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SAEM M4 EXAM 2024/2025 WITH 100% ACCURATE SOLUTIONS
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  • August 12, 2024
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  • 2024/2025
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SAEM M4 EXAM 2024/2025 WITH 100%
ACCURATE SOLUTIONS


True or False: gastric distension due to excessive volume or rate of
ventilation impairing ventilatory function is a reason to intubate a
neonate - Precise Answer ✔✔False


management for nursemaid elbow injury - Precise 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? - Precise Answer ✔✔compression fracture
of the posteriolateral aspect of the humeral head (Hill-Sachs deformity)


What are most common heart rhythms seen in pediatric arrest? - Precise
Answer ✔✔bradycardia or asystole


risk factors for neonatal resuscitation - Precise Answer ✔✔prematurity
IUGR
multiple gestation

,thick meconium


In the post-arrest setting, which of the following is the drug of choice in
treating hypotension in a child: - Precise Answer ✔✔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 - Precise Answer ✔✔3. hypoglycemia


In a newborn, bradycardia is most commonly an indicator of: - Precise
Answer ✔✔hypoxemia


All the following are signs of hypoxemia in a newborn, EXCEPT:


Answers:
1.cyanosis
2.lethargy
3.tachycardia

,4.unresponsiveness
5.bradycardia - Precise Answer ✔✔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'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 - Precise Answer ✔✔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 - Precise 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. - Precise 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?


Answers:

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