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SAEM Psych/AMS Questions and Answers A 60 y/o male presents with new onset confusion. Which of the following suggests a functional, as opposed to an organic etiology? Answers: 1.Abnormal vitals signs 2.Acute onset 3.Auditory hallucinations 4.Disorientation ANSWER 3.Auditory hallucinations Delirium is defined as: Answers: 1.A stressed psychological state resulting from extreme emotional stimulus 2.Abnormal behavior associated with decreased alertness and decreased psychomoto...

SAEM Test with Questions and Answers "Regarding the diagnosis of acute appendicitis, all the following are true EXCEPT: A. Vital signs are usually abnormal, even early in the course of acute appendicitis. B. Rebound is usually elicited only after the appendix has ruptured or infarcted. C. Rovsing's sign is pain in the right lower quadrant upon palpation of the left lower quadrant. D. The obturator sign is pain upon flexion and internal rotation of the hip. E. The psoas sign is pai...

Foreign Bodies, SAEM AMS, 2017 CV, 2017 trauma, SAEM MISC, SAEM - Shock and Sepsis, Environment and Endocrine, Pulm Emergencies A 5 year old child was eating an almond when he experienced sudden, intermittent bouts of choking and wheezing. Assuming this child aspirated an almond, which of the following is most likely to be seen on chest X-ray? Answers: 1.A. Atelectasis of the affected lung 2.B. Diaphragmatic flattening of the non-affected lung 3.C. Foreign body in the shape of an ...

SAEM AMS, 2017 CV, 2017 trauma, SAEM MISC, SAEM - Shock and Sepsis, Environment and Endocrine Exam with Questions and Answers A mother brings her 35 year old son to the emergency department because of tremor and mutism for the past three days. His mother found him in his room this morning lying stiffly in his bed, soiled with urine and feces. He appears confused and will not respond to questions. He was diagnosed with schizophrenia last year and has been on several medications. Last month aft...

SAEM M4 Exam with Questions and Answers True or False: gastric distension due to excessive volume or rate of ventilation impairing ventilatory function is a reason to intubate a neonate ANSWER False management for nursemaid elbow injury ANSWER apply pressure to the radial head while flexing and supinating elbow A 17 year old boy injured his right shoulder playing football. He tried to arm-tackle a player when his right arm was pulled away from his body and back (abducted and extended). ...

SAEM MS4 Curriculum Exam with Questions and Answers First steps for SOB ANSWER 1. Vitals 2. O2 via NC or NRB, BVM if not breathing adequately on their own 3. IV access 4. Cardiac and pulse Ox monitoring 5. EKG 6. CXR 7. US 8. Ddimer 9. BNP 10. trops When do you use Non-Invasive PPV? ANSWER -moderate to severe dyspnea -accessory muscle use -paradoxical abdominal movement -fatigue -RR > 25 bpm -pH < 7.35 -pCO2 > 45 When do you not use NIPPV? ANSWER -respiratory arr...

SAEM 61-90 Exam with Questions and Answers Which of the following cervical spine fractures is considered stable? A. Transverse process fracture B. Flexion teardrop fracture C. Bilateral facet dislocation D. Hangman's fracture of C2 E. Jefferson fracture of C1 ANSWER A. Transverse process fracture The answer is A. A transverse process fracture involves only one of the supporting spinal columns (the posterior column) and is therefore stable. A 23 year old man is stabbed in th...

SAEM - Psych Emergencies Exam with Questions and Answers A 25 year old male is brought to the emergency department by his family, with a complaint of feeling depressed for the past week. In obtaining the history, which of the following statements regarding this patient would support a diagnosis of major depression? A. The patient has no history of medical illness B. The patient has a history of Crohn's disease C. There is no family history of depression D. The screening mnemonic in ...

SAEM-Environment and Endocrine Exam with Questions and Answers With respect to laboratory findings in diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar nonketotic coma (HHNC), all of the following guidelines are generally true EXCEPT: A. BUN is elevated more in patients with HHNC (>50 mg/dL) than in patients with DKA (25-50 mg/dL). B. Serum bicarbonate is typically severely low (<10mEq) in patients with either DKA or HHNC. C. Serum ketones are present in patients with DK...

SAEM-MISC Exam with Questions and Answers All of the following are common non-infectious causes of fever EXCEPT: A. Trauma B. Thyroid storm C. Pulmonary embolism D. Neuroleptic malignant syndrome E. CVA ANSWER a All of the following are common pathogens in otitis media EXCEPT: A. viral agents B. Moraxella catarrhalis C. Staph. aureus D. H. influenzae E. Strep pneumoniae ANSWER c A 28 year old female is 4 months pregnant and presents with dysuria. Her UA reveals leuko...