SAEM Exam
preferred method of eval for renal calculi - correct answer helical CT--95% sensitive
and specific
management of diverticulitis vs diverticulosis - correct answer -osis = no acute
findings of inflammation (bloody stool, fevers). Don't need abx.
Treat -itis with bowel rest, analgesics, and abx. Should admit older patients for care
because they have a higher risk of rupture.
Cecal volvulus risk factors - correct answer 25-35 years old, prior surgery, marathon
running (!), pregnancy
Abx for liver abscess - correct answer gent, metro, and amp
Dangerous sequelae of esophageal foreign body - correct answer erosion,
perforation, mediastinitis, esophagus-trachea or esophagus-vasculature fistula
formation, stricture formation, diverticula formation, tracheal compression.
Treatment of acute dystonia - correct answer 1-2mg IM or IV benztropine + 25-50mg
benadryl
bad sequelae of physical restraints - correct answer bruises, abrasions, pressure
sores, rhabdo, circulatory obstruction.
positional asphyxia can arise when patients are placed into the prone or hobbled
position.
protracted struggle against restraints can promote significant metabolic acidosis
that has been associated with CV collapse. these pts should be chemically
restrained as well.
