SAEM Quick Review Questions and Answers Rated A+

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SAEM Quick Review Questions and Answers Rated A+ Management of Large Subungual Hematoma ✔✔Drainage (18-Gauge) or Hot MicroCauterization Reason to Avoid Suction in Ear Foreign Body Removal ✔✔Perforation of Tympanic Membrane Management of Skin Abscess ✔✔Linear Incision for Non-Face vs. Needle Drainage for Face Catheter for Bartholin Cyst ✔✔Word Grading of Laryngeal Opening ✔✔Cormack-Lehane Preferred Induction Agent in Reactive Airway Disease for Dilation Effects ✔✔Ketamine Induction Agent Avoided in Sepsis Due To Adrenal Suppression ✔✔Etomidate Sudden-Onset Back Pain Worsened by Coughing Soon After Epidural Anesthesia ✔✔Epidural Hematoma Presentation of Adhesive Arachnoiditis ✔✔Progressive Neuropathy Tom, Dick, and Very Nervous Harry ✔✔Anterior to Posterior of Medial Ankle: Tibialis Posterior, Digitorum Longus, Vein, Nerve, Hallucis Longus Absolute Contra-Indication to Crico-Thyrotomy ✔✔Age Under 5 Anesthesia for Suturing Distal Right Index Finger in Patient with Underlying Vascular Disease ✔✔Lidocaine (2%) Without Epinephrine Around Digital Nerve for Fingers, Toes, Penis, Nose Earliest Sign of Lidocaine Toxicity (Over 5 mg/kg) ✔✔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). ✔✔Palm Glottis Spasm and Chest Wall Rigidity from Sedative (Rapid High Dose of IV Form) ✔✔Fentanyl (Effects Not Always Reversed by Naloxone) Management of Long-Lasting L.P. Headache ✔✔Autologous Blood Patch Timing of Tetanus Prophylaxis ✔✔Within First Few Days (Suture Within First 24 Hours) Normal C.S.F.-to-Blood Glucose Ratio ✔✔0.6 Size of Needle Decompression Needle ✔✔14 Gauge (2nd Intercostal at Midclavicular Line) Large Paronychia and Cellulitis ✔✔Removal of Affected Nail Under Digital Block and Antiobiotics Signs of Acute Appendicitis ✔✔1. Rovsing: Right Lower from Left Lower. 2. Psoas: Extension. 3. Obturator: Rotation. Suggested by Abdominal Pain Preceding Nausea and Vomiting ✔✔Surgery (Small Bowel Obstruction) Peak of Gastric Acid Secretion at Rest ✔✔2 A.M. Timing of Presentation of Hypertrophic Pyloric Stenosis (Non-Bilious) vs. Intussusception (Bilious) ✔✔4 Weeks vs. 8 Months Over 95% Sensitive and Specific for Renal Calculi ✔✔Helical C.T. Intermittent Left Lower Quadrant Pain (Afebrile), Loose Stools (Non-Bloody); Good Follow-Up ✔✔Discharge on High-Fiber Diet (Consider Laxatives and Stool Softeners) Abdominal Wall Condition in Anti-Coagulated Patient with Trauma or Coughing ✔✔Rectus Sheath Hematoma (1) Age 30. (2) Prior Abdominal Surgery or Pregnancy. (3) Marathons. ✔✔Risk Factors for Cecal Volvulus Possible Chest X-Ray Finding of Hepatic Abscess ✔✔Right-Sided Effusion and Elevated HemiDiaphragm Referred Pain from Ureteral Colic ✔✔Inguinal (Ovarian Torsion Does Not Cause Sacral Pain) Elderly Patient, Diverticulitis Without Perforation (Peritonitis) ✔✔I.V. Fluids (Elderly), AntiBiotics, and Bowel Rest Proximal vs. Distal Esophageal Perforation ✔✔Iatrogenic v

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