EMERGENCY MEDICINE SAEM EXAM T
LEARNING WORKBOOK 2026 TRAUMA
MEDICAL AND CRITICAL CARE SKILLS
◉ A 24 year old female gardener presents to the emergency
department with foot pain 30 minutes after working barefoot in her
garden. She saw a scorpion in the area. Which of the following signs
or symptoms are most expected?
Answers:
1.Puncture mark
2.Local erythema and swelling
3.Pain and paresthesias
4.Cranial nerve abnormalities.
Answer: 3.Pain and paresthesias
◉ A 48 year old farmer is plowing his field when a thunderstorm
rapidly overcomes him. Drivers on a nearby highway see him struck
by lightening. You respond to the scene with EMS. What is the least
likely finding on physical exam?
Answers:
1.respiratory arrest
,2.cardiac asystole
3.extensive skin burns
4.Glascow Coma Score of 3.
Answer: 3.extensive skin burns
◉ Which of the following anti-hypertensive medications is
associated with a lupus-like syndrome?
Answers:
1. hydralazine
2. labetalol
3. nicardipine
4. nitroglycerin
5. nitroprusside.
Answer: 1. hydralazine
◉ You need to treat an adult with no past medical history, who
presents with a hypertensive emergency. You have access to all of
the following agents. Which of the following is the preferred agent
and initial dose?
Answers:
1. clonidine PO 0.1 mg
,2. esmolol IV 100-500 mic/kg load
3. hydralazine IM 0.1-0.2 mg/kg
4. labetolol PO 0.2-1.0 mg/kg bolus
5. metoprolol PO 10 mg.
Answer: 2. esmolol IV 100-500 mic/kg load
◉ A 24 year old woman is playing racquetball and sustains a direct
blow from the ball to the right eye. She presents to the emergency
department complaining of eye pain and double vision. On exam, her
right eye does not track properly with upward gaze. This finding
suggests which of the following injuries?
Select all that apply
1.Inferior orbital rim fracture
2.Superior orbital rim fracture
3.Inferior orbital wall fracture
4.Ethmoid fracture
5.Zygomatic arch fracture.
Answer: 3.Inferior orbital wall fracture
◉ The most sensitive bedside test for nerve injury in a finger after
trauma is:
, Select all that apply
1.light touch
2.O'Riain wrinkle test
3.pain
4.temperature sensation
5.two-point discrimination.
Answer: 5.two-point discrimination
◉ In a patient with a suspected ruptured globe from penetrating
trauma to the eye, all of the following should be performed EXCEPT:
Answers:
1.administration of broad spectrum antibiotic therapy
2.ascertainment of intraocular pressure via tonometry
3.ascertainment of tetanus status
4.ophthalmology consultation
5.visual acuity assessment.
Answer: 2.ascertainment of intraocular pressure via tonometry
◉ Following a motor vehicle crash, a 25 year old man presents
complaining of a painful right eye. Visual acuity is 20/200 in the
right eye and 20/25 in the left eye. The right eye protrudes from the
LEARNING WORKBOOK 2026 TRAUMA
MEDICAL AND CRITICAL CARE SKILLS
◉ A 24 year old female gardener presents to the emergency
department with foot pain 30 minutes after working barefoot in her
garden. She saw a scorpion in the area. Which of the following signs
or symptoms are most expected?
Answers:
1.Puncture mark
2.Local erythema and swelling
3.Pain and paresthesias
4.Cranial nerve abnormalities.
Answer: 3.Pain and paresthesias
◉ A 48 year old farmer is plowing his field when a thunderstorm
rapidly overcomes him. Drivers on a nearby highway see him struck
by lightening. You respond to the scene with EMS. What is the least
likely finding on physical exam?
Answers:
1.respiratory arrest
,2.cardiac asystole
3.extensive skin burns
4.Glascow Coma Score of 3.
Answer: 3.extensive skin burns
◉ Which of the following anti-hypertensive medications is
associated with a lupus-like syndrome?
Answers:
1. hydralazine
2. labetalol
3. nicardipine
4. nitroglycerin
5. nitroprusside.
Answer: 1. hydralazine
◉ You need to treat an adult with no past medical history, who
presents with a hypertensive emergency. You have access to all of
the following agents. Which of the following is the preferred agent
and initial dose?
Answers:
1. clonidine PO 0.1 mg
,2. esmolol IV 100-500 mic/kg load
3. hydralazine IM 0.1-0.2 mg/kg
4. labetolol PO 0.2-1.0 mg/kg bolus
5. metoprolol PO 10 mg.
Answer: 2. esmolol IV 100-500 mic/kg load
◉ A 24 year old woman is playing racquetball and sustains a direct
blow from the ball to the right eye. She presents to the emergency
department complaining of eye pain and double vision. On exam, her
right eye does not track properly with upward gaze. This finding
suggests which of the following injuries?
Select all that apply
1.Inferior orbital rim fracture
2.Superior orbital rim fracture
3.Inferior orbital wall fracture
4.Ethmoid fracture
5.Zygomatic arch fracture.
Answer: 3.Inferior orbital wall fracture
◉ The most sensitive bedside test for nerve injury in a finger after
trauma is:
, Select all that apply
1.light touch
2.O'Riain wrinkle test
3.pain
4.temperature sensation
5.two-point discrimination.
Answer: 5.two-point discrimination
◉ In a patient with a suspected ruptured globe from penetrating
trauma to the eye, all of the following should be performed EXCEPT:
Answers:
1.administration of broad spectrum antibiotic therapy
2.ascertainment of intraocular pressure via tonometry
3.ascertainment of tetanus status
4.ophthalmology consultation
5.visual acuity assessment.
Answer: 2.ascertainment of intraocular pressure via tonometry
◉ Following a motor vehicle crash, a 25 year old man presents
complaining of a painful right eye. Visual acuity is 20/200 in the
right eye and 20/25 in the left eye. The right eye protrudes from the
