SAEM QUESTIONS AND ANSWERS GRADED A
subungual hematoma
drane using 18 guage needle and discharge home Correct Answer: diagnosis and
... [Show More] management
etomidate (Cardioprotective) Correct Answer: induction agent of choice when decreased myocardial contractility is a concern
etomidate Correct Answer: induction agent known to cause transient adrenal suppression, causing its use in septic patients to be controversial
heel (sural nerve block) Correct Answer: portion of plantar aspect of foot not anesthetized by posterior tibial nerve block
age (somewhere between 5-12, controversial) Correct Answer: only absolute contraindication to cricothyrotomy
lightheadedness and diziness Correct Answer: first signs of lidocaine toxicity
can place deep structures at risk Correct Answer: reason why vertical mattress sutures are not recommended for the palm
fentanyl (reverse with naloxone, if not effective may need neuromuscular blockade and intubation) Correct Answer: analgesic which can cause respiratory depression, chest wall rigidity and glottic spasm
mallampati
Class 1 = full visualization of epiglottis
Class 2: mostly full
Class 3: barely visualized
Class 4 = no visualization of epiglottis Correct Answer: scale which allows communication of ability to visualize structures of the posterior pharynx as a means of estimating intubation difficulty
headache Correct Answer: most common complication of LP
paronchyia
digital block, surgical intervention (partiial removal of nail, and abx) Correct Answer: diagosis and management
panic disorder Correct Answer: psychiatric disease with highest risk of suicide
silent suicide Correct Answer: act of slowly killing oneself by nonviolent means, such as starvation or non compliance with essential medical treatment
occult suicide Correct Answer: self destructive acts disguised as an accident
C. elderly and caucasian Correct Answer: Suicidal risk is increased in this patient population:
A. patients who have not been involuntarily committed
b. patients who directly questioned about suicide
c. elderly and caucasian
D. patients taking lithium for bipolar disorder
flexion and supination of elbow (imaging usually not needed if pain resolves after reduction) Correct Answer: management of radial head subluxation (nurse maids elbow)
hill sachs deformity (compression fracture of the posterior lateral aspect of the humeral head) Correct Answer: most common fracture associated with shoulder dislocation
asystole (followed by bradycardia) Correct Answer: most common rhythm seen in pediatric arrest
1. dry, warm, position, suction, stimulate
2. oxygen
3. ventilation
4. chest compressions
5. medications Correct Answer: order of operations for neonatal resuscitation
maternal blood (ask about bleeding from nipples) Correct Answer: one possible cause of blood in vomit of a healthy appearing infant
hypoxemia Correct Answer: most likely underlying cause of bradycardia in a newborn
tube mm = (16 + age) /4 Correct Answer: equation for estimating endotrachael tube size
4 back blows
If still obstructed 4 chest compressions
If still obstructed jaw thrust, mouth inspected and removal of visual FB
If still obstructed, mouth to mouth ventilation
Repeat Correct Answer: management of choking infant under 1 year of age
Childs nares
childs little finger
Body length broselow conversionn
Age in years + 16 / 4 Correct Answer: 4 different methods for estimating pediatric endotracheal tube size
hypovolemia Correct Answer: most common cause of shock in the pediatric population
B. gastric distension due to excessive volume or rate of ventilation impairing ventilatory function
The answer is B. Early placement of a nasogastric tube to facilitate decompression of the stomach will help to prevent further impairment of ventilation. The rest are indications for endotrachael intubation in the pediatric trauma patient. Correct Answer: All of the following are generally accepted indications for endotracheal intubation of the pediatric trauma patient, EXCEPT:
A. GCS score less than or equal 9, to secure airway and provide controlled hyperventilation
B. gastric distension due to excessive volume or rate of ventilation impairing ventilatory function
C. any inability to ventilate by bag-valve-mask methods or the need for prolonged control of the airway
D. respiratory failure from hypoxia or hypoventilation
E. any trauma patient in decompensated shock and resistant to initial fluid resuscitation
B. Salter II Correct Answer: A 7 year old boy falls off his bike onto his outstretched arm and sustains a supracondylar fracture. The fracture originates in the metaphysis and a portion of it extends into the physis (growth plate) without extending through to the epiphysis. How is this fracture classified?
A. Salter I
B. Salter II
C. Salter III
D. Salter IV
E. Salter V [Show Less]