SAEM EXAM AND PRACTICE EXAM NEWEST 2026
TEST BANK| SAEM FINAL EXAM PREP WITH
COMPLETE 1000 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ (MOST
RECENT!!)2026-2027
"With regard to specific causes of hypertension, which of the following
is true?
A. Hypertensive encephalopathy is more likely than hypertensive stroke
in patients whose mental status changes are reversible
B. Hypertensive encephalopathy causes adverse outcomes over days or
weeks, rather than hours
C. Patients with stroke syndromes must have blood pressure normalized
as quickly as possible to reduce the risks of worsening neurological
deficit
D. Laboratory analysis is rarely useful in cases of confirmed pediatric
hypertension
E. Laboratory analysis is rarely useful in cases of confirmed hypertension
in pregnant patients"
"A. Hypertensive encephalopathy is more likely than hypertensive stroke
in patients whose mental status changes are reversible
The answer is A. Hypertensive encephalopathy is a true medical
emergency, and can cause coma and death over hours; however,
encephalopathy due to hypertension is more likely reversible than
encephalopathy from other causes. Avoidance of overzealous blood
pressure lowering is particularly critical for patients with strokes.
Laboratory analysis can be important in cases of hypertension in
pediatric patients (for whom renal/renovascular or pheochromocytoma
may be identified) and in pregnant patients (for whom laboratory testing
can help establish diagnoses such as the HELLP syndrome)."
,"A 29 year old woman is found seizing by her husband and is rushed to
the emergency department. On presentation, she is noted to have a BP
of 162/112, is still seizing, and looks puffy all over. Her husband tells you
that they are expecting their first child in a few months. Which of the
following is the next best step in this patient's care?
A. Control the seizures with magnesium sulfate.
B. Draw blood to check CBC, LFT's, BUN, and creatinine.
C. Notify the labor floor that the patient is in the emergency
department.
D. Perform a CT scan of head if seizures persist.
E. Start hydralazine to decrease the patient's blood pressure."
"A. Control the seizures with magnesium sulfate.
The answer is A. Antihypertensive therapy is only indicated in eclampsia
if the diastolic blood pressure remains > 110 mm Hg after seizures are
controlled because rapid lowering of blood pressure can result in
uterine hypoperfusion. All the other choices (A-D) are appropriate in the
management of the patient with eclampsia."
"Which of the following is not a feature of febrile seizures?
A. generalized tonic-clonic seizure
B. duration less than 15 minutes
C. associated with a rapid rise in body temperature
D. occurs in children ages 3 months to 5 years
E. associated with postictal state of 30 minutes"
"E. associated with postictal state of 30 minutes
The answer is E. Febrile seizure is not associated with a postictal period.
The child usually rapidly regains alertness. Intracranial mass or infection
should be a concern if the duration of seizure is greater than 15 minutes
or if altered mental status persists after the cessation of seizure activity."
,"A 47 year old man with a history of alcohol abuse presents to the
emergency department after having a seizure. His past includes both
seizures and blackouts. His last alcoholic drink was the previous
evening. This morning he experienced palpitations, diaphoresis, and
dizziness before losing consciousness and having a seizure lasting
under a minute. Which of the following is a true statement with regard to
alcohol and its association with seizures?
A. In people with an underlying seizure disorder, excessive alcohol
intake is a risk-factor for seizure due to increased likelihood of head
injury, predisposition to metabolic disorders, and lowered seizure
threshold.
B. Alcohol intake itself can precipitate seizures due to the neurotoxic
effects of alcohol and its metabolites.
C. Cessation of alcohol can precipitate seizures as part of the alcohol
withdrawal syndrome.
D. All of the above statements are true.
"D. All of the above statements are true."
"A patient with a ventriculo-peritoneal shunt presents to the E.D. with
lethargy and vomiting. A CT scan obtained emergently (see the Right
image in the Figure) is compared with a CT scan (see the Left image in
the Figure) from a month ago. What is the diagnosis?
[image]
A. encephalitis
B. meningitis
C. pseudotumor cerebri
D. hydrocephalus and shunt malfunction
E. subarachnoid hemorrhage"
"D. hydrocephalus and shunt malfunction
The answer is D. The two CT scans demonstrate interval failure of the
shunt to drain CSF."
, "A 68 year old diabetic male, previously living independently, is brought
in by his family. He has been acting abnormally for two days. The family
reports he is awake all night and sleepy during the day. He is confused
about where he is and the time of day, and sometimes doesn't recognize
his daughter and son-in-law. At other times he appears and acts almost
normally.
Which of the following is true regarding his condition?
A. Infection is an unlikely cause of his condition unless his temperature is
> 102° F.
B. Dementia is the most likely cause of his condition and the family must
be counseled about the future course of the disease.
C. Medications are an unlikely cause of this condition in the elderly.
D. Patients can be agitated and combative, or calm and quiet in this
condition.
E. Treatment includes maximizing sensory input."
"D. Patients can be agitated and combative, or calm and quiet in this
condition.
The answer is D. The scenario describes a patient with delirium, a
condition in which patients may be agitated and combative, or calm and
quiet. The most common cause of delirium in the elderly is medications,
accounting for 22-39% of cases. Infection and metabolic abnormalities
are other common causes, and delirium may be the first indication that
an infection is present. An elderly patient with delirium resulting from an
infection may have a normal temperature, a low temperature, or a high
temperature. Delirium is characterized by an acute onset of a
disturbance in level of consciousness, cognition and attentiveness. It has
a fluctuating course, and alterations in sleep-wake cycles are common.
Dementia, in contrast, has a slower course, that is gradually progressive
over months to years, and consciousness is preserved. In addition to
correcting the underlying cause, it is important to minimize stimulation,
because the patient with delirium has difficulty processing stimuli."
TEST BANK| SAEM FINAL EXAM PREP WITH
COMPLETE 1000 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ (MOST
RECENT!!)2026-2027
"With regard to specific causes of hypertension, which of the following
is true?
A. Hypertensive encephalopathy is more likely than hypertensive stroke
in patients whose mental status changes are reversible
B. Hypertensive encephalopathy causes adverse outcomes over days or
weeks, rather than hours
C. Patients with stroke syndromes must have blood pressure normalized
as quickly as possible to reduce the risks of worsening neurological
deficit
D. Laboratory analysis is rarely useful in cases of confirmed pediatric
hypertension
E. Laboratory analysis is rarely useful in cases of confirmed hypertension
in pregnant patients"
"A. Hypertensive encephalopathy is more likely than hypertensive stroke
in patients whose mental status changes are reversible
The answer is A. Hypertensive encephalopathy is a true medical
emergency, and can cause coma and death over hours; however,
encephalopathy due to hypertension is more likely reversible than
encephalopathy from other causes. Avoidance of overzealous blood
pressure lowering is particularly critical for patients with strokes.
Laboratory analysis can be important in cases of hypertension in
pediatric patients (for whom renal/renovascular or pheochromocytoma
may be identified) and in pregnant patients (for whom laboratory testing
can help establish diagnoses such as the HELLP syndrome)."
,"A 29 year old woman is found seizing by her husband and is rushed to
the emergency department. On presentation, she is noted to have a BP
of 162/112, is still seizing, and looks puffy all over. Her husband tells you
that they are expecting their first child in a few months. Which of the
following is the next best step in this patient's care?
A. Control the seizures with magnesium sulfate.
B. Draw blood to check CBC, LFT's, BUN, and creatinine.
C. Notify the labor floor that the patient is in the emergency
department.
D. Perform a CT scan of head if seizures persist.
E. Start hydralazine to decrease the patient's blood pressure."
"A. Control the seizures with magnesium sulfate.
The answer is A. Antihypertensive therapy is only indicated in eclampsia
if the diastolic blood pressure remains > 110 mm Hg after seizures are
controlled because rapid lowering of blood pressure can result in
uterine hypoperfusion. All the other choices (A-D) are appropriate in the
management of the patient with eclampsia."
"Which of the following is not a feature of febrile seizures?
A. generalized tonic-clonic seizure
B. duration less than 15 minutes
C. associated with a rapid rise in body temperature
D. occurs in children ages 3 months to 5 years
E. associated with postictal state of 30 minutes"
"E. associated with postictal state of 30 minutes
The answer is E. Febrile seizure is not associated with a postictal period.
The child usually rapidly regains alertness. Intracranial mass or infection
should be a concern if the duration of seizure is greater than 15 minutes
or if altered mental status persists after the cessation of seizure activity."
,"A 47 year old man with a history of alcohol abuse presents to the
emergency department after having a seizure. His past includes both
seizures and blackouts. His last alcoholic drink was the previous
evening. This morning he experienced palpitations, diaphoresis, and
dizziness before losing consciousness and having a seizure lasting
under a minute. Which of the following is a true statement with regard to
alcohol and its association with seizures?
A. In people with an underlying seizure disorder, excessive alcohol
intake is a risk-factor for seizure due to increased likelihood of head
injury, predisposition to metabolic disorders, and lowered seizure
threshold.
B. Alcohol intake itself can precipitate seizures due to the neurotoxic
effects of alcohol and its metabolites.
C. Cessation of alcohol can precipitate seizures as part of the alcohol
withdrawal syndrome.
D. All of the above statements are true.
"D. All of the above statements are true."
"A patient with a ventriculo-peritoneal shunt presents to the E.D. with
lethargy and vomiting. A CT scan obtained emergently (see the Right
image in the Figure) is compared with a CT scan (see the Left image in
the Figure) from a month ago. What is the diagnosis?
[image]
A. encephalitis
B. meningitis
C. pseudotumor cerebri
D. hydrocephalus and shunt malfunction
E. subarachnoid hemorrhage"
"D. hydrocephalus and shunt malfunction
The answer is D. The two CT scans demonstrate interval failure of the
shunt to drain CSF."
, "A 68 year old diabetic male, previously living independently, is brought
in by his family. He has been acting abnormally for two days. The family
reports he is awake all night and sleepy during the day. He is confused
about where he is and the time of day, and sometimes doesn't recognize
his daughter and son-in-law. At other times he appears and acts almost
normally.
Which of the following is true regarding his condition?
A. Infection is an unlikely cause of his condition unless his temperature is
> 102° F.
B. Dementia is the most likely cause of his condition and the family must
be counseled about the future course of the disease.
C. Medications are an unlikely cause of this condition in the elderly.
D. Patients can be agitated and combative, or calm and quiet in this
condition.
E. Treatment includes maximizing sensory input."
"D. Patients can be agitated and combative, or calm and quiet in this
condition.
The answer is D. The scenario describes a patient with delirium, a
condition in which patients may be agitated and combative, or calm and
quiet. The most common cause of delirium in the elderly is medications,
accounting for 22-39% of cases. Infection and metabolic abnormalities
are other common causes, and delirium may be the first indication that
an infection is present. An elderly patient with delirium resulting from an
infection may have a normal temperature, a low temperature, or a high
temperature. Delirium is characterized by an acute onset of a
disturbance in level of consciousness, cognition and attentiveness. It has
a fluctuating course, and alterations in sleep-wake cycles are common.
Dementia, in contrast, has a slower course, that is gradually progressive
over months to years, and consciousness is preserved. In addition to
correcting the underlying cause, it is important to minimize stimulation,
because the patient with delirium has difficulty processing stimuli."
