ED SAEM test
1. Causes of fake + on stool guaic?
2. False -?
3. Mc causes of lower GI bleed? MC site?
4 MC motive higher GI bleed. DDx?
5. Call infectious reasons of bloody diarrhea
6. Indic for blood transfusion? Mgmt? - ANS-1. Methylene blue, chlorophyll, Br, I, Fe, cupric
SO4
2. Antacids, Bile, vitamin C
3. Diverticulosis > CA > rectal, colitis, ischemia, angiodysplasia. L = R facet.
4. PUD. DDX: gastritis, varices, mallory-weiss tear, aortoenteric fistula
5. Campylobact, E. Coli 0157, Salmonella, Yersenia
6. Hb drop >three acutely, Hb <9 and actively bleeding, massive bleed (1L). HCT q 6h
1. Child has snake bite but is ASx- mgmt?
2. FB ingestion: adults have MC proximal/distal obstr?
3. FB ingestion: children have MC proximal/distal obstr?
4. MC location of ingested fb impaction? Consult?
5. Other common loc? - ANS-1. Obs for 8 hrs then d/c if ASx
2. Distal
3. Proximal
4. Upper esophagus @ cricopharyngeus mm- otorhinolaryngology consult
5. Level of aortic arch, L main bronchus, GE junction > pylorus, duodenal C loop, ileocecal
valve
1. Classic triad of ruptured AAA
2. Imaging of preference?
3. Continuous abd bruit & palpable thrill?
Four. Bloody stool?
5. Mgmt of AAA? Purpose MAP? - ANS-1. Ache, hypo-TN, pulsatile abd mass
2. US
3. Aortovenous fistula
four. Aortoenteric fistula
five. 2 huge bore IVs, kind/cross, purpose MAP 90-one hundred, emergent surgical
procedure
1. Common EKG findings in COPD exacerbation?
2. Uncommon but precise finding on EKG?
Three. Mainstay of Tx?
Four. Symptoms for abx? Drug choices?
Five. Dispo test?
6. If still hypoxic despite #three & 4, next step? - ANS-1. Proper axis deviation, peaked p
waves in II, III, avF, R atrial hypertrophy.
2. Multifocal atrial tachycardia
, three. Duobens MC. Stacked albuterol treatments, ipratropium this autumn. PO prednisone
or IV methylprednisolone.
4. Increased sputum production, exchange in shade sputum, or fever. Levaquin, macrolides,
cephalosp, tetracycline
5. Walk round ED with continuous pulse ox
6. NPPV-->RSI
1. Define 1st diploma burn?
2. Outline 2nd diploma burn?
3. Outline third degree burn?
4. Mgmt of inhalation damage?
Five. Temp. Injures top or decrease airways extra?
6. Smoke injures higher or lower airlines more? - ANS-1. Epidermis most effective; red,
painful, nicely-demarcated
2. Dermis & part of epidermis. Blisters/painful/moist.
3. Complete thickness. Painless. Leathery, white, brown, or black
4. CXR, oropharyngeal examination, laryngoscopy or bronchoscopy, pulse ox, CO, CH3-Hb
5. Top
6. Decrease
1. Define classic chest ache from ACS? Include descriptors of pain, radiation, and assoc.
Sx?
2. Assoc Sx MC in girls or guys?
Three. Diaphoresis MC in women or guys?
Four. RF for ACS?
5. Does comfort with nitrates/antacids/GI cocktail have an effect on medical judgement? -
ANS-1. Retrosternal ache that is exacerbated by exertion and relieved through rest.
"crushing, tight, squeezing, or stress" Radiation to R arm > each fingers > left arm. Also: jaw,
palms, neck. +/- N/V, diaphoresis, dyspnea
2. Women
three. Guys
four. >60 yo male or put up-menopausal F, HTN, DM, HLD, tobacco use, truncal obesity,
sedentary way of life, FHx
5. NO!
1. Define warmness exhaustion- electrolytes? LFTs? Hallmarks?
2. Define warmth stroke- hallmarks? LFTs?
3. Tx of heat stroke? Purpose T? - ANS-1. Quantity depletion +
hyponatremia/hypochloremia. Hallmarks: T <104, sweating persists, LFTs 1000's
2. Heat stroke: thermoregulatory mechanisms fail. Sweating absent in 80-90%, severe CNS
derangement, LFTs in 10,000s.
3. Dunk in icebath! Must reduce T to 102 w/in 10-30mins. 2nd best is ice packs in axilla/groin
1. Define pulsus paradoxus?
2. Options for steroid administration in asthma exacerbation?
3. Patients @ risk for getting S. Pneumonia?
4. Name RF for spontaneous pneumo?
1. Causes of fake + on stool guaic?
2. False -?
3. Mc causes of lower GI bleed? MC site?
4 MC motive higher GI bleed. DDx?
5. Call infectious reasons of bloody diarrhea
6. Indic for blood transfusion? Mgmt? - ANS-1. Methylene blue, chlorophyll, Br, I, Fe, cupric
SO4
2. Antacids, Bile, vitamin C
3. Diverticulosis > CA > rectal, colitis, ischemia, angiodysplasia. L = R facet.
4. PUD. DDX: gastritis, varices, mallory-weiss tear, aortoenteric fistula
5. Campylobact, E. Coli 0157, Salmonella, Yersenia
6. Hb drop >three acutely, Hb <9 and actively bleeding, massive bleed (1L). HCT q 6h
1. Child has snake bite but is ASx- mgmt?
2. FB ingestion: adults have MC proximal/distal obstr?
3. FB ingestion: children have MC proximal/distal obstr?
4. MC location of ingested fb impaction? Consult?
5. Other common loc? - ANS-1. Obs for 8 hrs then d/c if ASx
2. Distal
3. Proximal
4. Upper esophagus @ cricopharyngeus mm- otorhinolaryngology consult
5. Level of aortic arch, L main bronchus, GE junction > pylorus, duodenal C loop, ileocecal
valve
1. Classic triad of ruptured AAA
2. Imaging of preference?
3. Continuous abd bruit & palpable thrill?
Four. Bloody stool?
5. Mgmt of AAA? Purpose MAP? - ANS-1. Ache, hypo-TN, pulsatile abd mass
2. US
3. Aortovenous fistula
four. Aortoenteric fistula
five. 2 huge bore IVs, kind/cross, purpose MAP 90-one hundred, emergent surgical
procedure
1. Common EKG findings in COPD exacerbation?
2. Uncommon but precise finding on EKG?
Three. Mainstay of Tx?
Four. Symptoms for abx? Drug choices?
Five. Dispo test?
6. If still hypoxic despite #three & 4, next step? - ANS-1. Proper axis deviation, peaked p
waves in II, III, avF, R atrial hypertrophy.
2. Multifocal atrial tachycardia
, three. Duobens MC. Stacked albuterol treatments, ipratropium this autumn. PO prednisone
or IV methylprednisolone.
4. Increased sputum production, exchange in shade sputum, or fever. Levaquin, macrolides,
cephalosp, tetracycline
5. Walk round ED with continuous pulse ox
6. NPPV-->RSI
1. Define 1st diploma burn?
2. Outline 2nd diploma burn?
3. Outline third degree burn?
4. Mgmt of inhalation damage?
Five. Temp. Injures top or decrease airways extra?
6. Smoke injures higher or lower airlines more? - ANS-1. Epidermis most effective; red,
painful, nicely-demarcated
2. Dermis & part of epidermis. Blisters/painful/moist.
3. Complete thickness. Painless. Leathery, white, brown, or black
4. CXR, oropharyngeal examination, laryngoscopy or bronchoscopy, pulse ox, CO, CH3-Hb
5. Top
6. Decrease
1. Define classic chest ache from ACS? Include descriptors of pain, radiation, and assoc.
Sx?
2. Assoc Sx MC in girls or guys?
Three. Diaphoresis MC in women or guys?
Four. RF for ACS?
5. Does comfort with nitrates/antacids/GI cocktail have an effect on medical judgement? -
ANS-1. Retrosternal ache that is exacerbated by exertion and relieved through rest.
"crushing, tight, squeezing, or stress" Radiation to R arm > each fingers > left arm. Also: jaw,
palms, neck. +/- N/V, diaphoresis, dyspnea
2. Women
three. Guys
four. >60 yo male or put up-menopausal F, HTN, DM, HLD, tobacco use, truncal obesity,
sedentary way of life, FHx
5. NO!
1. Define warmness exhaustion- electrolytes? LFTs? Hallmarks?
2. Define warmth stroke- hallmarks? LFTs?
3. Tx of heat stroke? Purpose T? - ANS-1. Quantity depletion +
hyponatremia/hypochloremia. Hallmarks: T <104, sweating persists, LFTs 1000's
2. Heat stroke: thermoregulatory mechanisms fail. Sweating absent in 80-90%, severe CNS
derangement, LFTs in 10,000s.
3. Dunk in icebath! Must reduce T to 102 w/in 10-30mins. 2nd best is ice packs in axilla/groin
1. Define pulsus paradoxus?
2. Options for steroid administration in asthma exacerbation?
3. Patients @ risk for getting S. Pneumonia?
4. Name RF for spontaneous pneumo?
