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SAEM M4 Exam/ 124 Questions with Certified Answers/ .

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SAEM M4 Exam/ 124 Questions with Certified Answers/ . Terms like: A newborn present 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 lik...

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  • September 28, 2024
  • 56
  • 2024/2025
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SAEM M4 Exam/ 124 Questions with Certified
Answers/ 2024-2025.
A newborn present 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


Page 1 of 56

,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 - 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.



Page 2 of 56

,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 - Answer: 2. cocaine


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 - Answer: 2. flushed skin


For which of the following cases is activated charcoal therapy most appropriate?


Answers:

Page 3 of 56

, 1.Acetaminophen overdose
2.Drain cleaner ingestion
3.Iron supplement overdose
4.Lithium overdose - Answer: 1. Acetaminophen overdose


A 45 year-old is brought in 8 hours after a large overdose of his lithium. What is
the best treatment method for this overdose?


Answers:
1.Activated charcoal
2.Gastric lavage
3.Hemodialysis
4.Whole bowel irrigation - Answer: 3.Hemodialysis


A 42 year-old woman presents with an overdose of her Xanax (alprazolam) that
her family indicates she has been taking for years to help with her anxiety. The
bottle indicates that the prescription was filled yesterday with 90 pills and is now
empty. The patient is minimally responsive to painful stimuli and does not react
when you suction secretions out of her posterior pharynx. What is your next
management step?


Answers:
1.Administration of flumazenil
2.Administration of narcan
3.Close observation

Page 4 of 56

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