SAEM M4 E xam
Terms in this set (124)
A 2 year old child presents
with an overdose of her
mother 's iron containing
multivitamins. What antidot e
shoul d you consider for iron
toxicity ?
Answers:
1.Deferoxamine
2.Glucagon
3.Methyl ene bl ue
4.Pyrido xine1.Deferoxamine A 4-year old child sus tained
a large leg laceration while
riding his bike. A medical
student who was on his first
clinical rotation was told to
"numb up" the wound. The
patient became
sympt omatic soon after the
student gave the anes thetic.
Which of the following is
usual ly the earl iest sign of
lidocaine toxicity ?
Answers:
1.Nausea/ vomiting
2.Nystagmus
3.Lightheadedness and
dizziness
4.Tonic-clinic seizur es3.Lightheadedness and dizziness A 4 year old girl is brought
to the ED two hour s after
being s tung by a scorpion
while on a camping trip in
Arizona. She has perio ds of
agitation and r estlessness
alternating with calmness.
Her vital signs are: blood
pressur e 106/61, pul se 120,
respir atory rate 24,
temper ature 37.0C, and
oxygen sa turations of 99%
on room air. On phy sical
examina tion y ou not e
drooling, a disconjuga te
gaze, and occasional
jerking mo vements of the
extremities. Which of the
following is the mos t
correct regarding the
treatment of a scorpion
sting in this child?
Answers:
1.Treatment with antiv emon
is not indica ted becase
these s ympt oms will be
self-limiting.
2.Compl ications of
treatment with antiv enom
include delayed serum
sickness
3.Analgesics have a minimal
role in contr olling
sympt oms
4.The p atient shoul d be
intub ated because2.Compl ications of treatment with antiv enom incl ude
delayed serum sick ness respir atory failure is
expect ed
A 5 year old boy presents
with fever and sor e throat.
On phy sical exam, the child
has enlarged tonsil s with
exudates. Which of the
following is true?
Answers:
1.The etiol ogy of the
infection is mos t likely
bacterial
2.Viruses rarely cause
exudative phar yngitis
3.If the inf ection is bacterial,
the primar y role of
antibiotic therapy is to
prevent compl ications
4.Treatment of choice is
azithr omycin
5.Vaccina tion pr events
recurr ence3.If the inf ection is bacterial, the primar y role of
antibiotic therapy is to prevent compl ications
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