SAEM M4 Exam Most Recent Exam 2026 Actual
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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
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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
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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.
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. - 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.
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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