1|Page
SAEM QUESTIONS WITH QUESTIONS AND
ANSWERS 100% VERIFIED
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.
,2|Page
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
,3|Page
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
, 4|Page
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
SAEM QUESTIONS WITH QUESTIONS AND
ANSWERS 100% VERIFIED
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.
,2|Page
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
,3|Page
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
, 4|Page
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
