SAEM EXAM 2024/2025 |GUARANTEED PASS!!, Exams of Nursing

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SAEM EXAM 2024/2025 |

GUARANTEED PASS!!

Management of Large Subungual Hematoma - ACCURATE ANSWERS✔✔ Drainage (18-Gauge) or Hot Micro-Cauterization Reason to Avoid Suction in Ear Foreign Body Removal - ACCURATE ANSWERS✔✔ Perforation of Tympanic Membrane Management of Skin Abscess - ACCURATE ANSWERS✔✔ Linear Incision for Non-Face vs. Needle Drainage for Face Catheter for Bartholin Cyst - ACCURATE ANSWERS✔✔ Word Grading of Laryngeal Opening - ACCURATE ANSWERS✔✔ Cormack-Lehane Preferred Induction Agent in Reactive Airway Disease for Dilation Effects - ACCURATE ANSWERS✔✔ Ketamine Induction Agent Avoided in Sepsis Due To Adrenal Suppression - ACCURATE ANSWERS✔✔ Etomidate Sudden-Onset Back Pain Worsened by Coughing Soon After Epidural Anesthesia - ACCURATE ANSWERS✔✔ Epidural Hematoma

Presentation of Adhesive Arachnoiditis - ACCURATE ANSWERS✔✔ Progressive Neuropathy Tom, Dick, and Very Nervous Harry - ACCURATE ANSWERS✔✔ Anterior to Posterior of Medial Ankle: Tibialis Posterior, Digitorum Longus, Vein, Nerve, Hallucis Longus Absolute Contra-Indication to Crico-Thyrotomy - ACCURATE ANSWERS✔✔ Age Under 5 Anesthesia for Suturing D.I.P. of Finger in Patient with Underlying Vascular Disease - ACCURATE ANSWERS✔✔ Lidocaine (2%) Without Epinephrine Around Digital Nerve for Fingers, Toes, Penis, Nose Earliest Sign of Lidocaine Toxicity (Over 5 mg/kg) - ACCURATE ANSWERS✔✔ 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). - ACCURATE ANSWERS✔✔ Palm

Glottis Spasm and Chest Wall Rigidity from Sedative (Rapid High Dose of IV Form) - ACCURATE ANSWERS✔✔ Fentanyl (Effects Not Always Reversed by Naloxone) Management of Long-Lasting L.P. Headache - ACCURATE ANSWERS✔✔ Autologous Blood Patch Timing of Tetanus Prophylaxis - ACCURATE ANSWERS✔✔ Within First Few Days (Suture Within First 24 Hours) Normal C.S.F.-to-Blood Glucose Ratio - ACCURATE ANSWERS✔✔

Size of Needle Decompression Needle - ACCURATE ANSWERS✔✔ 14 Gauge (2nd Intercostal at Midclavicular Line) Large Paronychia and Cellulitis - ACCURATE ANSWERS✔✔ Removal of Affected Nail Under Digital Block; Start Antibiotics Signs of Acute Appendicitis - ACCURATE ANSWERS✔✔ 1. Rovsing: Right Lower from Left Lower.

2. Psoas: Extension.
3. Obturator: Rotation. Suggested by Abdominal Pain Preceding Nausea and Vomiting - ACCURATE ANSWERS✔✔ Surgery (Small Bowel Obstruction)

Peak of Gastric Acid Secretion at Rest - ACCURATE ANSWERS✔✔ 2 A.M. Timing of Presentation of Hypertrophic Pyloric Stenosis (Non-Bilious) vs. Intussusception (Bilious) - ACCURATE ANSWERS✔✔ 4 Weeks vs. 8 Months Over 95% Sensitive and Specific for Renal Stones - ACCURATE ANSWERS✔✔ Helical C.T. Intermittent Left Lower Quadrant Pain (Afebrile), Loose Stools (Non- Bloody); Good Follow-Up - ACCURATE ANSWERS✔✔ Discharge on High-Fiber Diet (Consider Laxatives and Stool Softeners) Abdominal Wall Condition in Anti-Coagulated Patient with Trauma or Coughing - ACCURATE ANSWERS✔✔ Rectus Sheath Hematoma (1) Age 30. (2) Prior Abdominal Surgery or Pregnancy. (3) Marathons. - ACCURATE ANSWERS✔✔ Risk Factors for Cecal (Cross-Country) Volvulus Possible Chest X-Ray Finding of Hepatic Abscess - ACCURATE ANSWERS✔✔ Right-Sided Effusion and Elevated Hemi-Diaphragm

Referred Pain from Ureteral Colic - ACCURATE ANSWERS✔✔ Inguinal (Ovarian Torsion Does Not Cause Sacral Pain) Elderly Patient, Diverticulitis Without Perforation (Without Peritonitis) - ACCURATE ANSWERS✔✔ I.V. Fluids (Elderly), Antibiotics, and Bowel Rest (Peritonitis Requires Surgery) Proximal vs. Distal Esophageal Perforation - ACCURATE ANSWERS✔✔ Iatrogenic vs. Spontaneous Rigidity; Elevated Temperatures, Altered Mental Status, Choreo- Athetosis, Autonomic Dysfunction (Diaphoresis, Incontinence, Arrhythmia) - ACCURATE ANSWERS✔✔ Dantrolene (Or Bromocriptine, Amantadine, Lorazepam) for Neuroleptic Malignant Syndrome Indicated by Temperature Over 105 - ACCURATE ANSWERS✔✔ Non- Infectious Extra-Pyramidal: Involuntary Periodic Movements of Tongue, Lips, or Mouth - ACCURATE ANSWERS✔✔ Tardive Dyskinesia Extra-Pyramidal: Torticollis, Fixed Upper Gaze (Oculogyric Crisis), or Arching of Back (Opisthotonus) - ACCURATE ANSWERS✔✔ Benztropine (2mg Cogentin) or Benadryl (25mg) for Dystonia from Typical Anti-Psychotics

Extra-Pyramidal: Restlessness - ACCURATE ANSWERS✔✔ Beta- Blocker for Akathisia E.C.G. Finding of Haloperidol Toxicity - ACCURATE ANSWERS✔✔ Long Q.T. Illicit Drug Causing Vertical Nystagmus - ACCURATE ANSWERS✔✔ Phencyclidine (PCP) Controls Agitation Without Respiratory Depression (Negligible Anticholinergic Side Effects) - ACCURATE ANSWERS✔✔ Haloperidol (5mg IM q30); B-52 is Benadryl (50 Milligrams), 5 Milligrams of Haloperidol, and 2 Milligrams of Lorazepam Risk of Protracted Struggle in Restraints - ACCURATE ANSWERS✔✔ Metabolic Acidosis Risk of Flumazenil in Chronic Benzodiazepine User - ACCURATE ANSWERS✔✔ Withdrawal Seizures Altered Chronic Alcoholic, Non-Gap Metabolic Acidosis - ACCURATE ANSWERS✔✔ Isopropyl Alcohol Glucose and Magnesium Recommendations for Altered Alcoholic - ACCURATE ANSWERS✔✔ 1. Thiamine Before Glucose; and,

2. Give Magnesium Regardless of Magnesium Level (Low Stores).

Waxing and Waning Global Inability to Relate to Environment and Process Sensory Input (Increased Alertness and Psychomotor Activity) - ACCURATE ANSWERS✔✔ Delirium Most Common Dementia - ACCURATE ANSWERS✔✔ Alzheimer More Common Than Vascular Dementia Management of Seizures in Eclampsia - ACCURATE ANSWERS✔✔ Magnesium; Consider Labetalol or Hydralazine for Diastolic Over 110 After Seizure Stops Relationship Between Alcohol and Seizures - ACCURATE ANSWERS✔✔ Direct Toxicity vs. Withdrawal vs. Head Injury from Fall Most Common Cause of Delirium in Elderly - ACCURATE ANSWERS✔✔ Medications Tooth Fracture of Enamel and Dentin, Yellowish Tinge, No Blood - ACCURATE ANSWERS✔✔ Ellis 2 Dental Fracture Requires Consultation to Prevent Abscess Formation Obvious Nasal Bone Deformity After Blunt Trauma, Bleeding Controlled by Pressure; No Bone Tenderness, Cranial Nerves Intact; Swollen and Bruised Tender Unilateral Septum - ACCURATE

ANSWERS✔✔ Incision and Drainage of Septal Hematoma Followed by Nasal Packing Eye Blunt Trauma; Pain, Double Vision from Upward Gaze - ACCURATE ANSWERS✔✔ Entrapment of Inferior Rectus from Inferior Orbital Wall Fracture Head Blunt Trauma, Loss of Consciousness, Currently Seizing; Previous Confusion, Vomiting, and Headache - ACCURATE ANSWERS✔✔ R.S.I. with Paralytic (Before Addressing Intracranial Pressure) Tension Pneumo-Thorax; Hemodynamically Unstable - ACCURATE ANSWERS✔✔ Needle in 2nd Intercostal Mid-Clavicular (Anterior) or 4th Intercostal Mid-Axillary (Lateral), Before X-Ray (Chest Tube Takes Too Long) Most Sensitive Bedside Test for Finger Nerve Injury - ACCURATE ANSWERS✔✔ Two-Point Discrimination O'Riain Test - ACCURATE ANSWERS✔✔ Wrinkling of Digit in Warm Water Indicates Intact Nerve Ottawa Ankle Rules (Any Positive Requires X-Ray) for Pain in Malleolar Zone - ACCURATE ANSWERS✔✔ 1. Inability to Walk 4 Steps At Time of Injury and Currently.

2. Tenderness Over Posterior Edge of Either Malleolus.

3. Tenderness Over Navicular or Base of 5th Metatarsal. Suspected Globe Rupture (Enophthalmos and Leakage of Vitreous Humor) - ACCURATE ANSWERS✔✔ Broad-Spectrum Antibiotics (Tetanus If Necessary); Visual Acuity Assessment Before Consultation (Avoid Pressure Tonometry) Trauma; Unilateral Eye Pain with Extra-Ocular Movement, Proptosis, Decreased Visual Acuity - ACCURATE ANSWERS✔✔ Lateral Canthotomy for Retro-Bulbar Hematoma Blunt Trauma; Unilateral Epistaxis (Maxillary), Subcutaneous Emphysema, or Anesthesia of Ipsilateral Infra-Orbital Region (V2) - ACCURATE ANSWERS✔✔ Orbital Blowout Fracture (No Proptosis) Anterior Chamber Meniscus - ACCURATE ANSWERS✔✔ Hyphema (Blood) vs. Hypopion (Pus) Management of Subconjunctival Hemorrhage - ACCURATE ANSWERS✔✔ Resolves Without Intervention Gravid Female, Pulseless and Apneic for 2 Minutes; Detectable Fetal Heart Tones - ACCURATE ANSWERS✔✔ Emergency C-Section (More Viable Than Gravid GSW with Undetectable Fetal Heart Tones)

Elderly Extension Injury; Decreased Bilateral Grip Strength - ACCURATE ANSWERS✔✔ Steroids and Cervical M.R.I. for Central Cord Syndrome (Contusion from Buckling of Ligamentum Flavum) Affected by L.X.-L.Y. Herniation - ACCURATE ANSWERS✔✔ Y (1) Jefferson Fracture of C1 (Image). (2) Hangman Fracture of C2. (3) Flexion Teardrop Fracture. (4) Bilateral Facet Dislocation. - ACCURATE ANSWERS✔✔ Unstable Fractures Penetrating Trauma to Zone 1 (Sternal Notch to Cricoid Cartilage) - ACCURATE ANSWERS✔✔ Angiography (4-Vessel CT), Triple Endoscopy, and Observation Management of Hemodynamically-Stable Liver Laceration from Trauma

• ACCURATE ANSWERS✔✔ Conservative Management; No Emergency Laparotomy Trauma Patient with Bloody Foley - ACCURATE ANSWERS✔✔ C.T. with I.V. and Trans-Urethral Contrast Chest G.S.W., Unconscious and Pulseless, Systolic of 60 - ACCURATE ANSWERS✔✔ Emergency Thoracotomy (Lower Success Rates for Blunt Trauma)

In Breast, Out Axilla; Hemodynamically-Stable and Clear Breath Sounds Bilaterally; I.V. Access Obtained - ACCURATE ANSWERS✔✔ (1) Bedside Ultrasound. (2) Intubation and Chest Tube. (3) Portable X-Ray; and, (4) Admit to I.C.U. Stab Wound in 10th Intercostal Space, Absent Breath Sounds; Dyspnea But Hemodynamically-Stable - ACCURATE ANSWERS✔✔ (1) Chest Tube. (2) Portable X-Ray. (3) Abdominal C.T. Decreased Sensation Over Lateral Palm - ACCURATE ANSWERS✔✔ Median Nerve Injury from Distal Radius Fracture Leg Externally-Rotated (And Abducted) - ACCURATE ANSWERS✔✔ Femoral Neck Fracture (ER = RE) Leg Internally-Rotated - ACCURATE ANSWERS✔✔ Posterior Hip Dislocation Popliteal Pain After Impact on Planted Foot; Pale Cold Foot, No Distal Pulses - ACCURATE ANSWERS✔✔ Sedate and Reduce Without X- Rays

Eikenella - ACCURATE ANSWERS✔✔ Aggressive Mouth Flora Requiring Prophylactic Lactam-Lactamase After Human Bite Definitively Determines Entry and Exit Points - ACCURATE ANSWERS✔✔ Forensic Specialist (Emergency Department Must Describe Wounds But Never Speculate) Small Pneumo-Thorax on Chest C.T.; Hemodynamically-Stable - ACCURATE ANSWERS✔✔ 100% Oxygen Flexion and Compression of Vertebral Body, Resulting in Paralysis and Loss of Pain and Temperature Sensation Below - ACCURATE ANSWERS✔✔ Anterior Cord from Anterior Spinal Artery Injury (From Anterior Flexion) Severe Burns of Hands (Or Skull) and Heels; Risk of Cardiac Arrest or Loss of Consciousness - ACCURATE ANSWERS✔✔ Deep Burns Distinguish Electrical Injury from Lightning Hepatitis C Medication With Risk of Depression - ACCURATE ANSWERS✔✔ S.S.R.I. Pretreatment for Interferon Alpha Psychiatric Risk Associated with Breast Implants - ACCURATE ANSWERS✔✔ Suicide

SAD PERSONS - ACCURATE ANSWERS✔✔ 1. Male (Caucasian).

2. Age Under 20 or Over 50.
3. Depression.
4. Previous Attempt.
5. Ethanol or Drugs.
6. Rational Thought Loss (Psychosis).
7. Social Support Issues.
8. Organized Plan.
9. No Spouse or Significant Other (1 Point, All Others 2 Points).
10. Sickness or Injury. Psychiatric Disorder With Greatest Risk of Suicide - ACCURATE ANSWERS✔✔ Panic Disorder Silent vs. Occult Suicide - ACCURATE ANSWERS✔✔ Self-Neglect (Starvation) vs. Recurrent Accidents 2 Hours Post-Acetaminophen (Suicide Attempt), Refuses to Drink Activated Charcoal - ACCURATE ANSWERS✔✔ N.G. Tube Avoids Pneumonitis Contra-Indicated for Hydro-Carbon (Oil) Ingestions - ACCURATE ANSWERS✔✔ Gastric Lavage

Belladonna Toxicity - ACCURATE ANSWERS✔✔ Stigmine (Anti- Cholinesterase) for Anti-Cholinergic Poisoning: Hot (Hades), Blind (Bat), Red (Rose), and Mad (Hatter) 3 Contra-Indications for Activated Charcoal - ACCURATE ANSWERS✔✔ 1. Bivalent Metal (Unable to Bind).

2. Unprotected Airway (Aspiration).
3. Caustic Ingestions Awaiting Endoscopy (Black Color). Mechanism of Q.R.S. Prolongation (And Right Axis Deviation) vs. Sinus Tachycardia from Tri-Cyclic Anti-Depressant - ACCURATE ANSWERS✔✔ Sodium Channel Blockade vs. Anti-Muscarinic Management of Benzodiazepine Overdose - ACCURATE ANSWERS✔✔ Intubate; Risk of Seizures from Flumazenil (Indicated for Iatrogenic Oversedation) Treatment of Agitation and Sympathetic Tone from Cocaine - ACCURATE ANSWERS✔✔ Benzodiazepine A.B.G. 2 Hours After Aspirin Overdose - ACCURATE ANSWERS✔✔ Slightly Alkalotic (Later Mixed), High Oxygen (Activation of Respiratory Centers)

Toxic Single Dose of Acetaminophen - ACCURATE ANSWERS✔✔ 140 Milligrams Per Kilogram (Over 140 at 4 Hours Requires 140 mg/kg NAC) Management of Acetaminophen Overdose - ACCURATE ANSWERS✔✔ Early Charcoal; Rumack-Matthew Nomogram At Least 4 Hours Post-Ingestion Vomiting, Diarrhea, Fatigue, and Yellow-Green Halos - ACCURATE ANSWERS✔✔ Digoxin Mimics Clonidine Toxicity - ACCURATE ANSWERS✔✔ Opioid Toxicity (Hypotension, Bradycardia, Bradypnea, Miosis) Vin Rose Urine - ACCURATE ANSWERS✔✔ De-Feroxamine (I.V. or I.M.) for Iron Toxicity Antidote for Isoniazid vs. Beta-Blocker (Also CCB or Insulin) - ACCURATE ANSWERS✔✔ Pyridoxine vs. Glucagon (1) Brain Damage (Encephalopathy, Seizure, Sleep Disturbance, or Memory Deficits). (2) Paresthesias or Wrist Drop. (3) Colicky Abdominal Pain. - ACCURATE ANSWERS✔✔ Lead Toxicity; Check for Lead Lines

Chocolate Brown Blood After Nitrites, Local Anesthetics, Dapsone (Dermatitis Herpetiformis), or Phenazopyridine (UTI) - ACCURATE ANSWERS✔✔ Methylene Blue for Met-Hemoglobinemia (1) Tall and Young. (2) Smoking. (3) Asthma. (4) C.O.P.D. (5) Interstitial Lung Disease. (6) Connective Tissue Disease. (7) Lung Cancer. - ACCURATE ANSWERS✔✔ Risk Factors for Spontaneous Pneumo-Thorax Endo-Tracheal Tube Depth (Lip Line) - ACCURATE ANSWERS✔✔ 23 Centimeters for Males (Jordan) and 22 for Females Populations At Higher Risk for Asthma - ACCURATE ANSWERS✔✔ Male Children, Female Adults, and African-Americans 10 Millimeter Fall in Systolic Pressure During Inspiration (Pulsus Paradoxus) - ACCURATE ANSWERS✔✔ Severe Asthma vs. Pericardial Tamponade (External Compression of Heart) Steroid Route for Asthma Exacerbation - ACCURATE ANSWERS✔✔ I.V. Steroids

Effect of Mucokinetic Agent (N-Acetylcysteine) on C.O.P.D. Exacerbation - ACCURATE ANSWERS✔✔ Increases Work of Breathing Pathogen Coverage Required for Community-Acquired Pneumonia - ACCURATE ANSWERS✔✔ Co-Infection of Gram-Positive (Streptococcus) and Gram-Negative (Chlamydia) Common (1) Malignancy. (2) Alcohol. (3) Diabetes or Immune Suppression. (4) Cardiovascular Disease. (5) Age Over 65. (6) Sickle Cell. (7) Splenectomy. - ACCURATE ANSWERS✔✔ Risk Factors for Streptococcus Pneumonia Manifestation of Varicella Zoster in Adult Smokers or Pregnant Women (Contrast to Rash in Children) - ACCURATE ANSWERS✔✔ Pneumonia Currant Jelly Sputum, Empyema or Abscess - ACCURATE ANSWERS✔✔ Klebsiella Pneumonia

Chest X-Ray Findings of Food Aspiration - ACCURATE ANSWERS✔✔ Right Middle Lobe Atelectasis or Right Lung Hyperinflation Percentage of P.E. Patients with D.V.T. vs. Percentage of D.V.T. Patients with Asymptomatic P.E. - ACCURATE ANSWERS✔✔ 33% vs. 50% Cancers Most Associated with Pulmonary Embolism - ACCURATE ANSWERS✔✔ Ovarian and Colon (Think OCPs) Most Common E.C.G. Finding of Pulmonary Embolism - ACCURATE ANSWERS✔✔ Tachycardia (S1Q3T3 Suggestive But Not Diagnostic) Describe S1 Q3 T3 of P.E. - ACCURATE ANSWERS✔✔ S in 1, Q and Inverted T in 3 Young Adult, Pneumonia, Bullous Myringitis (Inflammation and Bullae of Tympanic Membrane) - ACCURATE ANSWERS✔✔ Mycoplasma Elderly; Pneumonia, Diarrhea, Relative Bradycardia - ACCURATE ANSWERS✔✔ Legionella Ventricular Fibrillation, Refractory to Multiple Shocks and Epinephrine - ACCURATE ANSWERS✔✔ Amiodarone (15 Milligrams Per Minute for 1st 10 Minutes) or Procainamide

Management of Torsades from Low Potassium (Long QT) or Magnesium - ACCURATE ANSWERS✔✔ Overdrive Pacing If Magnesium Fails Endo-Tracheal Dosing of Epinephrine, Compared to I.V. - ACCURATE ANSWERS✔✔ Double A.C.L.S. Epinephrine Dose - ACCURATE ANSWERS✔✔ 1 Milligram (1-to-10000) Every 5 Minutes Management of Asystole - ACCURATE ANSWERS✔✔ Check Second Lead Before Compressions and Epinephrine (Or Vasopressin) or Atropine Dissociation of P and R Waves (Wide QRS from Ventricular Focus) After Ischemia or Infarction - ACCURATE ANSWERS✔✔ Complete Heart Block Contra-Indication for Chin Lift Maneuver - ACCURATE ANSWERS✔✔ C-Spine Status Total Body Water Deficit in D.K.A. - ACCURATE ANSWERS✔✔ 70 Milliliters Per Kilogram (5 Liters for 70 Kilograms)

2 Electrolytes Appearing Normal On D.K.A. Labs Despite Total Body Depletion, In Addition to Potassium - ACCURATE ANSWERS✔✔ 1. Magnesium.

2. Phosphorous. Contra-Indicated During Hyperglycemic Seizures Due to Impairment of Endogenous Insulin Release - ACCURATE ANSWERS✔✔ Phenytoin Timing of Fluid Resuscitation for Hyper-Glycemic Hyper-Osmolar State

• ACCURATE ANSWERS✔✔ Half of Deficit in 1st 8 Hours (2 L in 1st Hour); Other Half Over 24 Hours (Switch to Half-Normal Saline Once BP and UOP Normalize) Risk of Rapid Correction of Hyper-Osmolarity, Especially in Children (20 mL/kg) - ACCURATE ANSWERS✔✔ Cerebral Edema; Change in Mental Status During D.K.A. Treatment Requires Mannitol (Avoid Glucogenic Steroids) (1) Ineffective for Alcoholic Hypoglycemia (Inadequate Glycogen Stores). (2) Dangerous In Unexplained Pediatric Hypoglycemia (Possible Glycogen Storage Disease). - ACCURATE ANSWERS✔✔ Glucagon Glucose Level Required for Symptoms of Hypoglycemia - ACCURATE ANSWERS✔✔ Under 50 (Seek Other Causes Otherwise)

Observation Period for Overdose on Oral Hypoglycemic - ACCURATE ANSWERS✔✔ 24 Hours Contrast Physical Exam of Moderate Hypothermia and Mild Hypothermia - ACCURATE ANSWERS✔✔ Below 32 Degrees, Altered Mental Status and Loss of Shivering (Bradycardia and Bradypnea) Management of Frostbite - ACCURATE ANSWERS✔✔ Warm Immersion (Pain Returns) Seasonal Timing of Presentation of Hypo-Thyroidism - ACCURATE ANSWERS✔✔ Winter Due To Cold Intolerance C.B.C. and B.M.P. Findings Supporting Diagnosis of Hypo-Thyroidism

• ACCURATE ANSWERS✔✔ Normo-Cytic Anemia and Hypo- Natremic Respiratory Acidosis from Hypo-Ventilation (Also Hypercholesterolemia) Calcium Level in Adrenal Insufficiency - ACCURATE ANSWERS✔✔ Normal or High (Unknown Etiology) Management of Suspected Adrenal Insufficiency - ACCURATE ANSWERS✔✔ Dexamethasone (4 Milligrams IV q6) Before A.C.T.H. Stimulation Test (Not Affected by Dexamethasone) (1) Untreated Pneumo-Thorax (Including C.O.P.D. Blebs).

(2) Doxorubicin, Cisplatin, Bleomycin, Disulfiram, and Mafenide Acetate. (3) Otitis Media. - ACCURATE ANSWERS✔✔ Contra-Indications for Hyperbaric Oxygen Therapy (1) Decompression Sickness. (2) Necrotizing Fasciitis. (3) Air or Gas Embolism. (4) Carbon Monoxide Poisoning. (5) Crush Injury. (6) Compartment Syndrome. - ACCURATE ANSWERS✔✔ Indications for Hyperbaric Oxygen Management of Mild Acute Mountain Sickness (Not Life-Threatening) - ACCURATE ANSWERS✔✔ 1. Avoid Higher Altitudes.

2. Acetazolamide, Oxygen, and Ibuprofen (Headache) for Current Altitude. (1) Alcohol. (2) Thyroid. (3) Rheumatic Heart. (4) Ischemia. (5) Atrial Myxoma. (6) Lung (PE or Emphysema). (7) Pheochromocytoma.

(8) Infection. (9) Blood Pressure. - ACCURATE ANSWERS✔✔ Causes of Atrial Fibrillation (ATRIAL PhIB) Management of Thyroid Storm - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ Worsens by Displacing Thyroid Hormone from Binding Globulin Presentation of Scorpion Bite in Children vs. Adults (Symptoms Resolve Without Anti-Venom) - ACCURATE ANSWERS✔✔ Restlessness, Jerking, Roving Eye Movements, and Drooling (Anaphylaxis Requires Anti-Venom) in Children vs. Pain and Paresthesia in Adults Risk of Scorpion Anti-Venom - ACCURATE ANSWERS✔✔ Allergy (Type 1) or Serum Sickness (Type 3) American Scorpion Causing Systemic Symptoms - ACCURATE ANSWERS✔✔ Centruroides Observation Period for Asymptomatic Snake Bite - ACCURATE ANSWERS✔✔ 8 Hours

Core Body Temperature Over 40.5 Celsius and Hot Dry Skin; Risk of Seizure, Respiratory Failure, Low Blood Pressure, or Rhabdomyolysis - ACCURATE ANSWERS✔✔ Altered Mental Status Suggests Heat Stroke; Conduction and Evaporation Cooling Severe Hypothermia, Mental Status Changes and Arrhythmia - ACCURATE ANSWERS✔✔ Warm I.V. Fluids (1) Red Fruits or Meats. (2) Methylene Blue. (3) Chlorophyll. (4) Iodide or Bromide. (5) Cupric Sulfate. - ACCURATE ANSWERS✔✔ False Positive Guaiac Test (1) Bile. (2) Ingestion of Magnesium-Containing Antacids. (3) Ascorbic Acid (Vitamin C). - ACCURATE ANSWERS✔✔ False Negative Guaiac Test Thumbprinting on X-Ray - ACCURATE ANSWERS✔✔ Submucosal Edema and Hemorrhage 2 Most Common Causes of Lower G.I. Bleeding in Adults - ACCURATE ANSWERS✔✔ Diverticulosis and Angiodysplasia

2 Most Common Causes of Upper G.I. Bleeding in Adults (Higher Mortality Than Lower GI Bleeding) - ACCURATE ANSWERS✔✔ PUD (Gastric Erosions) or Varices Most Common Cause of Upper G.I. Bleed in Children - ACCURATE ANSWERS✔✔ Esophagitis Painful Hemorrhoids - ACCURATE ANSWERS✔✔ External Most Common Cause of Food Poisoning in U.S. - ACCURATE ANSWERS✔✔ Clostridium (CDC Shows Salmonella, Campylobacter, and Giardia More Common After Viruses) 2, 3, and F - ACCURATE ANSWERS✔✔ Inferior from Right Coronary Artery Criteria for Acute Myocardial Infarction - ACCURATE ANSWERS✔✔ 2 of 3: 20 Minutes Duration, E.C.G, or Positive Enzymes Management of Acute Myocardial Infarction Before Catheterization or Thrombolytics - ACCURATE ANSWERS✔✔ 1. Nitroglycerin, and Morphine Increases Oxygen Delivery.

2. Aspirin and Clopidogrel.
3. Beta-Blocker Decreases Myocardial Oxygen Requirement.
4. Heparin Once Dissection Ruled Out.