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SAEM EXAM 2025/2026 UPDATED
EMERGENCY MEDICINE
EXAM WITH CORRECT SOLUTIONS
Management of Large Subungual Hematoma - CORRECT
ANSWER- Drainage (18-Gauge) or Hot Micro-Cauterization
Reason to Avoid Suction in Ear Foreign Body Removal -
CORRECT ANSWER- Perforation of Tympanic Membrane
Management of Skin Abscess - CORRECT ANSWER- Linear
Incision for Non-Face vs. Needle Drainage for Face
Catheter for Bartholin Cyst - CORRECT ANSWER- Word
Grading of Laryngeal Opening - CORRECT ANSWER-
Cormack- Lehane
Preferred Induction Agent in Reactive Airway Disease for
Dilation Effects - CORRECT ANSWER- Ketamine
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Induction Agent Avoided in Sepsis Due To Adrenal Suppression
- CORRECT ANSWER- Etomidate
Sudden-Onset Back Pain Worsened by Coughing Soon After
Epidural Anesthesia - CORRECT ANSWER- Epidural
Hematoma
Presentation of Adhesive Arachnoiditis - CORRECT ANSWER-
Progressive Neuropathy
Tom, Dick, and Very Nervous Harry - CORRECT ANSWER-
Anterior to Posterior of Medial Ankle: Tibialis Posterior,
Digitorum Longus, Vein, Nerve, Hallucis Longus
Absolute Contra-Indication to Cricothyrotomy -
CORRECT ANSWER- Age Under 5
Anesthesia for Suturing D.I.P. of Finger in Patient with
Underlying Vascular Disease - CORRECT ANSWER- Lidocaine
(2%) Without Epinephrine Around Digital Nerve for Fingers,
Toes, Penis, Nose
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Earliest Sign of Lidocaine Toxicity (Over 5 mg/kg) -
CORRECT ANSWER- Lightheadedness (Also Peri-Oral
Numbness, Tinnitus, Visual and Auditory Disturbances,
Shivering, Twitching, and Generalized Tonic-Clonic Seizures)
(1) Avoid Vertical Mattress Sutures.
(2) Avoid Topical Skin Adhesives (Risk of Dehiscence from
Sweating). - CORRECT ANSWER- Palm
Glottis Spasm and Chest Wall Rigidity from Sedative (Rapid
High Dose of IV Form) - CORRECT ANSWER- Fentanyl
(Effects Not Always Reversed by Naloxone)
Management of Long-Lasting L.P. Headache - CORRECT
ANSWER- Autologous Blood Patch
Timing of Tetanus Prophylaxis - CORRECT ANSWER- Within
First Few Days (Suture Within First 24 Hours)
Normal C.S.F.-to-Blood Glucose Ratio - CORRECT ANSWER-
0.6
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Size of Needle Decompression Needle - CORRECT ANSWER-
14 Gauge (2nd Intercostal at Midclavicular Line)
Large Paronychia and Cellulitis - CORRECT ANSWER-
Removal of Affected Nail Under Digital Block; Start Antibiotics
Signs of Acute Appendicitis - CORRECT ANSWER- 1. Rovsing:
Right Lower from Left Lower.
2. Psoas: Extension.
3. Obturator: Rotation.
Suggested by Abdominal Pain Preceding Nausea and Vomiting
- CORRECT ANSWER- Surgery (Small Bowel Obstruction)
Peak of Gastric Acid Secretion at Rest - CORRECT ANSWER-
2 A.M.
Timing of Presentation of Hypertrophic Pyloric Stenosis (Non-
Bilious) vs. Intussusception (Bilious) - CORRECT ANSWER- 4
Weeks vs. 8 Months
SAEM EXAM 2025/2026 UPDATED
EMERGENCY MEDICINE
EXAM WITH CORRECT SOLUTIONS
Management of Large Subungual Hematoma - CORRECT
ANSWER- Drainage (18-Gauge) or Hot Micro-Cauterization
Reason to Avoid Suction in Ear Foreign Body Removal -
CORRECT ANSWER- Perforation of Tympanic Membrane
Management of Skin Abscess - CORRECT ANSWER- Linear
Incision for Non-Face vs. Needle Drainage for Face
Catheter for Bartholin Cyst - CORRECT ANSWER- Word
Grading of Laryngeal Opening - CORRECT ANSWER-
Cormack- Lehane
Preferred Induction Agent in Reactive Airway Disease for
Dilation Effects - CORRECT ANSWER- Ketamine
,2 | Page
Induction Agent Avoided in Sepsis Due To Adrenal Suppression
- CORRECT ANSWER- Etomidate
Sudden-Onset Back Pain Worsened by Coughing Soon After
Epidural Anesthesia - CORRECT ANSWER- Epidural
Hematoma
Presentation of Adhesive Arachnoiditis - CORRECT ANSWER-
Progressive Neuropathy
Tom, Dick, and Very Nervous Harry - CORRECT ANSWER-
Anterior to Posterior of Medial Ankle: Tibialis Posterior,
Digitorum Longus, Vein, Nerve, Hallucis Longus
Absolute Contra-Indication to Cricothyrotomy -
CORRECT ANSWER- Age Under 5
Anesthesia for Suturing D.I.P. of Finger in Patient with
Underlying Vascular Disease - CORRECT ANSWER- Lidocaine
(2%) Without Epinephrine Around Digital Nerve for Fingers,
Toes, Penis, Nose
,3 | Page
Earliest Sign of Lidocaine Toxicity (Over 5 mg/kg) -
CORRECT ANSWER- Lightheadedness (Also Peri-Oral
Numbness, Tinnitus, Visual and Auditory Disturbances,
Shivering, Twitching, and Generalized Tonic-Clonic Seizures)
(1) Avoid Vertical Mattress Sutures.
(2) Avoid Topical Skin Adhesives (Risk of Dehiscence from
Sweating). - CORRECT ANSWER- Palm
Glottis Spasm and Chest Wall Rigidity from Sedative (Rapid
High Dose of IV Form) - CORRECT ANSWER- Fentanyl
(Effects Not Always Reversed by Naloxone)
Management of Long-Lasting L.P. Headache - CORRECT
ANSWER- Autologous Blood Patch
Timing of Tetanus Prophylaxis - CORRECT ANSWER- Within
First Few Days (Suture Within First 24 Hours)
Normal C.S.F.-to-Blood Glucose Ratio - CORRECT ANSWER-
0.6
, 4 | Page
Size of Needle Decompression Needle - CORRECT ANSWER-
14 Gauge (2nd Intercostal at Midclavicular Line)
Large Paronychia and Cellulitis - CORRECT ANSWER-
Removal of Affected Nail Under Digital Block; Start Antibiotics
Signs of Acute Appendicitis - CORRECT ANSWER- 1. Rovsing:
Right Lower from Left Lower.
2. Psoas: Extension.
3. Obturator: Rotation.
Suggested by Abdominal Pain Preceding Nausea and Vomiting
- CORRECT ANSWER- Surgery (Small Bowel Obstruction)
Peak of Gastric Acid Secretion at Rest - CORRECT ANSWER-
2 A.M.
Timing of Presentation of Hypertrophic Pyloric Stenosis (Non-
Bilious) vs. Intussusception (Bilious) - CORRECT ANSWER- 4
Weeks vs. 8 Months
