SAEM Exam 2025 QUESTIONS &ANSWERS | 100%
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Terms in this set (1040)
"Regarding the diagnosis "A. Vital signs are usually abnormal, even early in the
of acute appendicitis, all course of acute appendicitis.
the following are true
EXCEPT: The answer is A. The presentation of acute
A. Vital signs are usually appendicitis varies tremendously. Early in its course,
abnormal, even early in vital signs including temperature may be normal.
the course of acute Once perforation has occurred, the rate of low-grade
appendicitis. fever (<38 C) increases to about 40%. Other variations
B. Rebound is usually in presentation include pain in the right upper
elicited only after the quadrant, typically from a retrocecal or retroiliac
appendix has ruptured or appendix."
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 pain
upon extension of the hip."
,"Rosving's sign is "E. Pain in the right lower quadrant when left lower
described as: quadrant is palpated.
A. Tenderness in the right
upper quadrant that is The answer is E. Rosving's sign is pain in the right
worse with inspiration. lower quadrant when the left lower quadrant is
B. Pelvic pain upon flexion palpated. Rebound tenderness occurs with the
of the thigh while the release of pressure. The iliopsoas sign is pain
patient is supine. associated with thigh flexion. The obturator sign is
C. Pelvic pain upon pain that occurs with thigh rotation. All of these signs
internal and external are associated with appendicitis. Murphy's sign is
rotation of the thigh with cessation of inspiration during palpation of the right
the knee flexed. upper quadrant and is associated with acute
D. Pain that increases with cholecystitis."
the release of pressure of
palpation.
E. Pain in the right lower
quadrant when left lower
quadrant is palpated."
,"In establishing a "D. The onset of pain prior to the occurrence of
differential diagnosis of nausea and vomiting is more often suggestive of a
abdominal pain, which of surgical etiology.
the following is true?
A. Radiation of pain to the The answer is D. Pain prior to nausea and vomiting is
scapula is suggestive of often suggestive of a surgical etiology of the pain,
acute hepatitis. such as small bowel obstruction. Cervical motion
B. Cervical motion tenderness has been noted in up to 25% of women
tenderness is a useful with acute appendicitis. Patients with sickle cell
physical finding for anemia are prone to Salmonella infections. Radiation
differentiating women with of pain to the scapula is classically present in acute
or without acute choleycystitis. Diverticulitis pain is generally located in
appendicitis. the left lower quadrant."
C. In patients with sickle
cell anemia who present
with abdominal pain and
diarrhea, shigellosis
should be a top
consideration.
D. The onset of pain prior
to the occurrence of
nausea and vomiting is
more often suggestive of
a surgical etiology.
E. Diverticulitis tends to
cause pain in the right
upper quadrant."
, "Of the following pain "C. unrelenting pain over a period of weeks
patterns, which is the least
likely associated with The answer is C. Pain from peptic ulcer disease
diagnosis of peptic ulcer typically occurs in periods of exacerbation and
disease? remission. Unrelenting pain over weeks or months
A. non-radiating, burning should suggest an alternative diagnosis. Pain is
epigastric pain classically described as non-radiating, burning
B. pain that awakens a epigastric pain. Some patients may also complain of
patient in the middle of chest or back pain. Pain is frequently severe enough
the night to awaken patients from sleep in early morning hours
C. unrelenting pain over a but is often not present upon waking in the morning,
period of weeks as gastric acid secretion peaks around 2 a.m. and
D. relief of abdominal pain nadirs upon awakening."
with antacids
E. pain that is worse
preceding a meal"
"A 78 year old female The answer is D. A patient with this general picture is
presents to the E.D. with a most likely to have diverticulitis, which is revealed on
sensation of left-lower the CT scan as diverticular disease with inflammation
quadrant abdominal pain, (wall thickening and stranding).
accompanied by some
irregular bowel
movements and loss of
appetite. Her abdominal
CT (two images) is shown
in the Figure. What is the
most likely diagnosis?
A. ovarian cyst
B. volvulus
C. appendicitis
D. diverticulitis
E. gastroenteritis"
Verified Solutions | Already passed!!
Save
Terms in this set (1040)
"Regarding the diagnosis "A. Vital signs are usually abnormal, even early in the
of acute appendicitis, all course of acute appendicitis.
the following are true
EXCEPT: The answer is A. The presentation of acute
A. Vital signs are usually appendicitis varies tremendously. Early in its course,
abnormal, even early in vital signs including temperature may be normal.
the course of acute Once perforation has occurred, the rate of low-grade
appendicitis. fever (<38 C) increases to about 40%. Other variations
B. Rebound is usually in presentation include pain in the right upper
elicited only after the quadrant, typically from a retrocecal or retroiliac
appendix has ruptured or appendix."
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 pain
upon extension of the hip."
,"Rosving's sign is "E. Pain in the right lower quadrant when left lower
described as: quadrant is palpated.
A. Tenderness in the right
upper quadrant that is The answer is E. Rosving's sign is pain in the right
worse with inspiration. lower quadrant when the left lower quadrant is
B. Pelvic pain upon flexion palpated. Rebound tenderness occurs with the
of the thigh while the release of pressure. The iliopsoas sign is pain
patient is supine. associated with thigh flexion. The obturator sign is
C. Pelvic pain upon pain that occurs with thigh rotation. All of these signs
internal and external are associated with appendicitis. Murphy's sign is
rotation of the thigh with cessation of inspiration during palpation of the right
the knee flexed. upper quadrant and is associated with acute
D. Pain that increases with cholecystitis."
the release of pressure of
palpation.
E. Pain in the right lower
quadrant when left lower
quadrant is palpated."
,"In establishing a "D. The onset of pain prior to the occurrence of
differential diagnosis of nausea and vomiting is more often suggestive of a
abdominal pain, which of surgical etiology.
the following is true?
A. Radiation of pain to the The answer is D. Pain prior to nausea and vomiting is
scapula is suggestive of often suggestive of a surgical etiology of the pain,
acute hepatitis. such as small bowel obstruction. Cervical motion
B. Cervical motion tenderness has been noted in up to 25% of women
tenderness is a useful with acute appendicitis. Patients with sickle cell
physical finding for anemia are prone to Salmonella infections. Radiation
differentiating women with of pain to the scapula is classically present in acute
or without acute choleycystitis. Diverticulitis pain is generally located in
appendicitis. the left lower quadrant."
C. In patients with sickle
cell anemia who present
with abdominal pain and
diarrhea, shigellosis
should be a top
consideration.
D. The onset of pain prior
to the occurrence of
nausea and vomiting is
more often suggestive of
a surgical etiology.
E. Diverticulitis tends to
cause pain in the right
upper quadrant."
, "Of the following pain "C. unrelenting pain over a period of weeks
patterns, which is the least
likely associated with The answer is C. Pain from peptic ulcer disease
diagnosis of peptic ulcer typically occurs in periods of exacerbation and
disease? remission. Unrelenting pain over weeks or months
A. non-radiating, burning should suggest an alternative diagnosis. Pain is
epigastric pain classically described as non-radiating, burning
B. pain that awakens a epigastric pain. Some patients may also complain of
patient in the middle of chest or back pain. Pain is frequently severe enough
the night to awaken patients from sleep in early morning hours
C. unrelenting pain over a but is often not present upon waking in the morning,
period of weeks as gastric acid secretion peaks around 2 a.m. and
D. relief of abdominal pain nadirs upon awakening."
with antacids
E. pain that is worse
preceding a meal"
"A 78 year old female The answer is D. A patient with this general picture is
presents to the E.D. with a most likely to have diverticulitis, which is revealed on
sensation of left-lower the CT scan as diverticular disease with inflammation
quadrant abdominal pain, (wall thickening and stranding).
accompanied by some
irregular bowel
movements and loss of
appetite. Her abdominal
CT (two images) is shown
in the Figure. What is the
most likely diagnosis?
A. ovarian cyst
B. volvulus
C. appendicitis
D. diverticulitis
E. gastroenteritis"
