SAEM REVIEW MODULE QUESTION BANK
2026 AND DETAILED EXPLANATIONS
◉ Management of Thyroid Storm
Answer: P.T.U. and Propranolol, Followed by Iodine (5 Drops K-I q6
or Na-I Drip q8) After 1 Hour
◉ Effect of Acetaminophen (Anti-Pyretic) on Thyroid Storm
Answer: Worsens by Displacing Thyroid Hormone from Binding
Globulin
◉ Presentation of Scorpion Bite in Children vs. Adults (Symptoms
Resolve Without Anti-Venom)
Answer: Restlessness, Jerking, Roving Eye Movements, and Drooling
(Anaphylaxis Requires Anti-Venom) in Children vs. Pain and
Paresthesia in Adults
◉ Risk of Scorpion Anti-Venom
Answer: Allergy (Type 1) or Serum Sickness (Type 3)
◉ American Scorpion Causing Systemic Symptoms
,Answer: Centruroides
◉ Observation Period for Asymptomatic Snake Bite
Answer: 8 Hours
◉ Core Body Temperature Over 40.5 Celsius and Hot Dry Skin; Risk
of Seizure, Respiratory Failure, Low Blood Pressure, or
Rhabdomyolysis
Answer: Altered Mental Status Suggests Heat Stroke; Conduction
and Evaporation Cooling
◉ Severe Hypothermia, Mental Status Changes and Arrhythmia
Answer: Warm I.V. Fluids
◉ (1) Red Fruits or Meats.
(2) Methylene Blue.
(3) Chlorophyll.
(4) Iodide or Bromide.
(5) Cupric Sulfate.
Answer: False Positive Guaiac Test
◉ (1) Bile.
, (2) Ingestion of Magnesium-Containing Antacids.
(3) Ascorbic Acid (Vitamin C).
Answer: False Negative Guaiac Test
◉ Thumbprinting on X-Ray
Answer: Submucosal Edema and Hemorrhage
◉ 2 Most Common Causes of Lower G.I. Bleeding in Adults
Answer: Diverticulosis and Angiodysplasia
◉ 2 Most Common Causes of Upper G.I. Bleeding in Adults (Higher
Mortality Than Lower GI Bleeding)
Answer: PUD (Gastric Erosions) or Varices
◉ Most Common Cause of Upper G.I. Bleed in Children
Answer: Esophagitis
◉ Painful Hemorrhoids
Answer: External
◉ Most Common Cause of Food Poisoning in U.S.
2026 AND DETAILED EXPLANATIONS
◉ Management of Thyroid Storm
Answer: P.T.U. and Propranolol, Followed by Iodine (5 Drops K-I q6
or Na-I Drip q8) After 1 Hour
◉ Effect of Acetaminophen (Anti-Pyretic) on Thyroid Storm
Answer: Worsens by Displacing Thyroid Hormone from Binding
Globulin
◉ Presentation of Scorpion Bite in Children vs. Adults (Symptoms
Resolve Without Anti-Venom)
Answer: Restlessness, Jerking, Roving Eye Movements, and Drooling
(Anaphylaxis Requires Anti-Venom) in Children vs. Pain and
Paresthesia in Adults
◉ Risk of Scorpion Anti-Venom
Answer: Allergy (Type 1) or Serum Sickness (Type 3)
◉ American Scorpion Causing Systemic Symptoms
,Answer: Centruroides
◉ Observation Period for Asymptomatic Snake Bite
Answer: 8 Hours
◉ Core Body Temperature Over 40.5 Celsius and Hot Dry Skin; Risk
of Seizure, Respiratory Failure, Low Blood Pressure, or
Rhabdomyolysis
Answer: Altered Mental Status Suggests Heat Stroke; Conduction
and Evaporation Cooling
◉ Severe Hypothermia, Mental Status Changes and Arrhythmia
Answer: Warm I.V. Fluids
◉ (1) Red Fruits or Meats.
(2) Methylene Blue.
(3) Chlorophyll.
(4) Iodide or Bromide.
(5) Cupric Sulfate.
Answer: False Positive Guaiac Test
◉ (1) Bile.
, (2) Ingestion of Magnesium-Containing Antacids.
(3) Ascorbic Acid (Vitamin C).
Answer: False Negative Guaiac Test
◉ Thumbprinting on X-Ray
Answer: Submucosal Edema and Hemorrhage
◉ 2 Most Common Causes of Lower G.I. Bleeding in Adults
Answer: Diverticulosis and Angiodysplasia
◉ 2 Most Common Causes of Upper G.I. Bleeding in Adults (Higher
Mortality Than Lower GI Bleeding)
Answer: PUD (Gastric Erosions) or Varices
◉ Most Common Cause of Upper G.I. Bleed in Children
Answer: Esophagitis
◉ Painful Hemorrhoids
Answer: External
◉ Most Common Cause of Food Poisoning in U.S.
