SAEM M4 Exam with Answers Rates A+ (2024/2025)
1. False
2. apply pressure
to the radial head
while flexing and
supinating elbow
3. compression
fracture of the
posteriolateral
aspect of the
humeral head
(Hill-Sachs
deformity)
4. bradycardia or
asystole
5. prematurity
IUGR
multiple g...
SAEM M4 Exam with Answers Rates A+ (2024/2025) 1. False 2. apply pressure to the radial head while flexing and supinating elbow 3. compression fracture of the posteriolateral aspect of the humeral head (Hill-Sachs deformity) 4. bradycardia or asystole 5. prematurity IUGR multiple gesta - tion thick meconium 6. epi 7. 3. hypoglycemia True or False: gastric distension due to excessive volume or rate of ventilation impairing ventilatory function is a reason to intubate a neonate management for nursemaid elbow injury A 17 year old boy injured his right shoulder playing foot - ball. 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? What are most common heart rhythms seen in pediatric arrest? risk factors for neonatal resuscitation In the post-arrest setting, which of the following is the drug of choice in treating hypotension in a child: 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 SAEM M4 Exam with Answers Rates A+ (2024/2025) 8. 9. 10. 11. 12. hypoxemia 3. tachycardia 5. tracheoe - sophageal fistula 2.back blow then chest thrust 4.Due to the In a newborn, bradycardia is most commonly an indicator of: All the following are signs of hypoxemia in a newborn, EXCEPT: Answers: 1.cyanosis 2.lethargy 3.tachycardia 4.unresponsiveness 5.bradycardia 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 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 All of these steps are involved in pediatric rapid sequence fragility of the pe- intubation (RSI) EXCEPT: diatric C -spine, SAEM M4 Exam with Answers Rates A+ (2024/2025) 13. 14. a cervical col - lar should al - ways be placed prior to intuba - tion for children under age ten. 2. cocaine 2. flushed skin Answers: 1. If administering succinylcholine, pretreatment with at- ropine 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. 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 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 SAEM M4 Exam with Answers Rates A+ (2024/2025) 15. 16. 17. 18. 1. Aceta - minophen over - dose 3.Hemodialysis 4.Intubation for airway support 3.pH 7.45 pCO2 For which of the following cases is activated charcoal therapy most appropriate? Answers: 1. Acetaminophen overdose 2. Drain cleaner ingestion 3. Iron supplement overdose 4. Lithium 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 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 4.Intubation for airway support A 72 year-old presents with an intentional overdose of a 21 pO2 124 HCO3 bottle of aspirin about 3 hours prior to presentation in the 14 ED. Which of the following arterial blood gas results would you expect to come from this patient?
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