Exam (elaborations)

SAEM Questions And Answers 100% Verified 2024.

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Uploaded on October 10, 2024
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saem questions and answers 100 verified 2024

Institution SAEM
Course SAEM

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SAEM Questions And Answers 100%
Verified 2024.

A false positive guaiac may be caused by the presence of ___ - correct answer.
Methylene blue

GI pathogens that cause bloody diarrhea (4) - correct answer. Campylobacter
E Coli O157
Yersinia
Salmonella

Clostridium perfringens - correct answer. Gas gangrene
Late onset non-bloody diarrhea (from spores in dirt)

Yersinia enterocolitica - correct answer. Usually transmitted from pet feces (e.g.,
puppies), contaminated milk, or pork. Outbreaks are common in day-care centers.

Sx can mimic Crohn's or appendicitis - bloody diarrhea, vomiting, cramping RLQ

Campylobacter jejuni - correct answer. #1 cause of watery or bloody diarrhea in US
Usually from travel, PPI, undercooked meat, dairy

Fever, abdominal cramp, bloody diarrhea
Similar to EIEC infection

E coli - correct answer. ETEC: watery diarrhea
EHEC (O157): bloody diarrhea without fever
EIEC: watery > bloody diarrhea

,Bloody diarrhea with thumb-print sign - correct answer. Any sign of bowel ischemia
(ischemic bowel >> IBD, volvulus, diverticulitis)

#1 cause of upper and lower GI bleed in adults - correct answer. Upper: PUD
Lower: diverticulosis

Majority of diverticulosis bleeding is from __ colon - correct answer. R side

Indication for surgical removal of ingested foreign body - correct answer. Object hasn't
moved distally in 24 hour observation
Symptomatic
Sharp object or batteries

CXR findings in aspiration of object - correct answer. Hyperinflated opposite lung
Atelectasis of affected lung

A 22 year old running back is struck from behind by a 300-pound lineman. The blow
occurs below the knee as his foot is firmly planted and two other lineman are holding his
upper body. He presents to the emergency department with gross anterior dislocation of
the tibia on the femur. His foot is cool and palee, and dorsalis pedis and posterior tibial
pulses are not detected by Doppler ultrasound. What is the most appropriate
management for this patient? - correct answer. Immediate reduction (neurovascular
compromise) with ortho consult without x-rays

Burn rule of 9s - correct answer. Head 9%
Each arm 9%
Chest 9%
Abdomen 9%
Each anterior leg 9%
Each posterior leg 9%
Upper back 9%
Lower back 9%
Genitals 1%

Treatment compartment syndrome - correct answer. Emergency escharotomy

Human bite microbes - correct answer. Eikenella corrodens

Expanding intracranial epidural hemorrhage management - correct answer. Intubate
and consult neurosurgery to take the patient to the OR

Depression and IBD - correct answer. IBD = higher rate of depression and anxiety

A 42 year old male with end stage liver disease due to chronic hepatitis C infection
arrives to the emergency department in stable condition after an unsuccessful suicide

, attempt by bilateral wrist laceration. He reports no history of depression or psychiatric
disorder. Aside from his liver disease, for which he takes interferon alpha and ribavirin,
he reports that he is in good health and takes no other medications. Which of the
following factors increased this patient's risk of new-onset suicidal ideation? - correct
answer. Depression and/ or suicidal ideation are commonly reported side effects of
interferon alpha therapy

Which of the following psychiatric disorders is associated with the greatest increased
risk of committing suicide?

Panic
PTSD
Schizophrenia
Depression - correct answer. Panic disorder

Silent suicide - correct answer. slowly killing oneself by nonviolent means;
starvation/noncompliance with essential tx

Populations with increased suicide risk - correct answer. Old caucasian people
Young native american or alaskan natives

PUD vs gastritis - correct answer. PUD: unrelenting pain for weeks, not better with
antacids

Liver abscess management - correct answer. -drainage (not necessarily immediate in
ED)
-IV antibiotics
-look for R effusion and elevation of hemidiaphragm on CXR

Proparacaine is a ____ anesthetic (type) - correct answer. ester

Optic neuritis treatment - correct answer. IV steroids (not oral)

Nonspecific signs in both preseptal and orbital cellulitis - correct answer. Fever
Leukocytosis
(only orbital has EOM pain or VA impairment)

Horner's syndrome symptoms - correct answer. Ptosis, miosis, anhydrosis
Hyperemia of skin
Pseudo-enophthalmos (from lid)
NO ophthalmoplegia

Delirium definition - correct answer. A global inability to relate to the environment and
process sensory input

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