SAEM M4 CURRICULUM 2 2026
COMPREHENSIVE EXAM PACK VERIFIED 362
QUESTIONS AND ANSWERS GRADED A+
◉ 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
3. hypoglycemia
4. apnea
5. hyperglycemia. Answer: 3. hypoglycemia
◉ 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 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
, 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.
◉ 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?
COMPREHENSIVE EXAM PACK VERIFIED 362
QUESTIONS AND ANSWERS GRADED A+
◉ 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
3. hypoglycemia
4. apnea
5. hyperglycemia. Answer: 3. hypoglycemia
◉ 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 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
, 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.
◉ 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?
