Exam (elaborations)
CRAM SAEM Test 2 Exam with 100% Correct Answers | Latest Version (2024/2025) Expert Verified
- Course
- Institution
CRAM SAEM Test 2 Exam with 100% Correct Answers | Latest Version (2024/2025) Expert Verified
[Show more]
Content preview
CRAM SAEM Test 2 Exam with 100% CorrectAnswers | Latest Version (2024/2025) Expert
Verified
whatiisitheiobturatorisign?iwhatidiagnosisiisiitiassociatediwith?i-
iCorrectiAnswer-a/wiappendicitis
obturatorisigni=ipainiuponiflexioniandiinternalirotationiofitheihip#$/ima
ges/upload-flashcards/601487/854522_m.jpg
whatiisiRovsing'sisign?iwhatidiagnosisiisiitiassociatediwith?i-
iCorrectiAnswer-a/wiappendicitis
Rovsing'sisign=ipainiinitheiRLQiuponipalpationiofitheiLLQ#$/images/upl
oad-flashcards/601487/854525_m.jpg
Earlyiinitheicourseiofiacuteiappendicitis,iareivitalisignsiusuallyiabnormal
?i-iCorrectiAnswer-noi-
iearlyiiniitsicourse,ivitalisignsiincludingitemperatureimayibeinormal.iOnc
eiperforationihasioccurred,itheirateiofilow-
gradeifeveri(<38iC)iincreasesitoiabouti40%.
whatiisitheipsoasisign?iwhatidiagnosisiisiitiassociatediwith?i-
iCorrectiAnswer-a/wiappendicitis
,psoasisigni=ipainiuponiextensioniofitheihip.#$/images/upload-
flashcards/601487/854528_m.jpg
explainiwhatireboundiinitheisettingiofiacuteiappendicitisimeansi-
iCorrectiAnswer-
Reboundiisiusuallyielicitedionlyiafteritheiappendixihasirupturedioriinfarc
ted.
Iniestablishingiaidifferentialidiagnosisiofiabdominalipain,itheionsetiofiPA
INiprioritoitheioccurrenceiofiN/Viisimoreioftenisuggestiveiofi-
iCorrectiAnswer-
surgicalietiologyiofitheipain,isuchiasismalliboweliobstruction
whatibugishouldiyouithinkiofiinipatientsiwithisickleicellianemiaiwhoipres
entiwithiabdominalipainiandidiarrhea?i-iCorrectiAnswer-
salmonellai(notishigellosis)
Radiationiofipainitoitheiscapulaiisisuggestiveiofi-iCorrectiAnswer-
acuteicholeycystitisi(NOTihepatitis)
Diverticulitisipainiisigenerallyilocatedi-iCorrectiAnswer-initheiLLQ
Describeitheipainipatternsia/wiwithipepticiulceridiseasei(PUD)i-
iCorrectiAnswer-painithatiisiworseiprecedingiaimeal
,non-radiating,iburningiepigastricipain
painithatiawakensiaipatientiinitheimiddleiofitheinight
reliefiofiabdominalipainiwithiantacids
note:iunrelentingipainioveriaiperiodiofiweeksishouldisuggestianialternat
iveidiagnosis
Ai78iyearioldifemaleipresentsitoitheiE.D.iwithiaisensationiofiLLQiabdomi
nalipain,iaccompaniedibyisomeiirregularibowelimovementsiandilossiofia
ppetite.iHeriabdominaliCTi(twoiimages)iisishowniinitheiFigure.iWhatiisith
eimostilikelyidiagnosis?i-iCorrectiAnswer-/images/upload-
flashcards/601487/854531_m.jpg#$Aipatientiwithithisigeneralipictureii
simostilikelyitoihaveidiverticulitis,iwhichiisirevealedionitheiCTiscaniasidiv
erticularidiseaseiwithiinflammationi(wallithickeningiandistranding).#$/i
mages/upload-flashcards/601487/854534_m.jpg
Aimotheribringsiheri6iweekioldiboyitoitheiemergencyiroom.iSheistatesith
eibabyihasibeenivomitingieverythingishe'sitrieditoifeedihimiforitheipasti1
2ihours.iSheistatesithatiheiusuallyieatsireadilyiandicompletesianientireife
eding,ibutiheiisiunableitoikeepianythingidown.iTheiemesisiisinon-
bloodyiandinon-
bilious,ihoweveriitiisiprojectileiininature.iWhatiisitheimostilikelyiconditio
niinithisipatient?i-iCorrectiAnswer-pyloricistenosis
, TheiansweriisiC.iHypertrophicipyloricistenosisitypicallyipresentsiinitheise
conditoisixthiweekiofilifeiandiisifouritimesimoreicommoniinimalesithanife
males.iInfantsiwithihypertrophicipyloricistenosisitypicallyiareivigorousie
atersibutishortlyiafterwardiregurgitateitheientireifeedingicontentsiiniaip
rojectileifashion.iTheiemesisiisinon-
bilious.iTheiclassicifindingioniexamiisiani"olive"ipalpableiinitheiabdomen
,iandidiagnosisiisitypicallyiviaiultrasound.iIntussusceptionitypicallyiprese
ntsibetweenitheiagesiofi5iandi12imonths.iGastroenteritisiisicharacterize
dibyidiarrheaiasiwelliasivomiting.iNeithericonstipationinoriappendicitisit
ypicallyipresentiwithiprotractedivomiting,ithoughitheilattericonditionite
ndsitoipresentiatypicallyiiniyoungichildreni(andielderlyiadults).
46yoiFic/oiabruptionsetiofiintermittentisevereipainiiniLiflanki&iabdomeni
thatiwokeiherifromisleep.iSheiisipacingi&iappearsiextremelyiuncomforta
ble.iSheihasineveriexperiencedithisitypeiofipainipreviouslyiandideniesife
versioriotherisymptoms.iRenalicalculusiisisuspected.iSomeiquestionsi-i
Whatiisitheibestidiagnosticitesti(KUB,iIVP,iHelicaliCT,iU/S)?
HowihelpfuliisiaiUrinalysis?i-iCorrectiAnswer-
HelicaliCTiscaniisigreaterithani95%isensitiveiandispecificiforirenalicalculi
HelicaliCTiscanihasibeenishownitoibeibothihighlyisensitiveiandispecificiini
theidiagnosisiofirenalicalculi.iItiisitheipreferredimodalityiforievaluationii
nimanyicenters.iAlthoughiurinalysisitypicallyidemonstratesihematuriaii
nipatientsiwithirenalicalculi,ihematuriaiisinotispecificienoughitoiconfirmi
theidiagnosis,iandiimagingiisiwarrantediiniallifirst-
timeipresenters.iKUBidetectsiapproximatelyi60-
70%ioficalculii(thoughistudiesiaddressingithisiissueiareisomewhatimetho
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 professoraxel. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
62890 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now
