SAEM M4 EXAM, MOST TESTED QUESTIONS AND VERIFIED
SOLUTIONS/GET IT 100% ACCURATE!! 2026!!
True or False: gastric distension due to excessive volume or rate of
ventilation impairing ventilatory function is a reason to intubate a neonate -
(ANSWERS)False
Management for nursemaid elbow injury - (ANSWERS)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? - (ANSWERS)compression fracture of the posteriolateral aspect of
the humeral head (Hill-Sachs deformity)
What are most common heart rhythms seen in pediatric arrest? -
(ANSWERS)bradycardia or asystole
Risk factors for neonatal resuscitation - (ANSWERS)prematurity
IUGR
Multiple gestation
,SAEM M4 EXAM, MOST TESTED QUESTIONS AND VERIFIED
SOLUTIONS/GET IT 100% ACCURATE!! 2026!!
Thick meconium
In the post-arrest setting, which of the following is the drug of choice in
treating hypotension in a child: - (ANSWERS)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 - (ANSWERS)3. Hypoglycemia
In a newborn, bradycardia is most commonly an indicator of: -
(ANSWERS)hypoxemia
All the following are signs of hypoxemia in a newborn, EXCEPT:
Answers:
1.cyanosis
,SAEM M4 EXAM, MOST TESTED QUESTIONS AND VERIFIED
SOLUTIONS/GET IT 100% ACCURATE!! 2026!!
2.lethargy
3.tachycardia
4.unresponsiveness
5.bradycardia - (ANSWERS)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 - (ANSWERS)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
, SAEM M4 EXAM, MOST TESTED QUESTIONS AND VERIFIED
SOLUTIONS/GET IT 100% ACCURATE!! 2026!!
4.Heimlich maneuver then blind finger sweep
5.Heimlich maneuver then chest thrust - (ANSWERS)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. - (ANSWERS)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
SOLUTIONS/GET IT 100% ACCURATE!! 2026!!
True or False: gastric distension due to excessive volume or rate of
ventilation impairing ventilatory function is a reason to intubate a neonate -
(ANSWERS)False
Management for nursemaid elbow injury - (ANSWERS)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? - (ANSWERS)compression fracture of the posteriolateral aspect of
the humeral head (Hill-Sachs deformity)
What are most common heart rhythms seen in pediatric arrest? -
(ANSWERS)bradycardia or asystole
Risk factors for neonatal resuscitation - (ANSWERS)prematurity
IUGR
Multiple gestation
,SAEM M4 EXAM, MOST TESTED QUESTIONS AND VERIFIED
SOLUTIONS/GET IT 100% ACCURATE!! 2026!!
Thick meconium
In the post-arrest setting, which of the following is the drug of choice in
treating hypotension in a child: - (ANSWERS)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 - (ANSWERS)3. Hypoglycemia
In a newborn, bradycardia is most commonly an indicator of: -
(ANSWERS)hypoxemia
All the following are signs of hypoxemia in a newborn, EXCEPT:
Answers:
1.cyanosis
,SAEM M4 EXAM, MOST TESTED QUESTIONS AND VERIFIED
SOLUTIONS/GET IT 100% ACCURATE!! 2026!!
2.lethargy
3.tachycardia
4.unresponsiveness
5.bradycardia - (ANSWERS)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 - (ANSWERS)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
, SAEM M4 EXAM, MOST TESTED QUESTIONS AND VERIFIED
SOLUTIONS/GET IT 100% ACCURATE!! 2026!!
4.Heimlich maneuver then blind finger sweep
5.Heimlich maneuver then chest thrust - (ANSWERS)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. - (ANSWERS)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
