SAEM Exam Practice Questions with 100% Correct Answers | Latest Version (2024/2025) Expert Verified

SAEM Exam Practice Questions with
100% Correct Answers | Latest Version
(2024/2025) Expert Verified

Regardingitheidiagnosisiofiacuteiappendicitis,iallitheifollowingiareitrueiE
XCEPT:
A.iVitalisignsiareiusuallyiabnormal,ieveniearlyiinitheicourseiofiacuteiapp
i

endicitis.
B.iReboundiisiusuallyielicitedionlyiafteritheiappendixihasirupturedioriinf
i

arcted.
iC.iRovsing'sisigniisipainiinitheirightiloweriquadrantiuponipalpationiofithe
ileftiloweriquadrant.


D.iTheiobturatorisigniisipainiuponiflexioniandiinternalirotationiofitheihip
i

.
E.iTheipsoasisigniisipainiuponiextensioniofitheihip.i-iCorrectiAnswer-
i

A.iVitalisignsiareiusuallyiabnormal,ieveniearlyiinitheicourseiofiacuteiappe
ndicitis.


TheiansweriisiA.iTheipresentationiofiacuteiappendicitisivariesitremendo
usly.iEarlyiiniitsicourse,ivitalisignsiincludingitemperatureimayibeinormal.i
Onceiperforationihasioccurred,itheirateiofilow-
gradeifeveri(<38iC)iincreasesitoiabouti40%.iOtherivariationsiinipresentat
ioniincludeipainiinitheirightiupperiquadrant,itypicallyifromiairetrocecalio
riretroiliaciappendix.

,Rosving'sisigniisidescribedias:
A.iTendernessiinitheirightiupperiquadrantithatiisiworseiwithiinspiration.
i


B.iPelvicipainiuponiflexioniofitheithighiwhileitheipatientiisisupine.
i


C.iPelvicipainiuponiinternaliandiexternalirotationiofitheithighiwithitheikn
i

eeiflexed.
D.iPainithatiincreasesiwithitheireleaseiofipressureiofipalpation.
i


E.iPainiinitheirightiloweriquadrantiwhenileftiloweriquadrantiisipalpated.i
i

-iCorrectiAnswer-
E.iPainiinitheirightiloweriquadrantiwhenileftiloweriquadrantiisipalpated.


TheiansweriisiE.iRosving'sisigniisipainiinitheirightiloweriquadrantiwhenith
eileftiloweriquadrantiisipalpated.iRebounditendernessioccursiwithitheire
leaseiofipressure.iTheiiliopsoasisigniisipainiassociatediwithithighiflexion.i
Theiobturatorisigniisipainithatioccursiwithithighirotation.iAlliofitheseisig
nsiareiassociatediwithiappendicitis.iMurphy'sisigniisicessationiofiinspirat
ioniduringipalpationiofitheirightiupperiquadrantiandiisiassociatediwithia
cuteicholecystitis.


Iniestablishingiaidifferentialidiagnosisiofiabdominalipain,iwhichiofitheifo
llowingiisitrue?
A.iRadiationiofipainitoitheiscapulaiisisuggestiveiofiacuteihepatitis.
B.iCervicalimotionitendernessiisiaiusefuliphysicalifindingiforidifferentiati
i

ngiwomeniwithioriwithoutiacuteiappendicitis.
C.iInipatientsiwithisickleicellianemiaiwhoipresentiwithiabdominalipainia
i

ndidiarrhea,ishigellosisishouldibeiaitopiconsideration.

,D.iTheionsetiofipainiprioritoitheioccurrenceiofinauseaiandivomitingiisimo
i

reioftenisuggestiveiofiaisurgicalietiology.
iE.iDiverticulitisitendsitoicauseipainiinitheirightiupperiquadrant.i-
iCorrectiAnswer-

D.iTheionsetiofipainiprioritoitheioccurrenceiofinauseaiandivomitingiisimo
reioftenisuggestiveiofiaisurgicalietiology.


TheiansweriisiD.iPainiprioritoinauseaiandivomitingiisioftenisuggestiveiofi
aisurgicalietiologyiofitheipain,isuchiasismalliboweliobstruction.iCervicali
motionitendernessihasibeeninotediiniupitoi25%iofiwomeniwithiacuteiap
pendicitis.iPatientsiwithisickleicellianemiaiareiproneitoiSalmonellaiinfect
ions.iRadiationiofipainitoitheiscapulaiisiclassicallyipresentiiniacuteicholey
cystitis.iDiverticulitisipainiisigenerallyilocatediinitheileftiloweriquadrant.


Ofitheifollowingipainipatterns,iwhichiisitheileastilikelyiassociatediwithidi
agnosisiofipepticiulceridisease?
A.inon-radiating,iburningiepigastricipain
i


B.ipainithatiawakensiaipatientiinitheimiddleiofitheinight
i


C.iunrelentingipainioveriaiperiodiofiweeks
i


D.ireliefiofiabdominalipainiwithiantacids
i


E.ipainithatiisiworseiprecedingiaimeali-iCorrectiAnswer-
i

C.iunrelentingipainioveriaiperiodiofiweeks


TheiansweriisiC.iPainifromipepticiulceridiseaseitypicallyioccursiiniperiodsi
ofiexacerbationiandiremission.iUnrelentingipainioveriweeksiorimonthsis
houldisuggestianialternativeidiagnosis.iPainiisiclassicallyidescribediasino

, n-
radiating,iburningiepigastricipain.iSomeipatientsimayialsoicomplainiofic
hestioribackipain.iPainiisifrequentlyisevereienoughitoiawakenipatientsifr
omisleepiiniearlyimorningihoursibutiisiofteninotipresentiuponiwakingiinit
heimorning,iasigastriciacidisecretionipeaksiaroundi2ia.m.iandinadirsiupo
niawakening.


Aimotheribringsiheri6iweekioldiboyitoitheiemergencyiroom.iSheistatesith
eibabyihasibeenivomitingieverythingishe'sitrieditoifeedihimiforitheipasti1
2ihours.iSheistatesithatiheiusuallyieatsireadilyiandicompletesianientireife
eding,ibutiheiisiunableitoikeepianythingidown.iTheiemesisiisinon-
bloodyiandinon-
bilious,ihoweveriitiisiprojectileiininature.iWhatiisitheimostilikelyiconditio
niinithisipatient?
A.iviraligastroenteritis
i


B.iconstipation
i


C.iappendicitis
i


D.iintussusception
i


E.ipyloricistenosisi-iCorrectiAnswer-E.ipyloricistenosis
i




TheiansweriisiE.iHypertrophicipyloricistenosisitypicallyipresentsiinitheise
conditoisixthiweekiofilifeiandiisifouritimesimoreicommoniinimalesithanife
males.iInfantsiwithihypertrophicipyloricistenosisitypicallyiareivigorousie
atersibutishortlyiafterwardiregurgitateitheientireifeedingicontentsiiniaip
rojectileifashion.iTheiemesisiisinon-
bilious.iTheiclassicifindingioniexamiisiani"olive"ipalpableiinitheiabdomen
,iandidiagnosisiisitypicallyiviaiultrasound.iIntussusceptionitypicallyiprese