EMERGENCY MEDICINE SAEM EXAM T EXAM
PREPARATION PACK 2026 KEY CONCEPTS
AND REVISION NOTES
◉ 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
◉ risk factors for neonatal resuscitation.
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:.
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.
Answer: 3. hypoglycemia
◉ In a newborn, bradycardia is most commonly an indicator of:.
Answer: hypoxemia
,◉ All the following are signs of hypoxemia in a newborn, EXCEPT:
Answers:
1.cyanosis
2.lethargy
3.tachycardia
4.unresponsiveness
5.bradycardia.
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.
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.
PREPARATION PACK 2026 KEY CONCEPTS
AND REVISION NOTES
◉ 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
◉ risk factors for neonatal resuscitation.
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:.
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.
Answer: 3. hypoglycemia
◉ In a newborn, bradycardia is most commonly an indicator of:.
Answer: hypoxemia
,◉ All the following are signs of hypoxemia in a newborn, EXCEPT:
Answers:
1.cyanosis
2.lethargy
3.tachycardia
4.unresponsiveness
5.bradycardia.
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.
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.
