SAEM questions with correct answers
Management of Large Subungual Hematoma Correct Answer-Drainage
(18-Gauge) or Hot Micro-Cauterization
Reason to Avoid Suction in Ear Foreign Body Removal Correct
Answer-Perforation of Tympanic Membrane
Management of Skin Abscess Correct Answer-Linear Incision for Non-
Face vs. Needle Drainage for Face
Catheter for Bartholin Cyst Correct Answer-Word
Grading of Laryngeal Opening Correct Answer-Cormack-Lehane
Preferred Induction Agent in Reactive Airway Disease for Dilation
Effects Correct Answer-Ketamine
Induction Agent Avoided in Sepsis Due To Adrenal Suppression Correct
Answer-Etomidate
Sudden-Onset Back Pain Worsened by Coughing Soon After Epidural
Anesthesia Correct Answer-Epidural Hematoma
Presentation of Adhesive Arachnoiditis Correct Answer-Progressive
Neuropathy
,Tom, Dick, and Very Nervous Harry Correct Answer-Anterior to
Posterior of Medial Ankle: Tibialis Posterior, Digitorum Longus, Vein,
Nerve, Hallucis Longus
Absolute Contra-Indication to Crico-Thyrotomy Correct Answer-Age
Under 5
Anesthesia for Suturing D.I.P. of Finger in Patient with Underlying
Vascular Disease Correct Answer-Lidocaine (2%) Without Epinephrine
Around Digital Nerve for Fingers, Toes, Penis, Nose
Earliest Sign of Lidocaine Toxicity (Over 5 mg/kg) Correct Answer-
Lightheadedness (Also Peri-Oral Numbness, Tinnitus, Visual and
Auditory Disturbances, Shivering, Twitching, and Generalized Tonic-
Clonic Seizures)
(1) Avoid Vertical Mattress Sutures.
(2) Avoid Topical Skin Adhesives (Risk of Dehiscence from Sweating).
Correct Answer-Palm
Glottis Spasm and Chest Wall Rigidity from Sedative (Rapid High Dose
of IV Form) Correct Answer-Fentanyl (Effects Not Always Reversed by
Naloxone)
Management of Long-Lasting L.P. Headache Correct Answer-
Autologous Blood Patch
,Timing of Tetanus Prophylaxis Correct Answer-Within First Few Days
(Suture Within First 24 Hours)
Normal C.S.F.-to-Blood Glucose Ratio Correct Answer-0.6
Size of Needle Decompression Needle Correct Answer-14 Gauge (2nd
Intercostal at Midclavicular Line)
Large Paronychia and Cellulitis Correct Answer-Removal of Affected
Nail Under Digital Block; Start Antibiotics
Signs of Acute Appendicitis Correct Answer-1. Rovsing: Right Lower
from Left Lower.
2. Psoas: Extension.
3. Obturator: Rotation.
Suggested by Abdominal Pain Preceding Nausea and Vomiting Correct
Answer-Surgery (Small Bowel Obstruction)
Peak of Gastric Acid Secretion at Rest Correct Answer-2 A.M.
Timing of Presentation of Hypertrophic Pyloric Stenosis (Non-Bilious)
vs. Intussusception (Bilious) Correct Answer-4 Weeks vs. 8 Months
, Over 95% Sensitive and Specific for Renal Stones Correct Answer-
Helical C.T.
Intermittent Left Lower Quadrant Pain (Afebrile), Loose Stools (Non-
Bloody); Good Follow-Up Correct Answer-Discharge on High-Fiber
Diet (Consider Laxatives and Stool Softeners)
Abdominal Wall Condition in Anti-Coagulated Patient with Trauma or
Coughing Correct Answer-Rectus Sheath Hematoma
(1) Age 30.
(2) Prior Abdominal Surgery or Pregnancy.
(3) Marathons. Correct Answer-Risk Factors for Cecal (Cross-Country)
Volvulus
Possible Chest X-Ray Finding of Hepatic Abscess Correct Answer-
Right-Sided Effusion and Elevated Hemi-Diaphragm
Referred Pain from Ureteral Colic Correct Answer-Inguinal (Ovarian
Torsion Does Not Cause Sacral Pain)
Elderly Patient, Diverticulitis Without Perforation (Without Peritonitis)
Correct Answer-I.V. Fluids (Elderly), Antibiotics, and Bowel Rest
(Peritonitis Requires Surgery)
Management of Large Subungual Hematoma Correct Answer-Drainage
(18-Gauge) or Hot Micro-Cauterization
Reason to Avoid Suction in Ear Foreign Body Removal Correct
Answer-Perforation of Tympanic Membrane
Management of Skin Abscess Correct Answer-Linear Incision for Non-
Face vs. Needle Drainage for Face
Catheter for Bartholin Cyst Correct Answer-Word
Grading of Laryngeal Opening Correct Answer-Cormack-Lehane
Preferred Induction Agent in Reactive Airway Disease for Dilation
Effects Correct Answer-Ketamine
Induction Agent Avoided in Sepsis Due To Adrenal Suppression Correct
Answer-Etomidate
Sudden-Onset Back Pain Worsened by Coughing Soon After Epidural
Anesthesia Correct Answer-Epidural Hematoma
Presentation of Adhesive Arachnoiditis Correct Answer-Progressive
Neuropathy
,Tom, Dick, and Very Nervous Harry Correct Answer-Anterior to
Posterior of Medial Ankle: Tibialis Posterior, Digitorum Longus, Vein,
Nerve, Hallucis Longus
Absolute Contra-Indication to Crico-Thyrotomy Correct Answer-Age
Under 5
Anesthesia for Suturing D.I.P. of Finger in Patient with Underlying
Vascular Disease Correct Answer-Lidocaine (2%) Without Epinephrine
Around Digital Nerve for Fingers, Toes, Penis, Nose
Earliest Sign of Lidocaine Toxicity (Over 5 mg/kg) Correct Answer-
Lightheadedness (Also Peri-Oral Numbness, Tinnitus, Visual and
Auditory Disturbances, Shivering, Twitching, and Generalized Tonic-
Clonic Seizures)
(1) Avoid Vertical Mattress Sutures.
(2) Avoid Topical Skin Adhesives (Risk of Dehiscence from Sweating).
Correct Answer-Palm
Glottis Spasm and Chest Wall Rigidity from Sedative (Rapid High Dose
of IV Form) Correct Answer-Fentanyl (Effects Not Always Reversed by
Naloxone)
Management of Long-Lasting L.P. Headache Correct Answer-
Autologous Blood Patch
,Timing of Tetanus Prophylaxis Correct Answer-Within First Few Days
(Suture Within First 24 Hours)
Normal C.S.F.-to-Blood Glucose Ratio Correct Answer-0.6
Size of Needle Decompression Needle Correct Answer-14 Gauge (2nd
Intercostal at Midclavicular Line)
Large Paronychia and Cellulitis Correct Answer-Removal of Affected
Nail Under Digital Block; Start Antibiotics
Signs of Acute Appendicitis Correct Answer-1. Rovsing: Right Lower
from Left Lower.
2. Psoas: Extension.
3. Obturator: Rotation.
Suggested by Abdominal Pain Preceding Nausea and Vomiting Correct
Answer-Surgery (Small Bowel Obstruction)
Peak of Gastric Acid Secretion at Rest Correct Answer-2 A.M.
Timing of Presentation of Hypertrophic Pyloric Stenosis (Non-Bilious)
vs. Intussusception (Bilious) Correct Answer-4 Weeks vs. 8 Months
, Over 95% Sensitive and Specific for Renal Stones Correct Answer-
Helical C.T.
Intermittent Left Lower Quadrant Pain (Afebrile), Loose Stools (Non-
Bloody); Good Follow-Up Correct Answer-Discharge on High-Fiber
Diet (Consider Laxatives and Stool Softeners)
Abdominal Wall Condition in Anti-Coagulated Patient with Trauma or
Coughing Correct Answer-Rectus Sheath Hematoma
(1) Age 30.
(2) Prior Abdominal Surgery or Pregnancy.
(3) Marathons. Correct Answer-Risk Factors for Cecal (Cross-Country)
Volvulus
Possible Chest X-Ray Finding of Hepatic Abscess Correct Answer-
Right-Sided Effusion and Elevated Hemi-Diaphragm
Referred Pain from Ureteral Colic Correct Answer-Inguinal (Ovarian
Torsion Does Not Cause Sacral Pain)
Elderly Patient, Diverticulitis Without Perforation (Without Peritonitis)
Correct Answer-I.V. Fluids (Elderly), Antibiotics, and Bowel Rest
(Peritonitis Requires Surgery)
