SAEM Set 1 exam -with 100% verified solutions

SAEM Set 1 exam -with 100% verified solutions

"The chest X-ray in the Figure was taken in an intoxicated patient who is conversant, but
an unreliable historian. The X-ray findings are best described as indicating:
[image]
A. Esophageal foreign body
B. Intratracheal foreign body
C. mediastinitis from esophageal perforation
D. normal chest"
"A. Esophageal foreign body
The answer is A. The film reveals a classic appearance of a round foreign body (in this
case, a pull-top from a beer can) in the esophagus. The foreign body appears to lie
outside the tracheal shadow. There is no sign of mediastinal air (which would be
expected with penetrating trauma). The X-ray reveals no signs of mediastinitis, but the
risk of esophageal perforation and ultimate mediastinitis prompts endoscopic
intervention in this patient."
"An 18 year old hockey player is hit in the mouth with a puck, fracturing a maxillary
canine tooth. He brings the severed piece of tooth with him. On physical exam, the
tooth is fractured halfway between the tip and the gumline. The root of the tooth is still
firmly intact. The exposed fracture site has a yellowish tinge without blood. Of the
following choices, which is the most appropriate management for this patient?
A. No specific treatment required
B. Application of calcium hydroxide, placement of aluminum foil, and dental follow-up
C. Placement of tooth fragment in saline gauze, outpatient dental follow-up
D. Immediate dental consult to avoid abscess formation
E. Replace fractured piece and place acrylic splint"
"D. Immediate dental consult to avoid abscess formation
The answer is D. Ellis II dental fracture involves enamel and dentin. The fracture site
typically has a yellowish tinge. Ellis III dental fractures are characterized by exposure of

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