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SAEM EXAM QUESTIONS ACTUAL EXAM 400 REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES $14.49   Add to cart

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SAEM EXAM QUESTIONS ACTUAL EXAM 400 REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES

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  • 2024/2025
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TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD OWNER: EMILLYCHARLOTTE COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED FIRST PUBLISHED: SEPTEMBER 2024 The answer is B. This patient has classic diverticulosis (saclike protrusions of colonic mucosa through the muscularis) witho...

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  • September 18, 2024
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  • 2024/2025
  • 2024/2025
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EmillyCharlotte
TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024


SAEM EXAM QUESTIONS 2024-2025 ACTUAL EXAM 400
REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES

"Regarding the diagnosis of acute appendicitis, all the following are true EXCEPT:

A. Vital signs are usually abnormal, even early in the course of acute appendicitis.

B. Rebound is usually elicited only after the appendix has ruptured or infarcted.

C. Rovsing's sign is pain in the right lower quadrant upon palpation of the left lower

quadrant.

D. The obturator sign is pain upon flexion and internal rotation of the hip.

E. The psoas sign is pain upon extension of the hip." - Answer✔️✔️-"A. Vital signs are

usually abnormal, even early in the course of acute appendicitis.



The answer is A. The presentation of acute appendicitis varies tremendously. Early in

its course, vital signs including temperature may be normal. Once perforation has

occurred, the rate of low-grade fever (<38 C) increases to about 40%. Other variations

in presentation include pain in the right upper quadrant, typically from a retrocecal or

retroiliac appendix."

"Rosving's sign is described as:

A. Tenderness in the right upper quadrant that is worse with inspiration.

B. Pelvic pain upon flexion of the thigh while the patient is supine.

C. Pelvic pain upon internal and external rotation of the thigh with the knee flexed.

,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
D. Pain that increases with the release of pressure of palpation.

E. Pain in the right lower quadrant when left lower quadrant is palpated." - Answer✔️✔️-

"E. Pain in the right lower quadrant when left lower quadrant is palpated.



The answer is E. Rosving's sign is pain in the right lower quadrant when the left lower

quadrant is palpated. Rebound tenderness occurs with the release of pressure. The

iliopsoas sign is pain associated with thigh flexion. The obturator sign is pain that occurs

with thigh rotation. All of these signs are associated with appendicitis. Murphy's sign is

cessation of inspiration during palpation of the right upper quadrant and is associated

with acute cholecystitis."

"In establishing a differential diagnosis of abdominal pain, which of the following is true?

A. Radiation of pain to the scapula is suggestive of acute hepatitis.

B. Cervical motion tenderness is a useful physical finding for differentiating women with

or without acute appendicitis.

C. In patients with sickle cell anemia who present with abdominal pain and diarrhea,

shigellosis should be a top consideration.

D. The onset of pain prior to the occurrence of nausea and vomiting is more often

suggestive of a surgical etiology.

E. Diverticulitis tends to cause pain in the right upper quadrant." - Answer✔️✔️-"D. The

onset of pain prior to the occurrence of nausea and vomiting is more often suggestive of

a surgical etiology.

,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
The answer is D. Pain prior to nausea and vomiting is often suggestive of a surgical

etiology of the pain, such as small bowel obstruction. Cervical motion tenderness has

been noted in up to 25% of women with acute appendicitis. Patients with sickle cell

anemia are prone to Salmonella infections. Radiation of pain to the scapula is

classically present in acute choleycystitis. Diverticulitis pain is generally located in the

left lower quadrant."

"Of the following pain patterns, which is the least likely associated with diagnosis of

peptic ulcer disease?

A. non-radiating, burning epigastric pain

B. pain that awakens a patient in the middle of the night

C. unrelenting pain over a period of weeks

D. relief of abdominal pain with antacids

E. pain that is worse preceding a meal" - Answer✔️✔️-"C. unrelenting pain over a period

of weeks



The answer is C. Pain from peptic ulcer disease typically occurs in periods of

exacerbation and remission. Unrelenting pain over weeks or months should suggest an

alternative diagnosis. Pain is classically described as non-radiating, burning epigastric

pain. Some patients may also complain of chest or back pain. Pain is frequently severe

enough to awaken patients from sleep in early morning hours but is often not present

upon waking in the morning, as gastric acid secretion peaks around 2 a.m. and nadirs

upon awakening."

, TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
"A 78 year old female presents to the E.D. with a sensation of left-lower quadrant

abdominal pain, accompanied by some irregular bowel movements and loss of appetite.

Her abdominal CT (two images) is shown in the Figure. What is the most likely

diagnosis?



A. ovarian cyst

B. volvulus

C. appendicitis

D. diverticulitis

E. gastroenteritis" - Answer✔️✔️-The answer is D. A patient with this general picture is

most likely to have diverticulitis, which is revealed on the CT scan as diverticular

disease with inflammation (wall thickening and stranding).

"A mother brings her 6 week old boy to the emergency room. She states the baby has

been vomiting everything she's tried to feed him for the past 12 hours. She states that

he usually eats readily and completes an entire feeding, but he is unable to keep

anything down. The emesis is non-bloody and non-bilious, however it is projectile in

nature. What is the most likely condition in this patient?

A. viral gastroenteritis

B. constipation

C. appendicitis

D. intussusception

E. pyloric stenosis" - Answer✔️✔️-"E. pyloric stenosis

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