SAEM END YEAR EXAM 2025/2026 125 QUESTIONS WITH
100% CORRECT ANSWERS
Generally speaking, a patient with a TIA history who presents with a new stroke, likely has which kind
of stroke?
Answers:
1.hemorrhagic
2.thrombotic
3.embolic
4.hypoperfusion
5.there is equal likelihood for any stroke type - 2.thrombotic
Which of the following is not a known complication of subarachnoid hemorrhage in the immediate
several weeks following the initial bleed?
Answers:
1.seizure
2.cerebral artery vasospasm
3.rebleeding
4.hydrocephalus
5.hypernatremia - 5.hypernatremia
A 36 year old woman presents to the emergency department two hours after the sudden onset of a
severe occipital headache and nausea. She has a history of migraine headaches that typically occur in
the right frontal area and are associated with an aura. Her temperature is 98.8 degrees Fahrenheit,
her neck is supple, and her neurological exam is normal. A non-contrast CT scan of her head is
normal. Of the options below, what is the next step in her management?
, Answers:
1.Discharge her home with prochlorperazine and close instructions to return if her symptoms
worsen.
2.Observe for 6 hours, administer acetaminophen and normal saline, and discharge home if she feels
better.
3.Perform a lumbar puncture to rule out the possibility of subarachnoid hemorrhage.
4.Consult a neurologist for evaluation of atypical migraines.
5.Observe for 6 hours and then obtain a repeat CT scan; if normal, discharge home. - 3.Perform a
lumbar puncture to rule out the possibility of subarachnoid hemorrhage.
Which of the following descriptors of epidural hematoma is FALSE?
Answers:
1.Biconvex blood collection between the skull and dura
2.Most often a result of a skull fracture that traverses a venous sinus
3.Classically associated with a "lucid" interval prior to coma
4.Present in only about 1% of severe head injury patients
5.Immediate surgical evacuation is indicated - 2.Most often a result of a skull fracture that traverses a
venous sinus
Epidural hematomas are least likely in which age group?
Answers:
1.Children less than 2 years
2.Children between 8 and 14
100% CORRECT ANSWERS
Generally speaking, a patient with a TIA history who presents with a new stroke, likely has which kind
of stroke?
Answers:
1.hemorrhagic
2.thrombotic
3.embolic
4.hypoperfusion
5.there is equal likelihood for any stroke type - 2.thrombotic
Which of the following is not a known complication of subarachnoid hemorrhage in the immediate
several weeks following the initial bleed?
Answers:
1.seizure
2.cerebral artery vasospasm
3.rebleeding
4.hydrocephalus
5.hypernatremia - 5.hypernatremia
A 36 year old woman presents to the emergency department two hours after the sudden onset of a
severe occipital headache and nausea. She has a history of migraine headaches that typically occur in
the right frontal area and are associated with an aura. Her temperature is 98.8 degrees Fahrenheit,
her neck is supple, and her neurological exam is normal. A non-contrast CT scan of her head is
normal. Of the options below, what is the next step in her management?
, Answers:
1.Discharge her home with prochlorperazine and close instructions to return if her symptoms
worsen.
2.Observe for 6 hours, administer acetaminophen and normal saline, and discharge home if she feels
better.
3.Perform a lumbar puncture to rule out the possibility of subarachnoid hemorrhage.
4.Consult a neurologist for evaluation of atypical migraines.
5.Observe for 6 hours and then obtain a repeat CT scan; if normal, discharge home. - 3.Perform a
lumbar puncture to rule out the possibility of subarachnoid hemorrhage.
Which of the following descriptors of epidural hematoma is FALSE?
Answers:
1.Biconvex blood collection between the skull and dura
2.Most often a result of a skull fracture that traverses a venous sinus
3.Classically associated with a "lucid" interval prior to coma
4.Present in only about 1% of severe head injury patients
5.Immediate surgical evacuation is indicated - 2.Most often a result of a skull fracture that traverses a
venous sinus
Epidural hematomas are least likely in which age group?
Answers:
1.Children less than 2 years
2.Children between 8 and 14
