SAEM questions with correct answers
subungual hematoma
drane using 18 guage needle and discharge home Correct Answer-
diagnosis and management
etomidate (Cardioprotective) Correct Answer-induction agent of choice
when decreased myocardial contractility is a concern
etomidate Correct Answer-induction agent known to cause transient
adrenal suppression, causing its use in septic patients to be controversial
heel (sural nerve block) Correct Answer-portion of plantar aspect of foot
not anesthetized by posterior tibial nerve block
age (somewhere between 5-12, controversial) Correct Answer-only
absolute contraindication to cricothyrotomy
lightheadedness and diziness Correct Answer-first signs of lidocaine
toxicity
can place deep structures at risk Correct Answer-reason why vertical
mattress sutures are not recommended for the palm
fentanyl (reverse with naloxone, if not effective may need
neuromuscular blockade and intubation) Correct Answer-analgesic
,which can cause respiratory depression, chest wall rigidity and glottic
spasm
mallampati
Class 1 = full visualization of epiglottis
Class 2: mostly full
Class 3: barely visualized
Class 4 = no visualization of epiglottis Correct Answer-scale which
allows communication of ability to visualize structures of the posterior
pharynx as a means of estimating intubation difficulty
headache Correct Answer-most common complication of LP
paronchyia
digital block, surgical intervention (partiial removal of nail, and abx)
Correct Answer-diagosis and management
panic disorder Correct Answer-psychiatric disease with highest risk of
suicide
silent suicide Correct Answer-act of slowly killing oneself by nonviolent
means, such as starvation or non compliance with essential medical
treatment
,occult suicide Correct Answer-self destructive acts disguised as an
accident
C. elderly and caucasian Correct Answer-Suicidal risk is increased in
this patient population:
A. patients who have not been involuntarily committed
b. patients who directly questioned about suicide
c. elderly and caucasian
D. patients taking lithium for bipolar disorder
flexion and supination of elbow (imaging usually not needed if pain
resolves after reduction) Correct Answer-management of radial head
subluxation (nurse maids elbow)
hill sachs deformity (compression fracture of the posterior lateral aspect
of the humeral head) Correct Answer-most common fracture associated
with shoulder dislocation
asystole (followed by bradycardia) Correct Answer-most common
rhythm seen in pediatric arrest
1. dry, warm, position, suction, stimulate
2. oxygen
3. ventilation
4. chest compressions
, 5. medications Correct Answer-order of operations for neonatal
resuscitation
maternal blood (ask about bleeding from nipples) Correct Answer-one
possible cause of blood in vomit of a healthy appearing infant
hypoxemia Correct Answer-most likely underlying cause of bradycardia
in a newborn
tube mm = (16 + age) /4 Correct Answer-equation for estimating
endotrachael tube size
4 back blows
If still obstructed 4 chest compressions
If still obstructed jaw thrust, mouth inspected and removal of visual FB
If still obstructed, mouth to mouth ventilation
Repeat Correct Answer-management of choking infant under 1 year of
age
Childs nares
childs little finger
Body length broselow conversionn
Age in years + Correct Answer-4 different methods for estimating
pediatric endotracheal tube size
subungual hematoma
drane using 18 guage needle and discharge home Correct Answer-
diagnosis and management
etomidate (Cardioprotective) Correct Answer-induction agent of choice
when decreased myocardial contractility is a concern
etomidate Correct Answer-induction agent known to cause transient
adrenal suppression, causing its use in septic patients to be controversial
heel (sural nerve block) Correct Answer-portion of plantar aspect of foot
not anesthetized by posterior tibial nerve block
age (somewhere between 5-12, controversial) Correct Answer-only
absolute contraindication to cricothyrotomy
lightheadedness and diziness Correct Answer-first signs of lidocaine
toxicity
can place deep structures at risk Correct Answer-reason why vertical
mattress sutures are not recommended for the palm
fentanyl (reverse with naloxone, if not effective may need
neuromuscular blockade and intubation) Correct Answer-analgesic
,which can cause respiratory depression, chest wall rigidity and glottic
spasm
mallampati
Class 1 = full visualization of epiglottis
Class 2: mostly full
Class 3: barely visualized
Class 4 = no visualization of epiglottis Correct Answer-scale which
allows communication of ability to visualize structures of the posterior
pharynx as a means of estimating intubation difficulty
headache Correct Answer-most common complication of LP
paronchyia
digital block, surgical intervention (partiial removal of nail, and abx)
Correct Answer-diagosis and management
panic disorder Correct Answer-psychiatric disease with highest risk of
suicide
silent suicide Correct Answer-act of slowly killing oneself by nonviolent
means, such as starvation or non compliance with essential medical
treatment
,occult suicide Correct Answer-self destructive acts disguised as an
accident
C. elderly and caucasian Correct Answer-Suicidal risk is increased in
this patient population:
A. patients who have not been involuntarily committed
b. patients who directly questioned about suicide
c. elderly and caucasian
D. patients taking lithium for bipolar disorder
flexion and supination of elbow (imaging usually not needed if pain
resolves after reduction) Correct Answer-management of radial head
subluxation (nurse maids elbow)
hill sachs deformity (compression fracture of the posterior lateral aspect
of the humeral head) Correct Answer-most common fracture associated
with shoulder dislocation
asystole (followed by bradycardia) Correct Answer-most common
rhythm seen in pediatric arrest
1. dry, warm, position, suction, stimulate
2. oxygen
3. ventilation
4. chest compressions
, 5. medications Correct Answer-order of operations for neonatal
resuscitation
maternal blood (ask about bleeding from nipples) Correct Answer-one
possible cause of blood in vomit of a healthy appearing infant
hypoxemia Correct Answer-most likely underlying cause of bradycardia
in a newborn
tube mm = (16 + age) /4 Correct Answer-equation for estimating
endotrachael tube size
4 back blows
If still obstructed 4 chest compressions
If still obstructed jaw thrust, mouth inspected and removal of visual FB
If still obstructed, mouth to mouth ventilation
Repeat Correct Answer-management of choking infant under 1 year of
age
Childs nares
childs little finger
Body length broselow conversionn
Age in years + Correct Answer-4 different methods for estimating
pediatric endotracheal tube size
