SAEM EXAM 2024/2025 |
GUARANTEED PASS!!
Management of Large Subungual Hematoma - ACCURATE
ANSWERS✔✔ Drainage (18-Gauge) or Hot Micro-Cauterization
Reason to Avoid Suction in Ear Foreign Body Removal - ACCURATE
ANSWERS✔✔ Perforation of Tympanic Membrane
Management of Skin Abscess - ACCURATE ANSWERS✔✔ Linear
Incision for Non-Face vs. Needle Drainage for Face
Catheter for Bartholin Cyst - ACCURATE ANSWERS✔✔ Word
Grading of Laryngeal Opening - ACCURATE ANSWERS✔✔
Cormack-Lehane
Preferred Induction Agent in Reactive Airway Disease for Dilation
Effects - ACCURATE ANSWERS✔✔ Ketamine
Induction Agent Avoided in Sepsis Due To Adrenal Suppression -
ACCURATE ANSWERS✔✔ Etomidate
Sudden-Onset Back Pain Worsened by Coughing Soon After Epidural
Anesthesia - ACCURATE ANSWERS✔✔ Epidural Hematoma
,Presentation of Adhesive Arachnoiditis - ACCURATE ANSWERS✔✔
Progressive Neuropathy
Tom, Dick, and Very Nervous Harry - ACCURATE ANSWERS✔✔
Anterior to Posterior of Medial Ankle: Tibialis Posterior, Digitorum
Longus, Vein, Nerve, Hallucis Longus
Absolute Contra-Indication to Crico-Thyrotomy - ACCURATE
ANSWERS✔✔ Age Under 5
Anesthesia for Suturing D.I.P. of Finger in Patient with Underlying
Vascular Disease - ACCURATE ANSWERS✔✔ Lidocaine (2%)
Without Epinephrine Around Digital Nerve for Fingers, Toes, Penis,
Nose
Earliest Sign of Lidocaine Toxicity (Over 5 mg/kg) - ACCURATE
ANSWERS✔✔ Lightheadedness (Also Peri-Oral Numbness, Tinnitus,
Visual and Auditory Disturbances, Shivering, Twitching, and
Generalized Tonic-Clonic Seizures)
(1) Avoid Vertical Mattress Sutures.
(2) Avoid Topical Skin Adhesives (Risk of Dehiscence from Sweating). -
ACCURATE ANSWERS✔✔ Palm
,Glottis Spasm and Chest Wall Rigidity from Sedative (Rapid High Dose
of IV Form) - ACCURATE ANSWERS✔✔ Fentanyl (Effects Not
Always Reversed by Naloxone)
Management of Long-Lasting L.P. Headache - ACCURATE
ANSWERS✔✔ Autologous Blood Patch
Timing of Tetanus Prophylaxis - ACCURATE ANSWERS✔✔ Within
First Few Days (Suture Within First 24 Hours)
Normal C.S.F.-to-Blood Glucose Ratio - ACCURATE ANSWERS✔✔
0.6
Size of Needle Decompression Needle - ACCURATE ANSWERS✔✔
14 Gauge (2nd Intercostal at Midclavicular Line)
Large Paronychia and Cellulitis - ACCURATE ANSWERS✔✔ Removal
of Affected Nail Under Digital Block; Start Antibiotics
Signs of Acute Appendicitis - ACCURATE ANSWERS✔✔ 1. Rovsing:
Right Lower from Left Lower.
2. Psoas: Extension.
3. Obturator: Rotation.
Suggested by Abdominal Pain Preceding Nausea and Vomiting -
ACCURATE ANSWERS✔✔ Surgery (Small Bowel Obstruction)
, Peak of Gastric Acid Secretion at Rest - ACCURATE ANSWERS✔✔ 2
A.M.
Timing of Presentation of Hypertrophic Pyloric Stenosis (Non-Bilious)
vs. Intussusception (Bilious) - ACCURATE ANSWERS✔✔ 4 Weeks vs.
8 Months
Over 95% Sensitive and Specific for Renal Stones - ACCURATE
ANSWERS✔✔ Helical C.T.
Intermittent Left Lower Quadrant Pain (Afebrile), Loose Stools (Non-
Bloody); Good Follow-Up - ACCURATE ANSWERS✔✔ Discharge on
High-Fiber Diet (Consider Laxatives and Stool Softeners)
Abdominal Wall Condition in Anti-Coagulated Patient with Trauma or
Coughing - ACCURATE ANSWERS✔✔ Rectus Sheath Hematoma
(1) Age 30.
(2) Prior Abdominal Surgery or Pregnancy.
(3) Marathons. - ACCURATE ANSWERS✔✔ Risk Factors for Cecal
(Cross-Country) Volvulus
Possible Chest X-Ray Finding of Hepatic Abscess - ACCURATE
ANSWERS✔✔ Right-Sided Effusion and Elevated Hemi-Diaphragm
GUARANTEED PASS!!
Management of Large Subungual Hematoma - ACCURATE
ANSWERS✔✔ Drainage (18-Gauge) or Hot Micro-Cauterization
Reason to Avoid Suction in Ear Foreign Body Removal - ACCURATE
ANSWERS✔✔ Perforation of Tympanic Membrane
Management of Skin Abscess - ACCURATE ANSWERS✔✔ Linear
Incision for Non-Face vs. Needle Drainage for Face
Catheter for Bartholin Cyst - ACCURATE ANSWERS✔✔ Word
Grading of Laryngeal Opening - ACCURATE ANSWERS✔✔
Cormack-Lehane
Preferred Induction Agent in Reactive Airway Disease for Dilation
Effects - ACCURATE ANSWERS✔✔ Ketamine
Induction Agent Avoided in Sepsis Due To Adrenal Suppression -
ACCURATE ANSWERS✔✔ Etomidate
Sudden-Onset Back Pain Worsened by Coughing Soon After Epidural
Anesthesia - ACCURATE ANSWERS✔✔ Epidural Hematoma
,Presentation of Adhesive Arachnoiditis - ACCURATE ANSWERS✔✔
Progressive Neuropathy
Tom, Dick, and Very Nervous Harry - ACCURATE ANSWERS✔✔
Anterior to Posterior of Medial Ankle: Tibialis Posterior, Digitorum
Longus, Vein, Nerve, Hallucis Longus
Absolute Contra-Indication to Crico-Thyrotomy - ACCURATE
ANSWERS✔✔ Age Under 5
Anesthesia for Suturing D.I.P. of Finger in Patient with Underlying
Vascular Disease - ACCURATE ANSWERS✔✔ Lidocaine (2%)
Without Epinephrine Around Digital Nerve for Fingers, Toes, Penis,
Nose
Earliest Sign of Lidocaine Toxicity (Over 5 mg/kg) - ACCURATE
ANSWERS✔✔ Lightheadedness (Also Peri-Oral Numbness, Tinnitus,
Visual and Auditory Disturbances, Shivering, Twitching, and
Generalized Tonic-Clonic Seizures)
(1) Avoid Vertical Mattress Sutures.
(2) Avoid Topical Skin Adhesives (Risk of Dehiscence from Sweating). -
ACCURATE ANSWERS✔✔ Palm
,Glottis Spasm and Chest Wall Rigidity from Sedative (Rapid High Dose
of IV Form) - ACCURATE ANSWERS✔✔ Fentanyl (Effects Not
Always Reversed by Naloxone)
Management of Long-Lasting L.P. Headache - ACCURATE
ANSWERS✔✔ Autologous Blood Patch
Timing of Tetanus Prophylaxis - ACCURATE ANSWERS✔✔ Within
First Few Days (Suture Within First 24 Hours)
Normal C.S.F.-to-Blood Glucose Ratio - ACCURATE ANSWERS✔✔
0.6
Size of Needle Decompression Needle - ACCURATE ANSWERS✔✔
14 Gauge (2nd Intercostal at Midclavicular Line)
Large Paronychia and Cellulitis - ACCURATE ANSWERS✔✔ Removal
of Affected Nail Under Digital Block; Start Antibiotics
Signs of Acute Appendicitis - ACCURATE ANSWERS✔✔ 1. Rovsing:
Right Lower from Left Lower.
2. Psoas: Extension.
3. Obturator: Rotation.
Suggested by Abdominal Pain Preceding Nausea and Vomiting -
ACCURATE ANSWERS✔✔ Surgery (Small Bowel Obstruction)
, Peak of Gastric Acid Secretion at Rest - ACCURATE ANSWERS✔✔ 2
A.M.
Timing of Presentation of Hypertrophic Pyloric Stenosis (Non-Bilious)
vs. Intussusception (Bilious) - ACCURATE ANSWERS✔✔ 4 Weeks vs.
8 Months
Over 95% Sensitive and Specific for Renal Stones - ACCURATE
ANSWERS✔✔ Helical C.T.
Intermittent Left Lower Quadrant Pain (Afebrile), Loose Stools (Non-
Bloody); Good Follow-Up - ACCURATE ANSWERS✔✔ Discharge on
High-Fiber Diet (Consider Laxatives and Stool Softeners)
Abdominal Wall Condition in Anti-Coagulated Patient with Trauma or
Coughing - ACCURATE ANSWERS✔✔ Rectus Sheath Hematoma
(1) Age 30.
(2) Prior Abdominal Surgery or Pregnancy.
(3) Marathons. - ACCURATE ANSWERS✔✔ Risk Factors for Cecal
(Cross-Country) Volvulus
Possible Chest X-Ray Finding of Hepatic Abscess - ACCURATE
ANSWERS✔✔ Right-Sided Effusion and Elevated Hemi-Diaphragm
