SAEM Exam (2024) || All Questions & 100% Correct Solutions

SAEM Exam (2024) || All Questions & 100% Correct Solutions SAEM Exam (2024) || All Questions & 100% Correct Solutions preferred method of eval for renal calculi - ANSWER - helical CT--95% sensitive and specific management of diverticulitis vs diverticulosis - ANSWER - -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 - ANSWER - 25-35 years old, prior surgery, marathon running (!), pregnancy Abx for liver abscess - ANSWER - gent, metro, and amp Dangerous sequelae of esophageal foreign body - ANSWER - erosion, perforation, mediastinitis, esophagus-trachea or esophagus-vasculature fistula formation, stricture formation, diverticula formation, tracheal compression. Treatment of acute dystonia - ANSWER - 1-2mg IM or IV benztropine + 25-50mg benadryl bad sequelae of physical restraints - ANSWER - 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 - ANSWER - 5mg haldol with 2mg lorazepam repeated every 30 minutes as needed. half doses in elderly metabolic abnormalities that can cause confusion - ANSWER - hypo/hypernatremia, hypercalcemia, hypoglycemia When to do ER thoracotomy - ANSWER - 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? - ANSWER - femoral neck fx old pt falls and has internal hip rotation--what did they injure? - ANSWER - dislocated hip