1|Page
SAEM M4 EXAM LATEST 2026 ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
||BRANDNEW!!!||
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?
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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.
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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?
Answers:
1.Jimson weed
2.Cocaine
3.Heroin
4.Insulin - ANSWER-2. cocaine
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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:
1.Acetaminophen overdose
2.Drain cleaner ingestion
3.Iron supplement overdose
SAEM M4 EXAM LATEST 2026 ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
||BRANDNEW!!!||
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?
,2|Page
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.
,3|Page
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?
Answers:
1.Jimson weed
2.Cocaine
3.Heroin
4.Insulin - ANSWER-2. cocaine
, 4|Page
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:
1.Acetaminophen overdose
2.Drain cleaner ingestion
3.Iron supplement overdose
