SAEM all 319 solutions verified and
approved Exam.
SAEM all 319 solutions verified and
approved Exam.
Management of Large Subungual Hematoma - ANSWER Drainage (18-Gauge) or Hot Micro-Cauterization
Reason to Avoid Suction in Ear Foreign Body Removal - ANSWER Perforation of Tympanic Membrane
Management of Skin Abscess - ANSWER Linear Incision for Non-Face vs. Needle Drainage for Face
Catheter for Bartholin Cyst - ANSWER Word
Grading of Laryngeal Opening - ANSWER Cormack-Lehane
Preferred Induction Agent in Reactive Airway Disease for Dilation Effects - ANSWER Ketamine
Induction Agent Avoided in Sepsis Due To Adrenal Suppression - ANSWER Etomidate
Sudden-Onset Back Pain Worsened by Coughing Soon After Epidural Anesthesia - ANSWER Epidural
Hematoma
Presentation of Adhesive Arachnoiditis - ANSWER Progressive Neuropathy
Tom, Dick, and Very Nervous Harry - ANSWER Anterior to Posterior of Medial Ankle: Tibialis Posterior,
Digitorum Longus, Vein, Nerve, Hallucis Longus
Absolute Contra-Indication to Crico-Thyrotomy - ANSWER Age Under 5
,SAEM all 319 solutions verified and
approved Exam.
Anesthesia for Suturing D.I.P. of Finger in Patient with Underlying Vascular Disease - ANSWER Lidocaine
(2%) Without Epinephrine Around Digital Nerve for Fingers, Toes, Penis, Nose
Earliest Sign of Lidocaine Toxicity (Over 5 mg/kg) - 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). - ANSWER Palm
Glottis Spasm and Chest Wall Rigidity from Sedative (Rapid High Dose of IV Form) - ANSWER Fentanyl
(Effects Not Always Reversed by Naloxone)
Management of Long-Lasting L.P. Headache - ANSWER Autologous Blood Patch
Timing of Tetanus Prophylaxis - ANSWER Within First Few Days (Suture Within First 24 Hours)
Normal C.S.F.-to-Blood Glucose Ratio - ANSWER 0.6
Size of Needle Decompression Needle - ANSWER 14 Gauge (2nd Intercostal at Midclavicular Line)
Large Paronychia and Cellulitis - ANSWER Removal of Affected Nail Under Digital Block; Start Antibiotics
Signs of Acute Appendicitis - ANSWER 1. Rovsing: Right Lower from Left Lower.
2. Psoas: Extension.
3. Obturator: Rotation.
Suggested by Abdominal Pain Preceding Nausea and Vomiting - ANSWER Surgery (Small Bowel
Obstruction)
,SAEM all 319 solutions verified and
approved Exam.
Peak of Gastric Acid Secretion at Rest - ANSWER 2 A.M.
Timing of Presentation of Hypertrophic Pyloric Stenosis (Non-Bilious) vs. Intussusception (Bilious) -
ANSWER 4 Weeks vs. 8 Months
Over 95% Sensitive and Specific for Renal Stones - ANSWER Helical C.T.
Intermittent Left Lower Quadrant Pain (Afebrile), Loose Stools (Non-Bloody); Good Follow-Up - ANSWER
Discharge on High-Fiber Diet (Consider Laxatives and Stool Softeners)
Abdominal Wall Condition in Anti-Coagulated Patient with Trauma or Coughing - ANSWER Rectus Sheath
Hematoma
(1) Age 30.
(2) Prior Abdominal Surgery or Pregnancy.
(3) Marathons. - ANSWER Risk Factors for Cecal (Cross-Country) Volvulus
Possible Chest X-Ray Finding of Hepatic Abscess - ANSWER Right-Sided Effusion and Elevated Hemi-
Diaphragm
Referred Pain from Ureteral Colic - ANSWER Inguinal (Ovarian Torsion Does Not Cause Sacral Pain)
Elderly Patient, Diverticulitis Without Perforation (Without Peritonitis) - ANSWER I.V. Fluids (Elderly),
Antibiotics, and Bowel Rest (Peritonitis Requires Surgery)
Proximal vs. Distal Esophageal Perforation - ANSWER Iatrogenic vs. Spontaneous
Rigidity; Elevated Temperatures, Altered Mental Status, Choreo-Athetosis, Autonomic Dysfunction
(Diaphoresis, Incontinence, Arrhythmia) - ANSWER Dantrolene (Or Bromocriptine, Amantadine,
Lorazepam) for Neuroleptic Malignant Syndrome
, SAEM all 319 solutions verified and
approved Exam.
Indicated by Temperature Over 105 - ANSWER Non-Infectious
Extra-Pyramidal: Involuntary Periodic Movements of Tongue, Lips, or Mouth - ANSWER Tardive
Dyskinesia
Extra-Pyramidal: Torticollis, Fixed Upper Gaze (Oculogyric Crisis), or Arching of Back (Opisthotonus) -
ANSWER Benztropine (2mg Cogentin) or Benadryl (25mg) for Dystonia from Typical Anti-Psychotics
Extra-Pyramidal: Restlessness - ANSWER Beta-Blocker for Akathisia
E.C.G. Finding of Haloperidol Toxicity - ANSWER Long Q.T.
Illicit Drug Causing Vertical Nystagmus - ANSWER Phencyclidine (PCP)
Controls Agitation Without Respiratory Depression (Negligible Anticholinergic Side Effects) - ANSWER
Haloperidol (5mg IM q30); B-52 is Benadryl (50 Milligrams), 5 Milligrams of Haloperidol, and 2 Milligrams
of Lorazepam
Risk of Protracted Struggle in Restraints - ANSWER Metabolic Acidosis
Risk of Flumazenil in Chronic Benzodiazepine User - ANSWER Withdrawal Seizures
Altered Chronic Alcoholic, Non-Gap Metabolic Acidosis - ANSWER Isopropyl Alcohol
Glucose and Magnesium Recommendations for Altered Alcoholic - ANSWER 1. Thiamine Before Glucose;
and,
2. Give Magnesium Regardless of Magnesium Level (Low Stores).
approved Exam.
SAEM all 319 solutions verified and
approved Exam.
Management of Large Subungual Hematoma - ANSWER Drainage (18-Gauge) or Hot Micro-Cauterization
Reason to Avoid Suction in Ear Foreign Body Removal - ANSWER Perforation of Tympanic Membrane
Management of Skin Abscess - ANSWER Linear Incision for Non-Face vs. Needle Drainage for Face
Catheter for Bartholin Cyst - ANSWER Word
Grading of Laryngeal Opening - ANSWER Cormack-Lehane
Preferred Induction Agent in Reactive Airway Disease for Dilation Effects - ANSWER Ketamine
Induction Agent Avoided in Sepsis Due To Adrenal Suppression - ANSWER Etomidate
Sudden-Onset Back Pain Worsened by Coughing Soon After Epidural Anesthesia - ANSWER Epidural
Hematoma
Presentation of Adhesive Arachnoiditis - ANSWER Progressive Neuropathy
Tom, Dick, and Very Nervous Harry - ANSWER Anterior to Posterior of Medial Ankle: Tibialis Posterior,
Digitorum Longus, Vein, Nerve, Hallucis Longus
Absolute Contra-Indication to Crico-Thyrotomy - ANSWER Age Under 5
,SAEM all 319 solutions verified and
approved Exam.
Anesthesia for Suturing D.I.P. of Finger in Patient with Underlying Vascular Disease - ANSWER Lidocaine
(2%) Without Epinephrine Around Digital Nerve for Fingers, Toes, Penis, Nose
Earliest Sign of Lidocaine Toxicity (Over 5 mg/kg) - 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). - ANSWER Palm
Glottis Spasm and Chest Wall Rigidity from Sedative (Rapid High Dose of IV Form) - ANSWER Fentanyl
(Effects Not Always Reversed by Naloxone)
Management of Long-Lasting L.P. Headache - ANSWER Autologous Blood Patch
Timing of Tetanus Prophylaxis - ANSWER Within First Few Days (Suture Within First 24 Hours)
Normal C.S.F.-to-Blood Glucose Ratio - ANSWER 0.6
Size of Needle Decompression Needle - ANSWER 14 Gauge (2nd Intercostal at Midclavicular Line)
Large Paronychia and Cellulitis - ANSWER Removal of Affected Nail Under Digital Block; Start Antibiotics
Signs of Acute Appendicitis - ANSWER 1. Rovsing: Right Lower from Left Lower.
2. Psoas: Extension.
3. Obturator: Rotation.
Suggested by Abdominal Pain Preceding Nausea and Vomiting - ANSWER Surgery (Small Bowel
Obstruction)
,SAEM all 319 solutions verified and
approved Exam.
Peak of Gastric Acid Secretion at Rest - ANSWER 2 A.M.
Timing of Presentation of Hypertrophic Pyloric Stenosis (Non-Bilious) vs. Intussusception (Bilious) -
ANSWER 4 Weeks vs. 8 Months
Over 95% Sensitive and Specific for Renal Stones - ANSWER Helical C.T.
Intermittent Left Lower Quadrant Pain (Afebrile), Loose Stools (Non-Bloody); Good Follow-Up - ANSWER
Discharge on High-Fiber Diet (Consider Laxatives and Stool Softeners)
Abdominal Wall Condition in Anti-Coagulated Patient with Trauma or Coughing - ANSWER Rectus Sheath
Hematoma
(1) Age 30.
(2) Prior Abdominal Surgery or Pregnancy.
(3) Marathons. - ANSWER Risk Factors for Cecal (Cross-Country) Volvulus
Possible Chest X-Ray Finding of Hepatic Abscess - ANSWER Right-Sided Effusion and Elevated Hemi-
Diaphragm
Referred Pain from Ureteral Colic - ANSWER Inguinal (Ovarian Torsion Does Not Cause Sacral Pain)
Elderly Patient, Diverticulitis Without Perforation (Without Peritonitis) - ANSWER I.V. Fluids (Elderly),
Antibiotics, and Bowel Rest (Peritonitis Requires Surgery)
Proximal vs. Distal Esophageal Perforation - ANSWER Iatrogenic vs. Spontaneous
Rigidity; Elevated Temperatures, Altered Mental Status, Choreo-Athetosis, Autonomic Dysfunction
(Diaphoresis, Incontinence, Arrhythmia) - ANSWER Dantrolene (Or Bromocriptine, Amantadine,
Lorazepam) for Neuroleptic Malignant Syndrome
, SAEM all 319 solutions verified and
approved Exam.
Indicated by Temperature Over 105 - ANSWER Non-Infectious
Extra-Pyramidal: Involuntary Periodic Movements of Tongue, Lips, or Mouth - ANSWER Tardive
Dyskinesia
Extra-Pyramidal: Torticollis, Fixed Upper Gaze (Oculogyric Crisis), or Arching of Back (Opisthotonus) -
ANSWER Benztropine (2mg Cogentin) or Benadryl (25mg) for Dystonia from Typical Anti-Psychotics
Extra-Pyramidal: Restlessness - ANSWER Beta-Blocker for Akathisia
E.C.G. Finding of Haloperidol Toxicity - ANSWER Long Q.T.
Illicit Drug Causing Vertical Nystagmus - ANSWER Phencyclidine (PCP)
Controls Agitation Without Respiratory Depression (Negligible Anticholinergic Side Effects) - ANSWER
Haloperidol (5mg IM q30); B-52 is Benadryl (50 Milligrams), 5 Milligrams of Haloperidol, and 2 Milligrams
of Lorazepam
Risk of Protracted Struggle in Restraints - ANSWER Metabolic Acidosis
Risk of Flumazenil in Chronic Benzodiazepine User - ANSWER Withdrawal Seizures
Altered Chronic Alcoholic, Non-Gap Metabolic Acidosis - ANSWER Isopropyl Alcohol
Glucose and Magnesium Recommendations for Altered Alcoholic - ANSWER 1. Thiamine Before Glucose;
and,
2. Give Magnesium Regardless of Magnesium Level (Low Stores).
