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SAEM M4 Exam Questions With Correct Answers.
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10/22/24, 10:27 AMSAEM M4 Exam Questions With Correct Answers
Terms in this set (124)
True or False: gastric distension due to False
excessive volume or rate of ventilation
impairing ventilatory function is a reason to
intubate a neonate
management for nursemaid elbow injury apply pressure to the radial head while flexing and supinating elbow
A 17 year old boy injured his right shoulder compression fracture of the posteriolateral aspect of the humeral head (Hill-Sachs
playing football. He tried to arm-tackle a deformity)
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 bradycardia or asystole
seen in pediatric arrest?
prematurity
IUGR
risk factors for neonatal resuscitation
multiple gestation
thick meconium
In the post-arrest setting, which of the epi
following is the drug of choice in treating
hypotension in a child:
Low body temperatures in newborns can 3. hypoglycemia
lead to severe physiologic consequences,
which include all EXCEPT:
Answers:
1. metabolic acidosis
2. increased oxygen consumption
3. hypoglycemia
4. apnea
5. hyperglycemia
In a newborn, bradycardia is most hypoxemia
commonly an indicator of:
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,10/22/24, 10:27 AM
All the following are signs of hypoxemia in 3. tachycardia
a newborn, EXCEPT:
Answers:
1.cyanosis
2.lethargy
3.tachycardia
4.unresponsiveness
5.bradycardia
A newborn presents to the emergency 5. tracheoesophageal fistula
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 2.back blow then chest thrust
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
2/29
, 10/22/24, 10:27 AM
All of these steps are involved in pediatric 4.Due to the fragility of the pediatric C-spine, a cervical collar should always be
rapid sequence intubation (RSI) EXCEPT: placed prior to intubation for children under age ten.
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.
A 23 year old woman is dropped off by her 2. cocaine
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 2. flushed skin
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
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