SAEM Exam | Actual Questions and Answers Latest Updated
2026/2027 (Graded A+)
•
preferred method of eval for renal calculi
- ✔✔helical CT--95% sensitive and specific
•
management of diverticulitis vs diverticulosis
- ✔✔-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
- ✔✔25-35 years old, prior surgery, marathon running (!), pregnancy
•
Abx for liver abscess
- ✔✔gent, metro, and amp
•
Dangerous sequelae of esophageal foreign body
- ✔✔erosion, perforation, mediastinitis, esophagus-trachea or esophagus-vasculature fistula
formation, stricture formation, diverticula formation, tracheal compression.
•
Treatment of acute dystonia
- ✔✔1-2mg IM or IV benztropine + 25-50mg benadryl
•
bad sequelae of physical restraints
- ✔✔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
- ✔✔5mg haldol with 2mg lorazepam repeated every 30 minutes as needed. half doses in
elderly
2026/2027 (Graded A+)
•
preferred method of eval for renal calculi
- ✔✔helical CT--95% sensitive and specific
•
management of diverticulitis vs diverticulosis
- ✔✔-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
- ✔✔25-35 years old, prior surgery, marathon running (!), pregnancy
•
Abx for liver abscess
- ✔✔gent, metro, and amp
•
Dangerous sequelae of esophageal foreign body
- ✔✔erosion, perforation, mediastinitis, esophagus-trachea or esophagus-vasculature fistula
formation, stricture formation, diverticula formation, tracheal compression.
•
Treatment of acute dystonia
- ✔✔1-2mg IM or IV benztropine + 25-50mg benadryl
•
bad sequelae of physical restraints
- ✔✔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
- ✔✔5mg haldol with 2mg lorazepam repeated every 30 minutes as needed. half doses in
elderly
