SAEM M4 Final Exam 2026/2027 | Society
for Academic Emergency Medicine M4
Clerkship Final Exam with Complete
Questions & Verified Answers |
Emergency Medicine Standards
True or False: gastric distension due to excessive volume or rate of ventilation impairing
ventilatory function is a reason to intubate a neonate -CORRECTANSWER False
management for nursemaid elbow injury -CORRECTANSWER 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? -CORRECTANSWER compression fracture of the
posteriolateral aspect of the humeral head (Hill-Sachs deformity)
What are most common heart rhythms seen in pediatric arrest? -CORRECTANSWER
bradycardia or asystole
,risk factors for neonatal resuscitation -CORRECTANSWER 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: -CORRECTANSWER epi
Low body temperatures in newborns can lead to severe physiologic consequences,
which include all EXCEPT:
CORRECTANSWERs:
1. metabolic acidosis
2. increased oxygen consumption
3. hypoglycemia
4. apnea
5. hyperglycemia -CORRECTANSWER 3. hypoglycemia
In a newborn, bradycardia is most commonly an indicator of: -CORRECTANSWER
hypoxemia
All the following are signs of hypoxemia in a newborn, EXCEPT:
,CORRECTANSWERs:
1.cyanosis
2.lethargy
3.tachycardia
4.unresponsiveness
5.bradycardia -CORRECTANSWER 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?
CORRECTANSWERs:
1.osteogenesis imperfecta
2.inborn error of metabolism
3.congenital diaphragmatic hernia
4.foreign body
5.tracheoesophageal fistula -CORRECTANSWER 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?
CORRECTANSWERs:
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 -CORRECTANSWER 2.back blow then chest
thrust
All of these steps are involved in pediatric rapid sequence intubation (RSI) EXCEPT:
CORRECTANSWERs:
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. -CORRECTANSWER 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,
for Academic Emergency Medicine M4
Clerkship Final Exam with Complete
Questions & Verified Answers |
Emergency Medicine Standards
True or False: gastric distension due to excessive volume or rate of ventilation impairing
ventilatory function is a reason to intubate a neonate -CORRECTANSWER False
management for nursemaid elbow injury -CORRECTANSWER 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? -CORRECTANSWER compression fracture of the
posteriolateral aspect of the humeral head (Hill-Sachs deformity)
What are most common heart rhythms seen in pediatric arrest? -CORRECTANSWER
bradycardia or asystole
,risk factors for neonatal resuscitation -CORRECTANSWER 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: -CORRECTANSWER epi
Low body temperatures in newborns can lead to severe physiologic consequences,
which include all EXCEPT:
CORRECTANSWERs:
1. metabolic acidosis
2. increased oxygen consumption
3. hypoglycemia
4. apnea
5. hyperglycemia -CORRECTANSWER 3. hypoglycemia
In a newborn, bradycardia is most commonly an indicator of: -CORRECTANSWER
hypoxemia
All the following are signs of hypoxemia in a newborn, EXCEPT:
,CORRECTANSWERs:
1.cyanosis
2.lethargy
3.tachycardia
4.unresponsiveness
5.bradycardia -CORRECTANSWER 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?
CORRECTANSWERs:
1.osteogenesis imperfecta
2.inborn error of metabolism
3.congenital diaphragmatic hernia
4.foreign body
5.tracheoesophageal fistula -CORRECTANSWER 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?
CORRECTANSWERs:
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 -CORRECTANSWER 2.back blow then chest
thrust
All of these steps are involved in pediatric rapid sequence intubation (RSI) EXCEPT:
CORRECTANSWERs:
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. -CORRECTANSWER 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,
