SAEM PROC QUESTIONS AND CORRECT ANSWERS

SAEM PROC QUESTIONS AND
CORRECT ANSWERS
TheA2jointA2fluidA2fromA2aA2patient'sA2kneeA2arthrocentesisA2showsA275,000A2WBCA2withA2
75%A2PMNs,A2noA2organisms,A2noA2crystalsA2andA2aA2glucoseA2ofA235.A2WhatA2doesA2theA
2patientA2needA2next?
Answers:
1.antibioticsA2forA2septicA2jointA2andA2admissionA2forA2operation

2.antibioticsA2andA2dischargeA2home

3.narcoticA2painA2medicineA2andA2dischargeA2home

4.non-steroidalA2anti-inflammatoryA2medicineA2forA2goutA2andA2dischargeA2home

5.treatmentA2forA2gonorrheaA2andA2dischargeA2homeA2-A2Ans--
1.antibioticsA2forA2septicA2jointA2andA2admissionA2forA2operation

AA2patientA2presentsA2afterA2slammingA2herA2indexA2fingerA2inA2aA2windowA2oneA2dayA2ag
oA2(seeA2Figure).A2HerA2X-
rayA2isA2negative.A2OfA2theA2stepsA2listedA2below,A2whichA2isA2theA2bestA2optionA2forA2herA2
management?A2[PICTUREA2OFA2SUBUNGALA2HEMATOMA]A2-A2Ans--
1.antibioticsA2andA2discharge

2.drainageA2andA2discharge

3.removalA2ofA2theA2nailA2andA2sutureA2ofA2theA2underlyingA2laceration

4.splintA2andA2discharge

5.noneA2ofA2theA2above

YouA2haveA2aA23A2yearA2oldA2femaleA2presentA2withA2herA2motherA2withA2complaintsA2ofA22
A2daysA2ofA2leftA2earA2pain.A2OnA2exam,A2youA2areA2unableA2toA2visualizeA2theA2tympanicA2
membraneA2dueA2toA2anA2obstructingA2mass.A2YouA2suspectA2aA2foreignA2body.A2WhichA2
ofA2theA2followingA2isA2TRUEA2regardingA2theA2removingA2aA2foreignA2objectA2fromA2theA2p
atient'sA2earA2canal?
Answers:
1.AvoidA2suctionA2asA2itA2mayA2leadA2toA2aA2perforationA2ofA2theA2tympanicA2membrane

2.ReferralA2toA2anA2otolaryngologistA2forA2foreignA2bodyA2removalA2underA2generalA2anest
hesiaA2mayA2beA2requiredA2inA2anA2uncooperativeA2infant

, 3.ToA2removeA2aA2liveA2insectA2fromA2theA2externalA2earA2canal,A2graspA2aA2legA2withA2he
mostatsA2andA2pullA2firmly

4.YouA2shouldA2avoidA2theA2useA2ofA2lidocaineA2andA2otherA2topicalA2anestheticsA2dueA2to
A2theA2riskA2ofA2localizedA2tissueA2ischemiaA2-A2Ans--
2.ReferralA2toA2anA2otolaryngologistA2forA2foreignA2bodyA2removalA2underA2generalA2anest
hesiaA2mayA2beA2requiredA2inA2anA2uncooperativeA2infant

YouA2suspectA2thatA2yourA2patientA2hasA2swallowedA2aA2nail.A2WhichA2ofA2theA2followingA2i
sA2anA2indicationA2forA2endoscopicA2orA2surgicalA2removalA2ofA2thisA2object?
Answers:
1.AbdominalA2CTA2scanA2showsA2aA21cmA2nailA2inA2theA2distalA2sigmoidA2colon

2.PlainA2filmsA2doA2notA2revealA2aA2radiopaqueA2foreignA2bodyA2inA2theA2chestA2orA2abdom
en

3.RadiographyA2visualizesA2theA2nailA2inA2theA2gastricA2fundus

4.TheA2objectA2hasA2progressedA2fromA2theA2jejunumA2throughA2theA2ileumA2afterA224A2ho
ursA2-A2Ans--3.A2RadiographyA2visualizesA2theA2nailA2inA2theA2gastricA2fundus

AA230-
yearA2oldA2female,A2withoutA2pastA2medicalA2history,A2presentsA2withA2"anA2ingrownA2hair"
A2inA2herA2thigh,A2asA2depictedA2inA2theA2Figure.A2SheA2isA2afebrile,A2nontoxic,A2andA2hasA2
noA2regionalA2lymphadenopathyA2orA2lymphangitis.A2ExaminationA2revealsA2markedA2fluct
uanceA2andA2indurationA2underA2theA2erythematousA2regionA2ofA2theA2thigh.A2WhichA2ofA2t
heA2followingA2isA2theA2bestA2courseA2ofA2therapy?A2[PICTUREA2OFA2ABSCESS]
1.antibioticsA2forA2oneA2week,A2followedA2byA2reassessment

2.incisionA2andA2drainage,A2usingA2aA2cruciateA2incision

3.needleA2aspirationA2withA2aA230-
gaugeA2needleA2followedA2byA2antibioticsA2andA2reassessmentA2withinA25A2days

4.incisionA2andA2drainageA2withA2aA2linearA2incision

5.CTA2scanA2ofA2theA2thighA2toA2rule-outA2necrotizingA2fasciitisA2-A2Ans--
4.incisionA2andA2drainageA2withA2aA2linearA2incision

AA27A2yearA2oldA2girlA2withA2severeA2asthmaA2presentsA2toA2theA2emergencyA2departmentA
2inA2severeA2respiratoryA2distress.A2SheA2clearlyA2hasA2difficultyA2breathingA2onA2herA2own
A2andA2isA2obviouslyA2"tiringA2out."A2HerA2oxygenA2saturationA2isA285%A2andA2falling.A2The
A2decisionA2isA2madeA2toA2intubateA2her.A2OfA2theA2followingA2agents,A2whichA2isA2oftenA2re
commendedA2(dueA2toA2itsA2bronchodilatoryA2effects)A2asA2theA2inductionA2agentA2ofA2choi
ce?
1.Ketamine