Exam (elaborations)

Exam (elaborations) SAEM

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SAEM

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SAEM

SAEM Practice 2024 questions and answers 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....

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Uploaded on October 13, 2024
Number of pages 2
Written in 2024/2025
Type Exam (elaborations)
Contains Questions & answers

exam elaborations saem

Institution SAEM
Course SAEM

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SAEM Exam # 3 questions and
answers
preferred method of eval for renal calculi✔✔helical CT--95% sensitive and specific

management of diverticulitis vs diverticulosis✔✔-osis = no acute findings of
inflammation (bloody stool, fevers). Don't need abx.

Treat -itis with bowel rest, analgesics, and abx. Should admit older patients for care
because they have a higher risk of rupture.

Cecal volvulus risk factors✔✔25-35 years old, prior surgery, marathon running (!),
pregnancy

Abx for liver abscess✔✔gent, metro, and amp

Dangerous sequelae of esophageal foreign body✔✔erosion, perforation,
mediastinitis, esophagus-trachea or esophagus-vasculature fistula formation,
stricture formation, diverticula formation, tracheal compression.

Treatment of acute dystonia✔✔1-2mg IM or IV benztropine + 25-50mg benadryl

bad sequelae of physical restraints✔✔bruises, abrasions, pressure sores, rhabdo,
circulatory obstruction.

positional asphyxia can arise when patients are placed into the prone or hobbled
position.

protracted struggle against restraints can promote significant metabolic acidosis that
has been associated with CV collapse. these pts should be chemically restrained as
well.

recommended med regimen for the combative pt✔✔5mg haldol with 2mg lorazepam
repeated every 30 minutes as needed. half doses in elderly

metabolic abnormalities that can cause confusion✔✔hypo/hypernatremia,
hypercalcemia, hypoglycemia

When to do ER thoracotomy✔✔Best done for pts with penetrating trauma who are
pulseless and unconscious with detectable BP

NOT for blunt trauma or pts with nl-ish bp

old pt falls and has external hip rotation--what did they break?✔✔femoral neck fx

old pt falls and has internal hip rotation--what did they injure?✔✔dislocated hip

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