SAEM M4 EXAM || MOST RECENT EXAM 2026-2027
ACTUAL COMPLETE REAL EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ | GUARANTEED
SUCCESS!! NEWEST EXAM | JUST
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A 23 year old man is stabbed in the anterior neck with a 3-inch
knife during a street fight. At the scene, there is some bleeding,
which is controlled with direct pressure. He presents to the
emergency department breathing comfortably and in no
distress. His pulse is 88, blood pressure 126/76, and oxygen
saturation 99% on room air. There is a 1cm laceration 2cm
above the right sternoclavicular junction, lateral to the trachea.
There is mild oozing and no obvious underlying hematoma.
There is no obvious subcutaneous air, and he has clear lung
sounds. What is the most appropriate management for this
patient?
Answers:
1.Immediate operative exploration
2.Local wound exploration and discharge home if no significant
injury identified
3.Local wound exploration and discharge home after 6-hour
observation period
4.Angiography, esophogram, and admission for observation
,5.CT scan of the neck and discharge home after 6 hours of -
ANSWER4.Angiography, esophogram, and admission for
observation
Which is the most common associated neurological finding
with a distal radius
fracture?
Answers:
1.Wrist drop
2.Decreased sensation over the thenar eminance
3.Weakness of finger adduction
4.Decreased sensation over the hypothenar eminance
5.Weakness with flexion at the finger MCP joints - ANSWER-
2.Decreased sensation over the thenar eminance
A 22 year old running back is struck from behind by a 300-
pound lineman. The blow occurs below the knee as his foot is
firmly planted and two other linemen are holding his upper
body. He presents to the emergency department with gross
anterior dislocation of the tibia on the femur. His foot is cool
and pale, and dorsalis pedis and posterior tibial pulses are not
detected by Doppler ultrasound. What is the most appropriate
management for this patient?
Answers:
1.Immediate orthopedic consultation without attempts to
manipulate the knee
,2.Immediate arteriography to assess for popliteal artery
disruption
3.Immediate reduction in emergency department under
conscious sedation without X-rays
4.Open reduction in OR with exploration of popliteal artery -
ANSWER3.Immediate reduction in emergency department
under conscious sedation without X-rays
In differentiating high voltage electrical injury from lightning
injury, which of the
following is your best
discriminator?
Answers:
1.Loss of consciousness
2.Cardiac arrest
3.Fractures or dislocations
4.Deep burns - ANSWER-4.Deep burns
Regarding the epidemiology of asthma in the United
States, which of the
following is
true?
Answers:
1.Etiology is thought to be genetic, not environmental
2.Incidence is comparable for Caucasians and African-
Americans
, 3.More common in males than females in adult and pediatric
populations
4.Prevalence increased in the 1980's, and then decreased in the
1990's - ANSWER-4.Prevalence increased in the 1980's, and
then decreased in the 1990's
Which of the following patients is the most likely to develop
S. pneumoniae
pneumonia?
Answers:
1.59 year old woman who is a cigarette smoker.
2.61 year old man with hypertension
3.64 year old man with type 2 diabetes
4.65 year old woman with no past medical history - ANSWER-
3.64 year old man with type 2 diabetes
A 28 year old man is shot in the right chest. His vital signs are:
T 97.9, HR 120, BP 70/50, RR 12, SPO2 84%. He has significant
JVD, his trachea is deviated to the left, and he has decreased
breath sounds on the right. The patient's diagnosis is:
Answers:
1.Hypovolemic
shock
2.Tension
pneumothorax
ACTUAL COMPLETE REAL EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ | GUARANTEED
SUCCESS!! NEWEST EXAM | JUST
RELEASED!!
A 23 year old man is stabbed in the anterior neck with a 3-inch
knife during a street fight. At the scene, there is some bleeding,
which is controlled with direct pressure. He presents to the
emergency department breathing comfortably and in no
distress. His pulse is 88, blood pressure 126/76, and oxygen
saturation 99% on room air. There is a 1cm laceration 2cm
above the right sternoclavicular junction, lateral to the trachea.
There is mild oozing and no obvious underlying hematoma.
There is no obvious subcutaneous air, and he has clear lung
sounds. What is the most appropriate management for this
patient?
Answers:
1.Immediate operative exploration
2.Local wound exploration and discharge home if no significant
injury identified
3.Local wound exploration and discharge home after 6-hour
observation period
4.Angiography, esophogram, and admission for observation
,5.CT scan of the neck and discharge home after 6 hours of -
ANSWER4.Angiography, esophogram, and admission for
observation
Which is the most common associated neurological finding
with a distal radius
fracture?
Answers:
1.Wrist drop
2.Decreased sensation over the thenar eminance
3.Weakness of finger adduction
4.Decreased sensation over the hypothenar eminance
5.Weakness with flexion at the finger MCP joints - ANSWER-
2.Decreased sensation over the thenar eminance
A 22 year old running back is struck from behind by a 300-
pound lineman. The blow occurs below the knee as his foot is
firmly planted and two other linemen are holding his upper
body. He presents to the emergency department with gross
anterior dislocation of the tibia on the femur. His foot is cool
and pale, and dorsalis pedis and posterior tibial pulses are not
detected by Doppler ultrasound. What is the most appropriate
management for this patient?
Answers:
1.Immediate orthopedic consultation without attempts to
manipulate the knee
,2.Immediate arteriography to assess for popliteal artery
disruption
3.Immediate reduction in emergency department under
conscious sedation without X-rays
4.Open reduction in OR with exploration of popliteal artery -
ANSWER3.Immediate reduction in emergency department
under conscious sedation without X-rays
In differentiating high voltage electrical injury from lightning
injury, which of the
following is your best
discriminator?
Answers:
1.Loss of consciousness
2.Cardiac arrest
3.Fractures or dislocations
4.Deep burns - ANSWER-4.Deep burns
Regarding the epidemiology of asthma in the United
States, which of the
following is
true?
Answers:
1.Etiology is thought to be genetic, not environmental
2.Incidence is comparable for Caucasians and African-
Americans
, 3.More common in males than females in adult and pediatric
populations
4.Prevalence increased in the 1980's, and then decreased in the
1990's - ANSWER-4.Prevalence increased in the 1980's, and
then decreased in the 1990's
Which of the following patients is the most likely to develop
S. pneumoniae
pneumonia?
Answers:
1.59 year old woman who is a cigarette smoker.
2.61 year old man with hypertension
3.64 year old man with type 2 diabetes
4.65 year old woman with no past medical history - ANSWER-
3.64 year old man with type 2 diabetes
A 28 year old man is shot in the right chest. His vital signs are:
T 97.9, HR 120, BP 70/50, RR 12, SPO2 84%. He has significant
JVD, his trachea is deviated to the left, and he has decreased
breath sounds on the right. The patient's diagnosis is:
Answers:
1.Hypovolemic
shock
2.Tension
pneumothorax
