SAEM EXAM 1 2025/2026 125 QUESTIONS WITH 100%
CORRECT ANSWERS
What is the most common cause of fatal anaphylaxis?
Answers:
1.foods, including shellfish, nuts, and eggs
2.insect stings
3.penicillin
4.radiographic contrast dye - PCN
For a patient who has suffered a severe anaphylactic reaction, which of the following medications
would serve little purpose if prescribed upon discharge?
Answers:
1.prednisone 60mg daily for 5 days
2.benadryl 25-50mg every 4-6 hours
3.Epi-Pen
4.albuterol inhaler 2 puffs every 4 hours - Albuterol
A 32 year old G1P0 at 33 weeks EGA comes into the emergency department complaining of a severe
headache. She has contractions every 3 minutes. She is experiencing flashes of light in front of her
eyes. Her pregnancy has been uncomplicated until this time, and her only medical problem is mild
asthma. Her vital signs are: T 36.5 C (97.7 F), BP 172/114, P 78, R 14, and a room air SpO2 99%. Her
lungs have bilateral crackles at the bases, and her cervix is dilated at 3 cm and effaced at 50%. Her
urinalysis has 2+ protein, and her complete blood count shows: WBC 8,000/mm3, hematocrit 38%,
, platelets 215,000/mm3. Her BUN and creatinine are normal, her AST is 250 U/L, and her ALT is 316
U/L. The electronic fetal monitor shows a reactive and variable heart tracing at a rate in the 150s.
What is the appropriate next step in management for her?
Answers:
1.Start PGE2 gel
2.Discharge the patient and tell her to return for a cer - Magnesium
Which of the following women are considered at increased risk for pre-eclampsia?
Answers:
1.cigarette smoker
2.multiparous
3.obese
4.over 20 years old
5.woman with a single intrauterine pregnancy - Obese
Women who develop pre-eclempsia in their first pregnancy have a long-term risk for which of the
following?
Answers:
1.diabetes mellitus
2.hypertension
CORRECT ANSWERS
What is the most common cause of fatal anaphylaxis?
Answers:
1.foods, including shellfish, nuts, and eggs
2.insect stings
3.penicillin
4.radiographic contrast dye - PCN
For a patient who has suffered a severe anaphylactic reaction, which of the following medications
would serve little purpose if prescribed upon discharge?
Answers:
1.prednisone 60mg daily for 5 days
2.benadryl 25-50mg every 4-6 hours
3.Epi-Pen
4.albuterol inhaler 2 puffs every 4 hours - Albuterol
A 32 year old G1P0 at 33 weeks EGA comes into the emergency department complaining of a severe
headache. She has contractions every 3 minutes. She is experiencing flashes of light in front of her
eyes. Her pregnancy has been uncomplicated until this time, and her only medical problem is mild
asthma. Her vital signs are: T 36.5 C (97.7 F), BP 172/114, P 78, R 14, and a room air SpO2 99%. Her
lungs have bilateral crackles at the bases, and her cervix is dilated at 3 cm and effaced at 50%. Her
urinalysis has 2+ protein, and her complete blood count shows: WBC 8,000/mm3, hematocrit 38%,
, platelets 215,000/mm3. Her BUN and creatinine are normal, her AST is 250 U/L, and her ALT is 316
U/L. The electronic fetal monitor shows a reactive and variable heart tracing at a rate in the 150s.
What is the appropriate next step in management for her?
Answers:
1.Start PGE2 gel
2.Discharge the patient and tell her to return for a cer - Magnesium
Which of the following women are considered at increased risk for pre-eclampsia?
Answers:
1.cigarette smoker
2.multiparous
3.obese
4.over 20 years old
5.woman with a single intrauterine pregnancy - Obese
Women who develop pre-eclempsia in their first pregnancy have a long-term risk for which of the
following?
Answers:
1.diabetes mellitus
2.hypertension
