SAEM M4 Exam 2024

SAEM M4 Exam 2024 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 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