SAEM M4 Exam QUESTIONS AND ANSWERS WITH COMPLETE SOLUTION

SAEM M4 Exam QUESTIONS AND ANSWERS WITH COMPLETE SOLUTION True IIor IIFalse: IIgastric IIdistension IIdue IIto IIexcessive IIvolume IIor IIrate IIof IIventilation IIimpairing IIventilatory IIfunction IIis IIa IIreason IIto IIintubate IIa IIneonate II- II II II IIFalse management IIfor IInursemaid IIelbow IIinjury II- II II II IIapply IIpressure IIto IIthe IIradial IIhead IIwhile IIflexing IIand IIsupinating IIelbow A II17 IIyear IIold IIboy IIinjured IIhis IIright IIshoulder IIplaying IIfootball. IIHe IItried IIto IIarm-tackle IIa IIplayer IIwhen IIhis IIright IIarm IIwas IIpulled IIaway IIfrom IIhis IIbody IIand IIback II(abducted IIand IIextended). IIHe IIfelt IIa IIsudden IIpain IIin IIhis IIshoulder. IIHe IIpresents IIto IIthe IIemergency IIdepartment IIholding IIhis IIarm IIin IIslight IIabduction IIand IIexternal IIrotation IIby IIhis IIgood IIarm. IIHe IIhas IIsevere IIpain IIwith IIadduction IIor IIinternal IIrotation. IIWhat IIis IIthe IImost IIcommon IIfracture IIassociated IIwith IIthis IIinjury? II- II II II IIcompression IIfracture IIof IIthe IIposteriolateral IIaspect IIof IIthe IIhumeral IIhead II(Hill-Sachs IIdeformity) What IIare IImost IIcommon IIheart IIrhythms IIseen IIin IIpediatric IIarrest? II- II II II IIbradycardia IIor IIasystole risk IIfactors IIfor IIneonatal IIresuscitation II- II II II IIprematurity IUGR multiple IIgestation thick IImeconium In IIthe IIpost-arrest IIsetting, IIwhich IIof IIthe IIfollowing IIis IIthe IIdrug IIof IIchoice IIin IItreating IIhypotension IIin IIa IIchild: II- II II II IIepi Low IIbody IItemperatures IIin IInewborns IIcan IIlead IIto IIsevere IIphysiologic IIconsequences, IIwhich IIinclude IIall IIEXCEPT: Answers: 1. IImetabolic IIacidosis 2. IIincreased IIoxygen IIconsumption 3. IIhypoglycemia 4. IIapnea 5. IIhyperglycemia II- II II II II3. IIhypoglycemia In IIa IInewborn, IIbradycardia IIis IImost IIcommonly IIan IIindicator IIof: II- II II II IIhypoxemia All IIthe IIfollowing IIare IIsigns IIof IIhypoxemia IIin IIa IInewborn, IIEXCEPT: Answers: 1.cyanosis 2.lethargy 3.tachycardia 4.unresponsiveness 5.bradycardia II- II II II II3. IItachycardia A IInewborn IIpresents IIto IIthe IIemergency IIdepartment IIa IIfew IIdays IIafter IIhospital IIdischarge. IIThe IIinfant IIhas IIbeen IInoted IIto IIbe IIdrooling, IIchoking, IIand IIcoughing, IIand IIthe IImother IIreports IIseeing IIbubbles IIat IIthe IIbaby's IImouth. IIWhich IIis IIthe IImost IIlikely IIexplanation? Answers: 1.osteogenesis IIimperfecta 2.inborn IIerror IIof IImetabolism 3.congenital IIdiaphragmatic IIhernia 4.foreign IIbody 5.tracheoesophageal IIfistula II- II II II II5. IItracheoesophageal IIfistula Which IIof IIthe IIfollowing IIpairs IIof IImaneuvers IIare IIconsistent IIwith IIcurrent IIrecommendations IIfor IIemergency IIcare IIfor IIa IIchoking II5-month -old IIinfant? Answers: 1.back IIblow IIthen IIblind IIfinger IIsweep 2.back IIblow IIthen IIchest IIthrust 3.chest IIthrust IIthen IIHeimlich IImaneuver 4.Heimlich IImaneuver IIthen IIblind IIfinger IIsweep 5.Heimlich IImaneuver IIthen IIchest IIthrust II- II II II II2.bac k IIblow IIthen IIchest IIthrust All IIof IIthese IIsteps IIare IIinvolved IIin IIpediatric IIrapid IIsequence IIintubation II(RSI) IIEXCEPT: Answers: 1.If IIadministering IIsuccinylcholine, IIpretreatment IIwith IIatropine IIis IIalways IIindicated IIin IIchildren IIunder IIage II10. 2.Lidocaine IIpretreatment IIis IIusually IIprovided IIto IIchildren IIwith IIhead IItrauma. 3.When IIdeciding IIwhich IIsize IIendotracheal IItube IIto IIuse, IIone IImay IIapproximate IIby IIusing IIthe IIsize IIof IIthe IIsmall IIfinger IIor IInares IIas IIa IIreference. 4.Due IIto IIthe IIfragility IIof IIthe IIpediatric IIC-spine, IIa IIcervical IIcollar IIshould IIalways IIbe IIplaced IIprior IIto IIintubation IIfor IIchildren IIunder IIage IIten. 5.Uncuffed IIendotracheal IItubes IIare IIthe IIpreferred IIdevices IIused IIin IIchildren IIunder II6-8 IIyears IIof IIage. II- II II II II4.Due IIto IIthe IIfragility IIof IIthe IIpediatric IIC-spine, IIa IIcervical IIcollar IIshould IIalways IIbe IIplaced IIprior IIto IIintubation IIfor IIchildren IIunder IIage IIten. A II23 IIyear IIold IIwoman IIis IIdropped IIoff IIby IIher IIboyfriend IIafter IIan IIunknown IIoverdose. IIYou IInotice IIthat IIshe IIis IIhas IIvery IIlarge IIpupils IIand IIis IIsweating IIprofusely. IIHer IIrespiratory IIrate, IIblood IIpressure IIand IIheart IIrate IIare IIelevated. IIWhich IIof IIthe IIfollowing IIis IIthe IImost IIlikely IIagent IIto IIhave IIcaused IIher IIsymptoms? Answers: 1.Jimson IIweed 2.Cocaine 3.Heroin 4.Insulin II- II II II II2. IIcocaine A IImother IIbrings IIin IIher II4 IIyear IIold IIchild IIwho IIwas IIhappily IIeating II"blackberries" IIfrom IIweeds IIin IIthe IIgarden IIand IIis IInow IIacting IIstrangely. IIShe IIhas IIidentified IIthem IIas IIBelladonna IIfrom IIa IIquick IIinternet IIsearch. IIWhich IIphysical IIexamination IIfinding IImight IIyou IIalso IIexpect IIto IIfind IIin IIthis IIchild? Answers: 1.Diaphoresis 2.Flushed IIskin 3.Miosis 4.Urinary IIincontinence II- II II II II2. IIflushed IIskin For IIwhich IIof IIthe IIfollowing IIcases IIis IIactivated IIcharcoal IItherapy IImost IIappropriate? Answers: 1.Acetaminophen IIoverdose 2.Drain IIcleaner IIingestion 3.Iron IIsupplement IIoverdose 4.Lithium IIoverdose II- II II II II1. IIAcetaminophen IIoverdose A II45 IIyear-old IIis IIbrought IIin II8 IIhours IIafter IIa IIlarge IIoverdose IIof IIhis IIlithium. IIWhat IIis IIthe IIbest IItreatment IImethod IIfor IIthis IIoverdose? Answers: 1.Activated IIcharcoal 2.Gastric IIlavage 3.Hemodialysis 4.Whole IIbowel IIirrigation II- II II II II3.Hemodialysis A II42 IIyear-old IIwoman IIpresents IIwith IIan IIoverdose IIof IIher IIXanax II(alprazolam) IIthat IIher IIfamily IIindicates IIshe IIhas IIbeen IItaking IIfor IIyears IIto IIhelp IIwith IIher IIanxiety. IIThe IIbottle IIindicates IIthat IIthe IIprescription IIwas IIfilled IIyesterday IIwith II90 IIpills IIand IIis IInow IIempty. IIThe IIpatient IIis IIminimally IIresponsive IIto IIpainful IIstimuli IIand IIdoes IInot IIreact IIwhen IIyou IIsuction IIsecretions IIout IIof IIher IIposterior IIpharynx. IIWhat IIis IIyour IInext IImanagement IIstep? Answers: 1.Administration IIof IIflumazenil 2.Admini stration IIof IInarcan 3.Close IIobservation 4.Intubation IIfor IIairway IIsupport II- II II II II4.Intubation IIfor IIairway IIsupport