ED SAEM Test Exam Questions With
100% Correct Answers
1.ilistiottawaiankleirules
2.iwhereishouldiyouialsoicheckioniexam/beiawareiof?i-iCorrectiAnswer-
1.iinabilityitoiwalki4istepsiimmediatelyi&iiniEDi+ianyiofitheifollowing:
-imedialimalleolusitenderness
-ilateralimalleolusitenderness
-inavicularitenderensss
-i5thimetatarsalitendereness
2.icheckifibulariheaditenderness-itwistingiinjuryi~ifibularifx
nameiSIRSicriteriai(4)
DescribeiCHESTistudyifindingsi-iCorrectiAnswer-1.iTempi<i36iori>38
2.iHRi>90
3.iRRi>20ioriPaCO2i<32
4.iWBCi4,000i>ixi>i12,000
CHESTistudyi(JAMA):ipreviousiSCCi(survivingisepsisicampaign)istudiesidi
dinotilookiatiwards;ifoundithatiSIRSiremindersididinotiaffectimortality
1.idefineisepsis
2.idefineisevereisepsis-icriteria?
,(SBP,iCr,ibili,iPLT,iINR,ilactate)
3.idefineisepticishocki-iCorrectiAnswer-
1.iptiwhoihasipotentialiinfectiousicauseiforiSIRSisyndrome
2.isepsis-inducediorganidysfunction.iCriteria:i
SBPi<90ioriMAPi<70ioriSBPidecreasei>40
Cri>2.0ioriurineioutputi<0.5ml/kg/hr
Bilii>2
PLTi<100,000
INRi>1.5ioriPTTi>60s
lactatei>2immol/L
3.ilowiBPidespiteifluidiadministration
1.iwhatilabiisitheiECGiofisepsis?
2.ilistiofilabsitoigetiforisepsis?
3.i3ihouribundleiforisepsis?
4.i6ihouribundle?i-iCorrectiAnswer-1.ilactatei
2.iCBC,iCMP,iPT/INR/PTT,ibloodiCxix2,iUA,iCXR
3.ilactateimeasurement,ibloodiCxitheniadministrationiofibroadispectru
miabx,iadmin.iofi30mL/kgiIVicrystalloidiforihypoTNiorilactatei>4
4.ivasopressorsiforigoaliMAPi>65,ireassessi&idocumentivolume,irepeatil
actateiifiinitiallyi>4
nameitheiAEIOUTIPSiofiAMSi-iCorrectiAnswer-Ai=ialcohol
,Ei=iepilepsy,ielectrolytes,iencephalopathy
Ii=iinsulin
Oi=iopiatesi&ioxygeni
Ui=iuremia
Ti=itraumai&itemp
Ii=iinfection
Pi=ipoisoni&ipsychogenic
Si=ishock,istroke,isubarachnoidihemorrhage,ispace-occupyingilesion
1.iMCicauseiofiasthmaiexacerbation?
2.iQsitoiaskiptiwhenitheyicomeiin?
3.imainstayiofitherapy?i(1stiline)
4.iifimod/severe,igiveiwhat?
5.iifiseverei&inotiimprovingiwithialbuterol,iuseiwhat?i(4ithings)
6.icriteriaiforiICUiadmission?i-iCorrectiAnswer-1.iURI
2.ipreviousiepisodes,iprioriEDivisits,ihospitalizationsioriICUiadmissions,is
teroidiuse,ipastiintubationsi
3.ialbuterolinebulizericontinuousi6-
8L/minioriviainasalicannula,iplaceionicardiacimonitor/continuousipulsei
oximetryiwithigoaliSpO2i>92%i
4.ioral/IVisteroidsi
5.iIMi>iSQiepinephrinei0.2mgioriterbutalinei0.25img.iAlsoiipratropiumi(a
nticholinergic)icombinediwialbuteroli=iDuonebs.iLastiline:iMgSO4
, 6.i<90%iSpO2,iFEV1i<i40%
1.ihowiisidosingiofidrugsiadministerediendotracheally?iwhichidrugs?
2.iwhenidoiyouithinkiofiH'siandiT's?
3.ithingsitoiorderiduringiACLS?
4.isuccessfuliresuscitationidependentioniwhat?iJoulesionibiphasici&imo
nophasic?
5.idosesiofiEpi,ivasopressin,iamiodarone?i-iCorrectiAnswer-1.i2-
2.5xitheiIViroute.iDrugs:iNAVEL-
inaloxone,iatropine,ivasopressin,iEpi,iLicocainei
2.iduringiPEA/asystolei
3.iEKG,iABG,iserumielectrolytes,iCXR,iUS
4.irapididefibrillation.ibiphasic:i200.iMonophasic:i360
5.iEpii1mgi(1:10,000),ivasoi40U,iamiodaronei300mgi>150mg
1.iwhatiisitheileadingicauseiofisystoliciHF?
2.iTxiforiCHFiexacerbation?
3.iprognosisiatiDx?i-iCorrectiAnswer-1.imyocardialiinfarctioni
2.initratesiarei1stiline.iIFifluidioverloaded,ithenilasix.iIfiinicardiogenicisho
ck,ilevophed.i
3.i5iyears
1.iclassicitriadiofirupturediAAA
100% Correct Answers
1.ilistiottawaiankleirules
2.iwhereishouldiyouialsoicheckioniexam/beiawareiof?i-iCorrectiAnswer-
1.iinabilityitoiwalki4istepsiimmediatelyi&iiniEDi+ianyiofitheifollowing:
-imedialimalleolusitenderness
-ilateralimalleolusitenderness
-inavicularitenderensss
-i5thimetatarsalitendereness
2.icheckifibulariheaditenderness-itwistingiinjuryi~ifibularifx
nameiSIRSicriteriai(4)
DescribeiCHESTistudyifindingsi-iCorrectiAnswer-1.iTempi<i36iori>38
2.iHRi>90
3.iRRi>20ioriPaCO2i<32
4.iWBCi4,000i>ixi>i12,000
CHESTistudyi(JAMA):ipreviousiSCCi(survivingisepsisicampaign)istudiesidi
dinotilookiatiwards;ifoundithatiSIRSiremindersididinotiaffectimortality
1.idefineisepsis
2.idefineisevereisepsis-icriteria?
,(SBP,iCr,ibili,iPLT,iINR,ilactate)
3.idefineisepticishocki-iCorrectiAnswer-
1.iptiwhoihasipotentialiinfectiousicauseiforiSIRSisyndrome
2.isepsis-inducediorganidysfunction.iCriteria:i
SBPi<90ioriMAPi<70ioriSBPidecreasei>40
Cri>2.0ioriurineioutputi<0.5ml/kg/hr
Bilii>2
PLTi<100,000
INRi>1.5ioriPTTi>60s
lactatei>2immol/L
3.ilowiBPidespiteifluidiadministration
1.iwhatilabiisitheiECGiofisepsis?
2.ilistiofilabsitoigetiforisepsis?
3.i3ihouribundleiforisepsis?
4.i6ihouribundle?i-iCorrectiAnswer-1.ilactatei
2.iCBC,iCMP,iPT/INR/PTT,ibloodiCxix2,iUA,iCXR
3.ilactateimeasurement,ibloodiCxitheniadministrationiofibroadispectru
miabx,iadmin.iofi30mL/kgiIVicrystalloidiforihypoTNiorilactatei>4
4.ivasopressorsiforigoaliMAPi>65,ireassessi&idocumentivolume,irepeatil
actateiifiinitiallyi>4
nameitheiAEIOUTIPSiofiAMSi-iCorrectiAnswer-Ai=ialcohol
,Ei=iepilepsy,ielectrolytes,iencephalopathy
Ii=iinsulin
Oi=iopiatesi&ioxygeni
Ui=iuremia
Ti=itraumai&itemp
Ii=iinfection
Pi=ipoisoni&ipsychogenic
Si=ishock,istroke,isubarachnoidihemorrhage,ispace-occupyingilesion
1.iMCicauseiofiasthmaiexacerbation?
2.iQsitoiaskiptiwhenitheyicomeiin?
3.imainstayiofitherapy?i(1stiline)
4.iifimod/severe,igiveiwhat?
5.iifiseverei&inotiimprovingiwithialbuterol,iuseiwhat?i(4ithings)
6.icriteriaiforiICUiadmission?i-iCorrectiAnswer-1.iURI
2.ipreviousiepisodes,iprioriEDivisits,ihospitalizationsioriICUiadmissions,is
teroidiuse,ipastiintubationsi
3.ialbuterolinebulizericontinuousi6-
8L/minioriviainasalicannula,iplaceionicardiacimonitor/continuousipulsei
oximetryiwithigoaliSpO2i>92%i
4.ioral/IVisteroidsi
5.iIMi>iSQiepinephrinei0.2mgioriterbutalinei0.25img.iAlsoiipratropiumi(a
nticholinergic)icombinediwialbuteroli=iDuonebs.iLastiline:iMgSO4
, 6.i<90%iSpO2,iFEV1i<i40%
1.ihowiisidosingiofidrugsiadministerediendotracheally?iwhichidrugs?
2.iwhenidoiyouithinkiofiH'siandiT's?
3.ithingsitoiorderiduringiACLS?
4.isuccessfuliresuscitationidependentioniwhat?iJoulesionibiphasici&imo
nophasic?
5.idosesiofiEpi,ivasopressin,iamiodarone?i-iCorrectiAnswer-1.i2-
2.5xitheiIViroute.iDrugs:iNAVEL-
inaloxone,iatropine,ivasopressin,iEpi,iLicocainei
2.iduringiPEA/asystolei
3.iEKG,iABG,iserumielectrolytes,iCXR,iUS
4.irapididefibrillation.ibiphasic:i200.iMonophasic:i360
5.iEpii1mgi(1:10,000),ivasoi40U,iamiodaronei300mgi>150mg
1.iwhatiisitheileadingicauseiofisystoliciHF?
2.iTxiforiCHFiexacerbation?
3.iprognosisiatiDx?i-iCorrectiAnswer-1.imyocardialiinfarctioni
2.initratesiarei1stiline.iIFifluidioverloaded,ithenilasix.iIfiinicardiogenicisho
ck,ilevophed.i
3.i5iyears
1.iclassicitriadiofirupturediAAA
