SAEM Practice 2024 questions and
answers
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....
Dangerous sequelae of esophageal foreign body✔✔erosion, perforation,
mediastinitis, esophagus-trachea or esophagus-vasculature fistula formation,
stricture formation, diverticula formation, tracheal compression.
Treatment of acute dystonia✔✔1-2mg IM or IV benztropine + 25-50mg benadryl
bad sequelae of physical restraints✔✔bruises, abrasions, pressure sores, rhabdo,
circulatory obstruction.
positional asphyxia can arise when patients are placed into the prone or hobbled
position.
protracted struggle against restraints can promote significant metabolic acidosis that
has been associated with CV collapse. these pts should be chemically restrained as
well.
recommended med regimen for the combative pt✔✔5mg haldol with 2mg lorazepam
repeated every 30 minutes as needed. half doses in elderly
metabolic abnormalities that can cause confusion✔✔hypo/hypernatremia,
hypercalcemia, hypoglycemia
When to do ER thoracotomy✔✔Best done for pts with penetrating trauma who are
pulseless and unconscious with detectable BP
NOT for blunt trauma or pts with nl-ish bp
old pt falls and has external hip rotation--what did they break?✔✔femoral neck fx
old pt falls and has internal hip rotation--what did they injure?✔✔dislocated hip
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