SAEM M4 Exam/ 124 Questions with Certified Answers/ .
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Course
SAEM M4
Institution
SAEM M4
SAEM M4 Exam/ 124 Questions with Certified Answers/ . Terms like:
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 - Answer: 3...
SAEM M4 Exam/ 124 Questions with Certified
Answers/ 2024-2025.
Low body temperatures in newborns can lead to severe physiologic
consequences, which include all EXCEPT:
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 - Answer: 5. tracheoesophageal fistula
True or False: gastric distension due to excessive volume or rate of ventilation
impairing ventilatory function is a reason to intubate a neonate - Answer: False
Page 2 of 56
,management for nursemaid elbow injury - Answer: apply pressure to the radial
head while flexing and supinating 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 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? - Answer: compression
fracture of the posterolateral aspect of the humeral head (Hill-Sachs deformity)
What are most common heart rhythms seen in pediatric arrest? - Answer:
bradycardia or asystole
In the post-arrest setting, which of the following is the drug of choice in treating
hypotension in a child: - Answer: epi
Which of the following pairs of maneuvers are consistent with current
recommendations for emergency care for a choking 5-month-old infant?
Page 3 of 56
, 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 - Answer: 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 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. - Answer: 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 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?
Page 4 of 56
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