SAEM M4 VERIFIED QUESTIONS AND ANSWERS EXAM. LATEST UPDATE.
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Course
SAEM M4
Institution
SAEM M4
SAEM M4 VERIFIED QUESTIONS AND ANSWERS EXAM. LATEST UPDATE.
True or False: gastric distension due to excessive volume or rate of ventilation impairing ventilatory function is a reason to intubate a neonate - Correct Ans: False
Management for nursemaid elbow injury - Correct Ans: apply pr...
SAEM M4 VERIFIED QUESTIONS AND ANSWERS
EXAM. 2024-2025 LATEST UPDATE.
True or False: gastric distension due to excessive volume or rate of ventilation impairing ventilatory
function is a reason to intubate a neonate - Correct Ans: False
Management for nursemaid elbow injury - Correct Ans: apply pressure to the radial head while
flexing andsupinating elbow
A 17 year old boy injured his right shoulder playing football. He tried to arm-tackle a player when his
right arm was pulled away from his body and back (abducted and extended). He felt a sudden pain in
hisshoulder. He presents to the emergency department holding his arm in slight abduction and
external rotation by his good arm. He has severe pain with adduction or internal rotation. What is
the most common fracture associated with this injury? - Correct Ans: compression fracture of the
posteriolateral aspect ofthe humeral head (Hill-Sachs deformity)
What are most common heart rhythms seen in pediatric arrest? - Correct Ans: bradycardia or asystole
Risk factors for neonatal resuscitation - Correct Ans:
prematurityIUGR
Multiple
gestationthick
meconium
In the post-arrest setting, which of the following is the drug of choice in treating hypotension in a
child: -
>>>epi
Low body temperatures in newborns can lead to severe physiologic consequences, which include all
EXCEPT:
,Answers:
,1. Metabolic acidosis
2. Increased oxygen consumption
3. Hypoglycemia
4. Apnea
5. Hyperglycemia - Correct Ans: 3. Hypoglycemia
In a newborn, bradycardia is most commonly an indicator of: - Correct Ans: hypoxemia
All the following are signs of hypoxemia in a newborn, EXCEPT:
Answers:
1.cyanosis
2.lethargy
3.tachycardia
4.unresponsivenes
s
5.bradycardia - Correct Ans: 3. Tachycardia
A newborn presents to the emergency department a few days after hospital discharge. The infant
has been noted to be drooling, choking, and coughing, and the mother reports seeing bubbles at the
baby'smouth. Which is the most likely explanation?
Which of the following pairs of maneuvers are consistent with current recommendations for
emergencycare for a choking 5-month-old infant?
Answers:
1.back blow then blind finger
sweep2.back blow then chest
thrust
3.chest thrust then Heimlich maneuver
4.Heimlich maneuver then blind finger
sweep
5.Heimlich maneuver then chest thrust - Correct Ans: 2.back blow then chest thrust
All of these steps are involved in pediatric rapid sequence intubation (RSI) EXCEPT:
Answers:
1. If administering succinylcholine, pretreatment with atropine is always indicated in children under
age10.
2. Lidocaine pretreatment is usually provided to children with head trauma.
3. When deciding which size endotracheal tube to use, one may approximate by using the size of
thesmall finger or nares as a reference.
4. Due to the fragility of the pediatric C-spine, a cervical collar should always be placed prior
tointubation for children under age ten.
5. Uncuffed endotracheal tubes are the preferred devices used in children under 6-8 years of age. -
>>>4.Due to the fragility of the pediatric C-spine, a cervical collar should always be placed prior to
intubation for children under age ten.
A 23 year old woman is dropped off by her boyfriend after an unknown overdose. You notice that she
ishas very large pupils and is sweating profusely. Her respiratory rate, blood pressure and heart rate
are elevated. Which of the following is the most likely agent to have caused her symptoms?
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