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saem test missed Questions With Correct Answers
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10/22/24, 10:26 AMsaem test missed Questions With Correct Answers
Terms in this set (20)
1 B
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 distention with
tympany, and an empty rectal vault. Vital
signs are:
HR 102 BP 145/86 RR 24 SpO2 96% RA
Temp 99.9F
You order an acute abdominal series, which
is read by the radiologist as "nonspecific
bowel gas pattern, no perforation." What is
your management plan?
A. IV fluids, pain medication, consult
vascular surgery for serial exams
B. IV fluids, pain medication, CT abdomen
C. IV fluids, pain medication, consult
vascular surgery
D. IV fluids, pain medication, discharge if
improved
1/9
, 10/22/24, 10:26 AM
A 70 year old female presents to the B
Emergency Department with 3 days of
intermittent right-sided abdominal pain.
The patient has had associated symptoms
of nausea and vomiting. On physical
examination, the patient is exquisitely
tender in the right side of the abdomen
with mild distension. Xray films of the
abdomen show pneumobilia and multiple
air-fluid levels. What of the following is the
most likely diagnosis?
A. Ascending cholangitis
B. Gallstone ileus
C. Cecal volvulus
D. Acalculous cholecystitis
A 38 year old man with sudden severe C
central abdominal pain for the last hour
presents to the ED. He is ill appearing,
febrile and has a rigid board-like abdomen.
A bedside ultrasound reveals no fluid
collections or aneurysm and a plain upright
portable chest xray reveals no
pneumoperitoneum. Your surgical
consultant wants to take the patient for a
laparotomy. What percentage of patients
have no pneumoperitoneum who go to the
operating room with this entity:
A. 10%
B. 25%
C. 50%
D. 75%
2/9
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