SAEM Quick Review Qestions And Correct Answers

SAEM Quick Review Management of Large Subungual Hematoma - Answer-Drainage (18-Gauge) or Hot Micro-Cauterization Reason to Avoid Suction in Ear Foreign Body Removal - Answer-Perforation of Tympanic Membrane Management of Skin Abscess - Answer-Linear Incision for Non-Face vs. Needle Drainage for Face Catheter for Bartholin Cyst - Answer-Word Grading of Laryngeal Opening - Answer-Cormack-Lehane Preferred Induction Agent in Reactive Airway Disease for Dilation Effects - Answer-Ketamine Induction Agent Avoided in Sepsis Due To Adrenal Suppression - Answer-Etomidate Sudden-Onset Back Pain Worsened by Coughing Soon After Epidural Anesthesia - Answer-Epidural Hematoma Presentation of Adhesive Arachnoiditis - Answer-Progressive Neuropathy Tom, Dick, and Very Nervous Harry - Answer-Anterior to Posterior of Medial Ankle: Tibialis Posterior, Digitorum Longus, Vein, Nerve, Hallucis Longus Absolute Contra-Indication to Crico-Thyrotomy - Answer-Age Under 5 Anesthesia for Suturing Distal Right Index Finger in Patient with Underlying Vascular Disease - Answer-Lidocaine (2%) Without Epinephrine Around Digital Nerve for Fingers, Toes, Penis, Nose Earliest Sign of Lidocaine Toxicity (Over 5 mg/kg) - Answer-Lightheadedness (Also Peri-Oral Numbness, Tinnitus, Visual and Auditory Disturbances, Shivering, Twitching, and Generalized Tonic-Clonic Seizures) (1) Avoid Vertical Mattress Sutures. (2) Avoid Topical Skin Adhesives (Risk of Dehiscence from Sweating). - Answer-Palm Glottis Spasm and Chest Wall Rigidity from Sedative (Rapid High Dose of IV Form) - Answer-Fentanyl (Effects Not Always Reversed by Naloxone) Management of Long-Lasting L.P. Headache - Answer-Autologous Blood Patch Timing of Tetanus Prophylaxis - Answer-Within First Few Days (Suture Within First 24 Hours) Normal C.S.F.-to-Blood Glucose Ratio - Answer-0.6 Size of Needle Decompression Needle - Answer-14 Gauge (2nd Intercostal at Midclavicular Line) Large Paronychia and Cellulitis - Answer-Removal of Affected Nail Under Digital Block and Antiobiotics Signs of Acute Appendicitis - Answer-1. Rovsing: Right Lower from Left Lower. 2. Psoas: Extension. 3. Obturator: Rotation. Suggested by Abdominal Pain Preceding Nausea and Vomiting - Answer-Sur