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SAEM BUNDLED Exams questions and verified correct answers 2023
SAEM Pulm exam questions and complete correct answers 2023 saem m4 curriculum 2 exam questions and 100% correct answers
[Montrer plus]SAEM Pulm exam questions and complete correct answers 2023 saem m4 curriculum 2 exam questions and 100% correct answers
[Montrer plus]Regarding the diagnosis of acute appendicitis, all the following are true EXCEPT: 
 A. Vital signs are usually abnormal, even early in the course of acute appendicitis. 
 B. Rebound is usually elicited only after the appendix has ruptured or infarcted. 
 C. Rovsing's sign is pain in the right lower...
Aperçu 4 sur 211 pages
Ajouter au panierRegarding the diagnosis of acute appendicitis, all the following are true EXCEPT: 
 A. Vital signs are usually abnormal, even early in the course of acute appendicitis. 
 B. Rebound is usually elicited only after the appendix has ruptured or infarcted. 
 C. Rovsing's sign is pain in the right lower...
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 Drain...
Aperçu 4 sur 32 pages
Ajouter au panierManagement 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 Drain...
preferred method of eval for renal calculi - correct answer helical CT--95% sensitive and specific 
 
management of diverticulitis vs diverticulosis - correct answer -osis = no acute findings of inflammation (bloody stool, fevers). Don't need abx. 
 
Treat -itis with bowel rest, analgesics, and ab...
Aperçu 1 sur 3 pages
Ajouter au panierpreferred method of eval for renal calculi - correct answer helical CT--95% sensitive and specific 
 
management of diverticulitis vs diverticulosis - correct answer -osis = no acute findings of inflammation (bloody stool, fevers). Don't need abx. 
 
Treat -itis with bowel rest, analgesics, and ab...
what is the obturator sign? what diagnosis is it associated with? - correct answer a/w appendicitis 
 
obturator sign = pain upon flexion and internal rotation of the hip#$/images/upload-flashcards/601487/854522_ 
 
what is Rovsing's sign? what diagnosis is it associated with? - correct answer a/w ...
Aperçu 3 sur 21 pages
Ajouter au panierwhat is the obturator sign? what diagnosis is it associated with? - correct answer a/w appendicitis 
 
obturator sign = pain upon flexion and internal rotation of the hip#$/images/upload-flashcards/601487/854522_ 
 
what is Rovsing's sign? what diagnosis is it associated with? - correct answer a/w ...
1. list ottawa ankle rules 
2. where should you also check on exam/be aware of? - correct answer 1. inability to walk 4 steps immediately & in ED + any of the following: 
- medial malleolus tenderness 
- lateral malleolus tenderness 
- navicular tenderensss 
- 5th metatarsal tendereness 
2. check fi...
Aperçu 3 sur 23 pages
Ajouter au panier1. list ottawa ankle rules 
2. where should you also check on exam/be aware of? - correct answer 1. inability to walk 4 steps immediately & in ED + any of the following: 
- medial malleolus tenderness 
- lateral malleolus tenderness 
- navicular tenderensss 
- 5th metatarsal tendereness 
2. check fi...
1 
An elderly female presents to the emergency department with vomiting and abdominal pain. She has a history of a cholecystectomy about 5 years ago. On exam, she is significantly uncomfortable and nauseated. Lung and cardiovascular exam is normal. Abdominal exam shows diffuse tenderness, some diste...
Aperçu 2 sur 8 pages
Ajouter au panier1 
An elderly female presents to the emergency department with vomiting and abdominal pain. She has a history of a cholecystectomy about 5 years ago. On exam, she is significantly uncomfortable and nauseated. Lung and cardiovascular exam is normal. Abdominal exam shows diffuse tenderness, some diste...
"The chest X-ray in the Figure was taken in an intoxicated patient who is conversant, but an unreliable historian. The X-ray findings are best described as indicating: 
[image] 
 A. Esophageal foreign body 
 B. Intratracheal foreign body 
 C. mediastinitis from esophageal perforation 
 D. normal ch...
Aperçu 3 sur 26 pages
Ajouter au panier"The chest X-ray in the Figure was taken in an intoxicated patient who is conversant, but an unreliable historian. The X-ray findings are best described as indicating: 
[image] 
 A. Esophageal foreign body 
 B. Intratracheal foreign body 
 C. mediastinitis from esophageal perforation 
 D. normal ch...
subungual hematoma 
drane using 18 guage needle and discharge home - correct answer diagnosis and management 
 
etomidate (Cardioprotective) - correct answer induction agent of choice when decreased myocardial contractility is a concern 
 
etomidate - correct answer induction agent known to cause tr...
Aperçu 4 sur 62 pages
Ajouter au paniersubungual hematoma 
drane using 18 guage needle and discharge home - correct answer diagnosis and management 
 
etomidate (Cardioprotective) - correct answer induction agent of choice when decreased myocardial contractility is a concern 
 
etomidate - correct answer induction agent known to cause tr...
Regarding the diagnosis of acute appendicitis, all the following are true EXCEPT: 
 A. Vital signs are usually abnormal, even early in the course of acute appendicitis. 
 B. Rebound is usually elicited only after the appendix has ruptured or infarcted. 
 C. Rovsing's sign is pain in the right lower...
Aperçu 4 sur 211 pages
Ajouter au panierRegarding the diagnosis of acute appendicitis, all the following are true EXCEPT: 
 A. Vital signs are usually abnormal, even early in the course of acute appendicitis. 
 B. Rebound is usually elicited only after the appendix has ruptured or infarcted. 
 C. Rovsing's sign is pain in the right lower...
What are the top 3 causes of morbidity/mortality in acute chest pain? - correct answer ACS 
pulmonary embolism 
aortic dissection 
 
What is the cardioversion and defibrillation joules? - correct answer cardioversion = 50-100 J 
defibrillation = 200 J 
 
What is the most common EKG finding in a pulm...
Aperçu 2 sur 8 pages
Ajouter au panierWhat are the top 3 causes of morbidity/mortality in acute chest pain? - correct answer ACS 
pulmonary embolism 
aortic dissection 
 
What is the cardioversion and defibrillation joules? - correct answer cardioversion = 50-100 J 
defibrillation = 200 J 
 
What is the most common EKG finding in a pulm...
A 32 year old male, intravenous heroin abuser, presents with a one-day history of mid-back pain, progressive weakness of his legs, and an inability to urinate. He has a temperature of 38.3° C (100.8° F). On exam, absent patellar deep tendon reflexes are noted, he cannot stand or walk, a distended ...
Aperçu 4 sur 61 pages
Ajouter au panierA 32 year old male, intravenous heroin abuser, presents with a one-day history of mid-back pain, progressive weakness of his legs, and an inability to urinate. He has a temperature of 38.3° C (100.8° F). On exam, absent patellar deep tendon reflexes are noted, he cannot stand or walk, a distended ...
An 18 year old hockey player is hit in the mouth with a puck, fracturing a maxillary canine tooth. He brings the severed piece of tooth with him. On physical exam, the tooth is fractured halfway between the tip and the gumline. The root of the tooth is still firmly intact. The exposed fracture site ...
Aperçu 3 sur 16 pages
Ajouter au panierAn 18 year old hockey player is hit in the mouth with a puck, fracturing a maxillary canine tooth. He brings the severed piece of tooth with him. On physical exam, the tooth is fractured halfway between the tip and the gumline. The root of the tooth is still firmly intact. The exposed fracture site ...
A false positive guaiac may be caused by the presence of ___ - correct answer Methylene blue 
 
GI pathogens that cause bloody diarrhea (4) - correct answer Campylobacter 
E Coli O157 
Yersinia 
Salmonella 
 
Clostridium perfringens - correct answer Gas gangrene 
Late onset non-bloody diarrhea (from...
Aperçu 3 sur 26 pages
Ajouter au panierA false positive guaiac may be caused by the presence of ___ - correct answer Methylene blue 
 
GI pathogens that cause bloody diarrhea (4) - correct answer Campylobacter 
E Coli O157 
Yersinia 
Salmonella 
 
Clostridium perfringens - correct answer Gas gangrene 
Late onset non-bloody diarrhea (from...
What is the MC of fatal anaphylaxis? - correct answer PCN 
 
For a patient who has suffered a severe anaphylactic reaction, which of the following medications would serve little purpose if prescribed upon discharge? - correct answer Albuterol 
 
Women who develop pre-eclempsia in their first pregnan...
Aperçu 1 sur 2 pages
Ajouter au panierWhat is the MC of fatal anaphylaxis? - correct answer PCN 
 
For a patient who has suffered a severe anaphylactic reaction, which of the following medications would serve little purpose if prescribed upon discharge? - correct answer Albuterol 
 
Women who develop pre-eclempsia in their first pregnan...
AEIOU TIPS (differential for AMS) - correct answer A Alcohol 
E Epilepsy, Electrolytes, and Encephalopathy 
I Insulin 
O Opiates and Oxygen 
U Uremia 
T Trauma and Temperature 
I Infection 
P Poisons and Psychogenic 
S Shock, Stroke, Subarachnoid Hemorrhage and Space-Occupying Lesion 
 
Delirium vs ...
Aperçu 2 sur 7 pages
Ajouter au panierAEIOU TIPS (differential for AMS) - correct answer A Alcohol 
E Epilepsy, Electrolytes, and Encephalopathy 
I Insulin 
O Opiates and Oxygen 
U Uremia 
T Trauma and Temperature 
I Infection 
P Poisons and Psychogenic 
S Shock, Stroke, Subarachnoid Hemorrhage and Space-Occupying Lesion 
 
Delirium vs ...
2x vendu
PID cause - correct answer originates as a cervical infection with Neisseria gonorrheaand/or Chlamydia trachomatis, and becomes polymicrobial as it ascends into the uterus, fallopian tubes and ovaries. 
 
3 sx PID - correct answer -lower abd pain 
-purulent vag d/c 
-vag bleed 
 
when getPID sx - co...
Aperçu 4 sur 41 pages
Ajouter au panierPID cause - correct answer originates as a cervical infection with Neisseria gonorrheaand/or Chlamydia trachomatis, and becomes polymicrobial as it ascends into the uterus, fallopian tubes and ovaries. 
 
3 sx PID - correct answer -lower abd pain 
-purulent vag d/c 
-vag bleed 
 
when getPID sx - co...
The joint fluid from a patient's knee arthrocentesis shows 75,000 WBC with 75% PMNs, no organisms, no crystals and a glucose of 35. What does the patient need next? 
Answers: 
iotics for septic joint and admission for operation 
 
iotics and discharge home 
 
tic pain medicine and discharge home 
 ...
Aperçu 2 sur 10 pages
Ajouter au panierThe joint fluid from a patient's knee arthrocentesis shows 75,000 WBC with 75% PMNs, no organisms, no crystals and a glucose of 35. What does the patient need next? 
Answers: 
iotics for septic joint and admission for operation 
 
iotics and discharge home 
 
tic pain medicine and discharge home 
 ...
What is the most common cause of fatal anaphylaxis? 
Answers: 
, including shellfish, nuts, and eggs 
 
t stings 
 
illin 
 
graphic contrast dye - correct answer illin 
 
For a patient who has suffered a severe anaphylactic reaction, which of the following medications would serve little purpose if ...
Aperçu 2 sur 10 pages
Ajouter au panierWhat is the most common cause of fatal anaphylaxis? 
Answers: 
, including shellfish, nuts, and eggs 
 
t stings 
 
illin 
 
graphic contrast dye - correct answer illin 
 
For a patient who has suffered a severe anaphylactic reaction, which of the following medications would serve little purpose if ...
A mother brings her 35 year old son to the emergency department because of tremor and mutism for the past three days. His mother found him in his room this morning lying stiffly in his bed, soiled with urine and feces. He appears confused and will not respond to questions. He was diagnosed with schi...
Aperçu 4 sur 49 pages
Ajouter au panierA mother brings her 35 year old son to the emergency department because of tremor and mutism for the past three days. His mother found him in his room this morning lying stiffly in his bed, soiled with urine and feces. He appears confused and will not respond to questions. He was diagnosed with schi...
A mother brings her 35 year old son to the emergency department because of tremor and mutism for the past three days. His mother found him in his room this morning lying stiffly in his bed, soiled with urine and feces. He appears confused and will not respond to questions. He was diagnosed with schi...
Aperçu 4 sur 84 pages
Ajouter au panierA mother brings her 35 year old son to the emergency department because of tremor and mutism for the past three days. His mother found him in his room this morning lying stiffly in his bed, soiled with urine and feces. He appears confused and will not respond to questions. He was diagnosed with schi...
MANSM for a pt with a dental fracture involving enamel & dentin (Ellis 2 dental fracture)? - correct answer immediate dental consult to avoid abscess formation 
 
Ellis classification of dental fractures & management - correct answer class 1: nonpainful; enamel only - await outpt dental eval 
 
clas...
Aperçu 2 sur 11 pages
Ajouter au panierMANSM for a pt with a dental fracture involving enamel & dentin (Ellis 2 dental fracture)? - correct answer immediate dental consult to avoid abscess formation 
 
Ellis classification of dental fractures & management - correct answer class 1: nonpainful; enamel only - await outpt dental eval 
 
clas...
Regarding the diagnosis of acute appendicitis, all the following are true EXCEPT: 
 A. Vital signs are usually abnormal, even early in the course of acute appendicitis. 
 
B. Rebound is usually elicited only after the appendix has ruptured or infarcted. 
 C. The psoas sign is pain upon extension of ...
Aperçu 2 sur 10 pages
Ajouter au panierRegarding the diagnosis of acute appendicitis, all the following are true EXCEPT: 
 A. Vital signs are usually abnormal, even early in the course of acute appendicitis. 
 
B. Rebound is usually elicited only after the appendix has ruptured or infarcted. 
 C. The psoas sign is pain upon extension of ...
Parents bring in their 13 year old girl two hours after she ingested a large amount of Acetaminophen in suicide attempt. She tearfully refuses to drink the activated charcoal. Which of the following is TRUE regarding your ability to administer the charcoal? 
 
1. A court injunction is needed to forc...
Aperçu 4 sur 123 pages
Ajouter au panierParents bring in their 13 year old girl two hours after she ingested a large amount of Acetaminophen in suicide attempt. She tearfully refuses to drink the activated charcoal. Which of the following is TRUE regarding your ability to administer the charcoal? 
 
1. A court injunction is needed to forc...
A thin 18 year old female complains of acute onset of sharp right-sided chest pain this morning. She has developed some mild shortness of breath during the morning and thought she should get it checked out. Her chest X-ray is shown in the Figure. The next course of action should be: 
[PICTURE OF LUN...
Aperçu 2 sur 12 pages
Ajouter au panierA thin 18 year old female complains of acute onset of sharp right-sided chest pain this morning. She has developed some mild shortness of breath during the morning and thought she should get it checked out. Her chest X-ray is shown in the Figure. The next course of action should be: 
[PICTURE OF LUN...
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