SAEM Emergency Medicine Exam with answers

SAEM Emergency Medicine Exam with answers


What are the top 3 causes of morbidity/mortality in acute chest pain? - ....🔰
VERIFIED ANSWERS.... ✔✔ACS
pulmonary embolism
aortic dissection


What is the cardioversion and defibrillation joules? - ....🔰VERIFIED
ANSWERS.... ✔✔cardioversion = 50-100 J
defibrillation = 200 J


What is the most common EKG finding in a pulmonary embolus? What should
you be on the lookout for? - ....🔰VERIFIED ANSWERS.... ✔✔most common
= sinus tachycardia


look for = "S1Q3T3" (large S wave in lead I + Q wave in lead 3 + T wave
inversion in lead 3)


What should you worry about if a patient's EKG shows electrical alternans?
What does this look like? - ....🔰VERIFIED ANSWERS.... ✔✔cardiac
tamponade! looks like alternating big and small spikes


Describe the basic evolution of the EKG of a patient having a STEMI - ....🔰
VERIFIED ANSWERS.... ✔✔1-normal
2- T waves become wide and tall
3- ST elevation

, 4- Q waves and T wave inversion
5- Q waves persist but T wave normalizes


chest pain, weakness, nausea, fatigue


classic presentation of ___________________ - ....🔰VERIFIED ANSWERS....
✔✔ACS!


pleuritic chest pain, shortness of breath, anxiety


classic presentation of ___________________ - ....🔰VERIFIED ANSWERS....
✔✔pulmonary embolism


a patient with SOB is found on physical exam to have tachycardia, clear lung
sounds, and a swollen leg


classic presentation of ___________________ - ....🔰VERIFIED ANSWERS....
✔✔pulmonary embolism


sudden on set severe chest pain that rips through to the back; unequal blood
pressures on PE


classic presentation of ___________________ - ....🔰VERIFIED ANSWERS....
✔✔aortic dissection