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SAEM M4 EXAM 120 ACTUAL QUESTIONS AND VERIFIED ANSWERS. A+ GRADE
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2024-2025 SAEM M4 EXAM 120ACTUAL QUESTIONS AND
VERIFIED ANSWERS. A+ GRADE
1. True or False: gastric distension due to excessive volume or rate of
ventilation impairing ventilatory function is a reason to intubate a
neonate: False
2. . Management for nursemaid elbow injury: apply pressure to the radial
head while flexing and supinating elbow
3. 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 his
shoulder. 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?: compression fracture of the
posteriolateral aspect of the humeral head (Hill-Sachs deformity)
4. What are most common heart rhythms seen in pediatric arrest?:
bradycardia or asystole
5. Risk factors for neonatal resuscitation: prematurity
IUGR
Multiple
gestation
,thick
meconium
6. In the post-arrest setting, which of the following is the drug of choice in
treating hypotension in a child:: epi
7. 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: 3. Hypoglycemia
8. In a newborn, bradycardia is most commonly an indicator of::
hypoxemia 9. All the following are signs of hypoxemia in a newborn,
EXCEPT:
Answers:
1.cyanosis
2.lethargy
3.tachycardia
4.unresponsiveness
5.bradycardia: 3. Tachycardia
10. 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's
mouth. Which is the most likely explanation?
,Answers:
1.osteogenesis imperfecta
2.inborn error of metabolism
3.congenital diaphragmatic hernia
4.foreign body
5.tracheoesophageal fistula: 5. Tracheoesophageal fistula
11. Which of the following pairs of maneuvers are consistent with current
recommendations for emergency care for a choking 5-month-old
infant?
Answers:
1.back blow then blind finger sweep
2.back blow then chest thrust
3.chest thrust then Heimlich maneuver
4.Heimlich maneuver then blind finger sweep
5.Heimlich maneuver then chest thrust: 2.back blow then chest thrust
12. 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 age 10.
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 the small finger or nares as a reference.
, 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.
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.
13. A 23 year old woman is dropped off by her boyfriend after an
unknown overdose. You notice that she is has 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?
Answers:
1.Jimson weed
2.Cocaine
3.Heroin
4.Insulin: 2. Cocaine
14. A mother brings in her 4 year old child who was happily eating
"blackberries" from weeds in the garden and is now acting strangely.
She has identified them as Belladonna from a quick internet search.
Which physical examination finding might you also expect to find in
this child?
Answers:
1.Diaphoresis
2.Flushed skin
3.Miosis
4.Urinary incontinence: 2. Flushed skin
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