Dementia Correct Answer: Alzheimer More Common Than Vascular Dementia
Management of Hypertension in Eclampsia (Seizure) Correct Answer: Magnesium; Consider Anti-
Hypertensive Medication for Diastolic Over 110 After Seizure Stops
Relationship Between Alcohol and Seizures Correct Answer: Direct Toxicity vs. Withdrawal vs. Head
Injury from Fall
Most Common Cause of Delirium in Elderly Correct Answer: Medications
Tooth Fracture of Enamel and Dentin, Yellowish Tinge, No Blood Correct Answer: Ellis 2 Dental Fracture
Requires Dental Consultation to Prevent Abscess Formation
Obvious Nasal Bone Deformity After Blunt Trauma, Bleeding Controlled by Pressure; No Bone
Tenderness, Cranial Nerves Intact; Swollen and Bruised Tender Septum Correct Answer: Incision and
Drainage of Septal Hematoma Followed by Nasal Packing
Eye Blunt Trauma, Pain, Double Vision from Upward Gaze Correct Answer: Entrapment of Inferior
Rectus from Inferior Orbital Wall Fracture
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