SAEM Proc Exam Questions and
Answers Graded A+
The joint fluid from a patient's knee arthrocentesis shows 75,000 WBC with 75%
PMNs, no organisms, no crystals and a glucose of 35. What does the patient need
next?
Answers:
1.antibiotics for septic joint and admission for operation
2.antibiotics and discharge home
3.narcotic pain medicine and discharge home
4.non-steroidal anti-inflammatory medicine for gout and discharge home
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,5.treatment for gonorrhea and discharge home - Correct answer-1.antibiotics for
septic joint and admission for operation
A patient presents after slamming her index finger in a window one day ago (see
Figure). Her X-ray is negative. Of the steps listed below, which is the best option
for her management? [PICTURE OF SUBUNGAL HEMATOMA] - Correct
answer-1.antibiotics and discharge
2.drainage and discharge
3.removal of the nail and suture of the underlying laceration
4.splint and discharge
5.none of the above
You have a 3 year old female present with her mother with complaints of 2 days of
left ear pain. On exam, you are unable to visualize the tympanic membrane due to
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, an obstructing mass. You suspect a foreign body. Which of the following is TRUE
regarding the removing a foreign object from the patient's ear canal?
Answers:
1.Avoid suction as it may lead to a perforation of the tympanic membrane
2.Referral to an otolaryngologist for foreign body removal under general
anesthesia may be required in an uncooperative infant
3.To remove a live insect from the external ear canal, grasp a leg with hemostats
and pull firmly
4.You should avoid the use of lidocaine and other topical anesthetics due to the risk
of localized tissue ischemia - Correct answer-2.Referral to an otolaryngologist for
foreign body removal under general anesthesia may be required in an
uncooperative infant
You suspect that your patient has swallowed a nail. Which of the following is an
indication for endoscopic or surgical removal of this object?
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Answers Graded A+
The joint fluid from a patient's knee arthrocentesis shows 75,000 WBC with 75%
PMNs, no organisms, no crystals and a glucose of 35. What does the patient need
next?
Answers:
1.antibiotics for septic joint and admission for operation
2.antibiotics and discharge home
3.narcotic pain medicine and discharge home
4.non-steroidal anti-inflammatory medicine for gout and discharge home
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,5.treatment for gonorrhea and discharge home - Correct answer-1.antibiotics for
septic joint and admission for operation
A patient presents after slamming her index finger in a window one day ago (see
Figure). Her X-ray is negative. Of the steps listed below, which is the best option
for her management? [PICTURE OF SUBUNGAL HEMATOMA] - Correct
answer-1.antibiotics and discharge
2.drainage and discharge
3.removal of the nail and suture of the underlying laceration
4.splint and discharge
5.none of the above
You have a 3 year old female present with her mother with complaints of 2 days of
left ear pain. On exam, you are unable to visualize the tympanic membrane due to
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
, an obstructing mass. You suspect a foreign body. Which of the following is TRUE
regarding the removing a foreign object from the patient's ear canal?
Answers:
1.Avoid suction as it may lead to a perforation of the tympanic membrane
2.Referral to an otolaryngologist for foreign body removal under general
anesthesia may be required in an uncooperative infant
3.To remove a live insect from the external ear canal, grasp a leg with hemostats
and pull firmly
4.You should avoid the use of lidocaine and other topical anesthetics due to the risk
of localized tissue ischemia - Correct answer-2.Referral to an otolaryngologist for
foreign body removal under general anesthesia may be required in an
uncooperative infant
You suspect that your patient has swallowed a nail. Which of the following is an
indication for endoscopic or surgical removal of this object?
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
