EM SAEM Exam Questions and Answers

EM SAEM Exam Questions and Answers Obturator sign - Answer ️️ -Pain with flexion and internal rotation of hip Psoas sign - Answer ️️ -Pain with extension of hip What does pain onset prior to nausea and vomiting suggest? - Answer ️️ -Surgical etiology (ie small bowel obstruction) CT findings in diverticulitis - Answer ️️ -Wall thickening and stranding Cholelithiasis vs. cholecystits - Answer ️️ -no fever or Murphy's sign with cholelithiasis Risk factors for cecal volvulus - Answer ️️ -Age 25-35, prior pregnancy or abdominal surgery Treatment of diverticulitis w/o perforation - Answer ️️ -IV fluids and antibiotics Where do the majority of spontaneous esophageal perforations occur? - Answer ️️ -Distal esophagus Treatment of dystonia - Answer ️️ -Diphenhydramine (antihistamine w/ anticholinergic properties) or benztropine Preferred drug for treatment of an agitated patient - Answer ️️ -Haloperidol Categorization of dental fractures - Answer ️️ -Ellis I: only involves superficial enamel Ellis II: breakthrough enamel to expose some dentin Ellis III: pulp visible Treatment of nasal hematoma - Answer ️️ -Incision and drainage, nasal packing Most sensitive test for nerve injury in a finger - Answer ️️ -Two-point discrimination Ottawa ankle rules - Answer ️️ -Used to evaluate need for ankle x-ray; includes inability to walk 4 steps at time of injury or presentation, medial or lateral malleolus tenderness, and tenderness over the navicular bone Recommended insertion site for needle decompression of pneumothorax - Answer ️️ -2nd intercostal space at midclavicular line, above the superior edge of rib Presentation of retrobulbar hematoma - Answer ️️ -Traumatic proptosis with impaired extraocular movement Subconjunctival hemorrhage vs. hyphema - Answer ️️ -1. Subconjunctival hemorrhage: painless, does not cross the limbus 2. Hyphema: painful bleeding in the anterior chamber Test of choice for solid organ injury - Answer ️️ -CT Is a transverse process fracture stable or unstable? - Answer ️️ -Stable Diagnosis of urological injury - Answer ️️ -CT pelvis plus IV and transurethral contrast Features most indicative of success with ED thoracotomy - Answer ️️ -Patient with penetrating chest wounds who is unconscious and pulseless but has a detectable BP Immediate risk with knee dislocation - Answer ️️ -Damage to popliteal