SAEM M4 Exam questions with correct answers
True or False: gastric distension due to excessive volume or rate of
ventilation impairing ventilatory function is a reason to intubate a
neonate Correct Answer-False
management for nursemaid elbow injury Correct 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? Correct Answer-compression fracture of the
posteriolateral aspect of the humeral head (Hill-Sachs deformity)
What are most common heart rhythms seen in pediatric arrest? Correct
Answer-bradycardia or asystole
risk factors for neonatal resuscitation Correct 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: Correct 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 Correct Answer-3. hypoglycemia
In a newborn, bradycardia is most commonly an indicator of: Correct
Answer-hypoxemia
All the following are signs of hypoxemia in a newborn, EXCEPT:
Answers:
1.cyanosis
2.lethargy
3.tachycardia
4.unresponsiveness
5.bradycardia Correct 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 Correct 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 Correct 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.
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. Correct 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
True or False: gastric distension due to excessive volume or rate of
ventilation impairing ventilatory function is a reason to intubate a
neonate Correct Answer-False
management for nursemaid elbow injury Correct 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? Correct Answer-compression fracture of the
posteriolateral aspect of the humeral head (Hill-Sachs deformity)
What are most common heart rhythms seen in pediatric arrest? Correct
Answer-bradycardia or asystole
risk factors for neonatal resuscitation Correct 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: Correct 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 Correct Answer-3. hypoglycemia
In a newborn, bradycardia is most commonly an indicator of: Correct
Answer-hypoxemia
All the following are signs of hypoxemia in a newborn, EXCEPT:
Answers:
1.cyanosis
2.lethargy
3.tachycardia
4.unresponsiveness
5.bradycardia Correct 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 Correct 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 Correct 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.
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. Correct 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
