SAEM M4 FINAL EXAM NEWEST ACTUAL EXAM
COMPLETE 120 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+
A 2 year old child presents with an overdose of her mother's iron containing
multivitamins. What antidote should you consider for iron toxicity?
Answers:
1.Deferoxamine
2.Glucagon
3.Methylene blue
4.Pyridoxine - ANSWER>>1.Deferoxamine
Following a motor vehicle crash, a 25 year old man presents complaining of a
painful right eye. Visual acuity is 20/200 in the right eye and 20/25 in the left eye.
The right eye protrudes from the orbit and the patient has right eye pain with
extraocular movement. What is the most likely cause of his symptoms?
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
,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 posteriolateral aspect of the humeral head (Hill-Sachs deformity)
What are most common heart rhythms seen in pediatric arrest? -
ANSWER>>bradycardia or asystole
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
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.
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?
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
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