Exam (elaborations)
SAEM Set /Questions And Answers (A+)
- Course
- Institution
SAEM Set /Questions And Answers (A+)
[Show more]
Seller
Follow
HELLENAH
Reviews received
Content preview
SAEM Set 1 2023-2024 /Questions And Answers(A+)
Quiz :"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 chest" - √Answer :"A. Esophageal foreign body
The answer is A. The film reveals a classic appearance of a round foreign body
(in this case, a pull-top from a beer can) in the esophagus. The foreign body
appears to lie outside the tracheal shadow. There is no sign of mediastinal air
(which would be expected with penetrating trauma). The X-ray reveals no signs
of mediastinitis, but the risk of esophageal perforation and ultimate
mediastinitis prompts endoscopic intervention in this patient."
Quiz :"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 has a
yellowish tinge without blood. Of the following choices, which is the most
appropriate management for this patient?
A. No specific treatment required
B. Application of calcium hydroxide, placement of aluminum foil, and dental
follow-up
C. Placement of tooth fragment in saline gauze, outpatient dental follow-up
D. Immediate dental consult to avoid abscess formation
E. Replace fractured piece and place acrylic splint" - √Answer :"D. Immediate
dental consult to avoid abscess formation
The answer is D. Ellis II dental fracture involves enamel and dentin. The
fracture site typically has a yellowish tinge. Ellis III dental fractures are
characterized by exposure of pinkish pulp and often blood. These fractures
require immediate dental consultation to prevent abscess formation."
Quiz :"A 22 year old man is punched in the nose during a fight. He presents to
the emergency department with obvious nasal bone deformity. Pressure controls
the bleeding. Physical exam reveals no maxillary bone or orbital rim tenderness,
intact vision and extraocular movement. The oropharynx and mandible are
,unremarkable. Nasal inspection reveals a swollen, ecchymotic, tender nasal
septum. Which of the following is the most appropriate initial step?
A. Outpatient follow-up with an ENT specialist to surgically correct a deviated
septum
B. Plastic surgery consult for immediate reduction of nasal fracture
C. Facial CT scan to rule out more serious facial fractures
D. Incision and drainage of the septal hematoma followed by nasal packing
E. Needle aspiration of the septal hematoma" - √Answer :"D. Incision and
drainage of the septal hematoma followed by nasal packing"
Quiz :"A 24 year old woman is playing racquetball and sustains a direct blow
from the ball to the right eye. She presents to the emergency department
complaining of eye pain and double vision. On exam, her right eye does not
track properly with upward gaze. This finding suggests which of the following
injuries?
A. Inferior orbital wall fracture
B. Superior orbital rim fracture
C. Ethmoid fracture
D. Zygomatic arch fracture
E. Inferior orbital rim fracture" - √Answer :"A. Inferior orbital wall fracture
The answer is A. The patient most likely has an orbital floor fracture with
entrapment."
Quiz :"A 32 year old man is struck several times in the head with a baseball bat.
Upon emergency medical service arrival, he is mildly confused, vomits once,
and complains of a severe headache. The emergency medical technicians
establish two large-bore IVs. Prior to arrival at the emergency department, he
loses consciousness and begins to seize. He is actively seizing when he is
brought into the trauma bay. What should be the first step in the management of
this patient?
A. Administration of phenytoin 1000mg IV
B. Administration of mannitol 50 g IV
C. Rapid sequence intubation using paralytic agent
D. Emergency craniotomy
E. Administration of 2 liters NS bolus" - √Answer :"C. Rapid sequence
intubation using paralytic agent
The answer is C. The airway should be managed as the first priority in this
patient. The other maneuvers may be helpful but are secondary to securing an
airway and providing oxygenation/ventilation. Airway comes first!"
, Quiz :"A 46 year old man is brought in by EMS after a motor vehicle collision
in which he was an unrestrained driver. Although he has no obvious injury to
his head or neck, he complains of chest pain and appears very short of breath.
His vital signs are: T 99.2 F, BP 85/57, HR 123, RR 36, SpO2 95% on non-
rebreather. The CXR demonstrates a
tension pneumothorax. Of the following, which is the most appropriate next
step in this man's care?
A. Placement of a chest tube followed by a chest xray to determine proper
placement
B. Transfusion of 2 units of O-negative packed red blood cells
C. Performance of a chest CT scan to further delineate the pathology
D. Placement of a needle decompression device, followed by repeat CXR" -
√Answer :"D. Placement of a needle decompression device, followed by repeat
CXR
This patient needs emergent chest decompression and this is rapidly done by
needle thoracostomy. A chest CT may be performed, but only once he is
stabilized. A formal chest tube will be placed, but placement may not be rapid
enough and he may decompensate in the meantime. Transfusion of blood does
nothing to correct the physiology of a tension pneumothorax"
Quiz :"The most sensitive bedside test for nerve injury in a finger after trauma
is:
A. light touch
B. O'Riain wrinkle test
C. pain
D. temperature sensation
E. two-point discrimination" - √Answer :"E. two-point discrimination
The correct answer is E. Light touch is a good screening test, but two-point
discrimination is more sensitive and should be used routinely in evaluating
injuries to digits. The O'Riain wrinkle test involves placing the digit in warm
water and looking for wrinkling of the digital pulps. Presence of wrinkling
indicates the nerve is intact."
Quiz :"Which is not part of the Ottawa ankle rules?
A. inability to walk 4 steps at the time of the injury
B. inability to walk 4 steps in the emergency department
C. tenderness over the lateral malleolus
D. tenderness over the medial malleolus
E. tenderness over the talus" - √Answer :"E. tenderness over the talus
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller HELLENAH. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
77764 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now