SAEM Quick Review Questions And Answers 100% Verified

SAEM Quick Review Questions And Answers 100% Verified Management of Large Subungual Hematoma - answerDrainage (18-Gauge) or Hot Micro- Cauterization Reason to Avoid Suction in Ear Foreign Body Removal - answerPerforation of Tympanic Membrane Management of Skin Abscess - answerLinear Incision for Non-Face vs. Needle Drainage for Face Catheter for Bartholin Cyst - answerWord Grading of Laryngeal Opening - answerCormack-Lehane Preferred Induction Agent in Reactive Airway Disease for Dilation Effects - answerKetamine Induction Agent Avoided in Sepsis Due To Adrenal Suppression - answerEtomidate Sudden-Onset Back Pain Worsened by Coughing Soon After Epidural Anesthesia - answerEpidural Hematoma Presentation of Adhesive Arachnoiditis - answerProgressive Neuropathy Tom, Dick, and Very Nervous Harry - answerAnterior to Posterior of Medial Ankle: Tibialis Posterior, Digitorum Longus, Vein, Nerve, Hallucis Longus Absolute Contra-Indication to Crico-Thyrotomy - answerAge Under 5 Anesthesia for Suturing Distal Right Index Finger in Patient with Underlying Vascular Disease - answerLidocaine (2%) Without Epinephrine Around Digital Nerve for Fingers, Toes, Penis, Nose Earliest Sign of Lidocaine Toxicity (Over 5 mg/kg) - answerLightheadedness (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). - answerPalm Glottis Spasm and Chest Wall Rigidity from Sedative (Rapid High Dose of IV Form) - answerFentanyl (Effects Not Always Reversed by Naloxone) Management of Long-Lasting L.P. Headache - answerAutologous Blood Patch Timing of Tetanus Prophylaxis - answerWithin First Few Days (Suture Within First 24 Hours) Normal C.S.F.-to-Blood Glucose Ratio - answer0.6 Size of Needle Decompression Needle - answer14 Gauge (2nd Intercostal at Midclavicular Line) Large Paronychia and Cellulitis - answerRemoval of Affected Nail Under Digital Block and Antiobiotics Signs of Acute Appendicitis - answer1. Rovsing: Right Lower from Left Lower. 2. Psoas: Extension. 3. Obturator: Rotation. Suggested by Abdominal Pain Preceding Nausea and Vomiting - answerSurgery (Small Bowel Obstruction) Peak of Gastric Acid Secretion at Rest - answer2 A.M. Timing of Presentation of Hypertrophic Pyloric Stenosis (Non-Bilious) vs. Intussusception (Bilious) - answer4 Weeks vs. 8 Months Over 95% Sensitive and Specific for Renal Calculi - answerHelical C.T. Intermittent Left Lower Quadrant Pain (Afebrile), Loose Stools (Non-Bloody); Good Follow-Up - answerDischarge on High-Fiber Diet (Consider Laxatives and Stool Softeners) Abdominal Wall Condition in Anti-Coagulated Patient with Trauma or Coughing - answerRectus Sheath Hematoma (1) Age 30. (2) Prior Abdominal Surgery or Pregnancy. (3) Marathons. - answerRisk Factors for Cecal Volvulus Possible Chest X-Ray Finding of Hepatic Abscess - answerRight-Sided Effusion and Elevated Hemi-Diaphragm Referred Pain from Ureteral Colic - answerInguinal (Ovarian Torsion Does Not Cause Sacral Pain) Elderly Patient, Diverticulitis Without Perforation (Peritonitis) - answerI.V. Fluids (Elderly), Anti-Biotics, and Bowel Rest Proximal vs. Distal Esophageal Perforation - answerIatrogenic vs. Spontaneous Lead Pipe Rigidity; Elevated Temperatures, Altered Mental Status, Choreo-Athetosis, Autonomic Dysfunction (Diaphoresis, Incontinence, Dysrhythmia) - answerDantrolene (Or Bromocriptine, Amantadine, Lorazepam) for Neuroleptic Malignant Syndrome Indicated by Temperature over 105 - answerNon-Infectious Extra-Pyramidal: Involuntary Periodic Movements of Tongue, Lips, or Mouth - answerTardive Dyskinesia Extra-Pyramidal: Torticollis, Fixed Upper Gaze (Oculogyric Crisis), or Arching of Back (Opisthotonus) - answerBenztropine (2mg Cogentin) or Diphenhydramine (25mg) for Dystonia Extra-Pyramidal: Restlessness - answerBeta-Blocker for Akathisia E.C.G. Finding of Haloperidol Toxicity - answerLong Q.T. Drug Causing Vertical Nystagmus - answerPhencyclidine (PCP) Controls Agitation Without Respiratory Depression (Negligible Anticholinergic Side Effects) - answerHaloperidol (5mg IM q30); B-52 is Benadryl, 5 Milligrams of Haloperidol, and 2 Milligrams of Lorazepam Risk of Protracted Struggle in Restraints - answerMetabolic Acidosis Risk of Flumazenil in Chronic Benzodiazepine User - answerWithdrawal Seizures Altered Chronic Alcoholic, Non-Gap Metabolic Acidosis - answerIsopropyl Alcohol - iso gives *iso* (equal) gap metabolic acidosis Glucose and Magnesium Recommendations for Altered Alcoholic - answer1. Thiamine Before Glucose; and, 2. Give Magnesium Regardless of Magnesium Level (Low Stores). Global Inability to Relate to Environment and Process Sensory Input (Increased Alertness and Psychomotor Activity) - answerDelirium Most Common Dementia - answerAlzheimer More Common Than Vascular Dementia Management of Hypertension in Eclampsia (Seizure) - answerMagnesium; Consider Anti- Hypertensive Medication for Diastolic Over 110 After Seizure Stops