EXAM WITH CORRECT SOLUTIONS.

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SAEM EXAM

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 Crico-Thyrotomy - 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

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