SAEM PROC EXAM QUESTIONS AND ANSWERS

The joint fluid from a patient's knee arthrocentesis shows 75,000 WBC with 75% PMNs, no organisms, no crystals and a glucose of 35. What does the patient need next? Answers: iotics for septic joint and admission for operation iotics and discharge home tic pain medicine and discharge home -steroidal anti-inflammatory medicine for gout and discharge home ment for gonorrhea and discharge home - Answer- iotics for septic joint and admission for operation A patient presents after slamming her index finger in a window one day ago (see Figure). Her X-ray is negative. Of the steps listed below, which is the best option for her management? [PICTURE OF SUBUNGAL HEMATOMA] - Answer- iotics and discharge age and discharge al of the nail and suture of the underlying laceration t and discharge of the above You have a 3 year old female present with her mother with complaints of 2 days of left ear pain. On exam, you are unable to visualize the tympanic membrane due to an obstructing mass. You suspect a foreign body. Which of the following is TRUE regarding the removing a foreign object from the patient's ear canal? Answers: 1.Avoid suction as it may lead to a perforation of the tympanic membrane 2.Referral to an otolaryngologist for foreign body removal under general anesthesia may be required in an uncooperative infant 3.To remove a live insect from the external ear canal, grasp a leg with hemostats and pull firmly 4.You should avoid the use of lidocaine and other topical anesthetics due to the risk of localized tissue ischemia - Answer- 2.Referral to an otolaryngologist for foreign body removal under general anesthesia may be required in an uncooperative infant