EMERGENCY MEDICINE SAEM EXAM T
REVISION HANDBOOK 2026 AIRWAY
BREATHING CIRCULATION AND EMERGENCY
INTERVENTIONS
◉ 3 sx PID.
Answer: -lower abd pain
-purulent vag d/c
-vag bleed
◉ when getPID sx.
Answer: Symptoms begin shortly after the start of the menstrual
cycle, when there are fewer defenses by the cervical mucosal barrier
to ascending infections.
◉ PID with gonnoccal.
Answer: more likely to appear toxic (fever, N/V)
◉ dont forget one risk factor pid.
Answer: -recent instrumentation of uterus
,◉ common exam findings pid.
Answer: -b/l adenexal tenderness
-cervical d/c
cervical motion tenderness
-uterine tender
-lower abd tenderness
◉ if pain is u/l think more.
Answer: TOA
◉ if RUQ tender think.
Answer: Fitz-Hugh Curtis (perihepatitis, inflamation of liver capsule)
◉ best test for gonorrohea and chlaymida.
Answer: NAAT with PCR or DNA probes (either urine or cervical
secretions)
◉ if suspect TOA get.
Answer: US
◉ ruptured ovarian cyst shows.
Answer: free fluid in pouch of douglas
,◉ ovarian torsion shows.
Answer: absence of blood flow to one ovary on pelvic ultrasound
with doppler
◉ why US>CT.
Answer: CT cannot eval for torsion bc there is no doppler
◉ who gets abx for PID.
Answer: -lower abdominal or pelvic pain coupled with adnexal,
uterine or cervical motion tenderness on exam, in a patient at risk
for STDs with no other discernible cause for the illness identified
◉ complications of pid.
Answer: -chronic pelvic pain
-infertility
-ectopic
-toa
-fitz-hiugh curtis
◉ toa process.
Answer: walled-off abscess that originates in the infected fallopian
tube and extends to involve the ovary
, ◉ how confirm dx of Fitz hugh curtis.
Answer: elevated liver fxn tests
◉ inpatient abx pid.
Answer: -cefoxitin + doxy
or
-cefotentan + doxy
or
clinda+gentamycin
◉ outpatient abx pid? add _____ if 2.
Answer: -ceftriaxone
-doxy
-add metro if severe infection or hx of uterine instrumentation
◉ who getsa dmitted.
Answer: -toa
-fitz hugh curtis
-septic
-peritontiis
-pre-pubertal kid
REVISION HANDBOOK 2026 AIRWAY
BREATHING CIRCULATION AND EMERGENCY
INTERVENTIONS
◉ 3 sx PID.
Answer: -lower abd pain
-purulent vag d/c
-vag bleed
◉ when getPID sx.
Answer: Symptoms begin shortly after the start of the menstrual
cycle, when there are fewer defenses by the cervical mucosal barrier
to ascending infections.
◉ PID with gonnoccal.
Answer: more likely to appear toxic (fever, N/V)
◉ dont forget one risk factor pid.
Answer: -recent instrumentation of uterus
,◉ common exam findings pid.
Answer: -b/l adenexal tenderness
-cervical d/c
cervical motion tenderness
-uterine tender
-lower abd tenderness
◉ if pain is u/l think more.
Answer: TOA
◉ if RUQ tender think.
Answer: Fitz-Hugh Curtis (perihepatitis, inflamation of liver capsule)
◉ best test for gonorrohea and chlaymida.
Answer: NAAT with PCR or DNA probes (either urine or cervical
secretions)
◉ if suspect TOA get.
Answer: US
◉ ruptured ovarian cyst shows.
Answer: free fluid in pouch of douglas
,◉ ovarian torsion shows.
Answer: absence of blood flow to one ovary on pelvic ultrasound
with doppler
◉ why US>CT.
Answer: CT cannot eval for torsion bc there is no doppler
◉ who gets abx for PID.
Answer: -lower abdominal or pelvic pain coupled with adnexal,
uterine or cervical motion tenderness on exam, in a patient at risk
for STDs with no other discernible cause for the illness identified
◉ complications of pid.
Answer: -chronic pelvic pain
-infertility
-ectopic
-toa
-fitz-hiugh curtis
◉ toa process.
Answer: walled-off abscess that originates in the infected fallopian
tube and extends to involve the ovary
, ◉ how confirm dx of Fitz hugh curtis.
Answer: elevated liver fxn tests
◉ inpatient abx pid.
Answer: -cefoxitin + doxy
or
-cefotentan + doxy
or
clinda+gentamycin
◉ outpatient abx pid? add _____ if 2.
Answer: -ceftriaxone
-doxy
-add metro if severe infection or hx of uterine instrumentation
◉ who getsa dmitted.
Answer: -toa
-fitz hugh curtis
-septic
-peritontiis
-pre-pubertal kid
