SAEM M4 Exam Newest 2025/2026 Complete
Questions And Correct Detailed Answers
(Verified Answers) |Brand New Version!!
True or False: gastric distension due to excessive volume or
rate of ventilation impairing ventilatory function is a reason
to intubate a neonate - <<<correct answer >>>..False
management for nursemaid elbow injury - <<<correct 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? - <<<correct answer
>>>..compression fracture of the posteriolateral aspect of the
humeral head (Hill-Sachs deformity)
What are most common heart rhythms seen in pediatric
arrest? - <<<correct answer >>>..bradycardia or asystole
,risk factors for neonatal resuscitation - <<<correct 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: - <<<correct
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 - <<<correct answer >>>..3. hypoglycemia
In a newborn, bradycardia is most commonly an indicator of: -
<<<correct answer >>>..hypoxemia
All the following are signs of hypoxemia in a newborn,
EXCEPT:
Answers:
1.cyanosis
2.lethargy
,3.tachycardia
4.unresponsiveness
5.bradycardia - <<<correct 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 - <<<correct 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 - <<<correct 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. - <<<correct 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?
Answers:
1.Jimson weed
2.Cocaine
3.Heroin
Questions And Correct Detailed Answers
(Verified Answers) |Brand New Version!!
True or False: gastric distension due to excessive volume or
rate of ventilation impairing ventilatory function is a reason
to intubate a neonate - <<<correct answer >>>..False
management for nursemaid elbow injury - <<<correct 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? - <<<correct answer
>>>..compression fracture of the posteriolateral aspect of the
humeral head (Hill-Sachs deformity)
What are most common heart rhythms seen in pediatric
arrest? - <<<correct answer >>>..bradycardia or asystole
,risk factors for neonatal resuscitation - <<<correct 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: - <<<correct
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 - <<<correct answer >>>..3. hypoglycemia
In a newborn, bradycardia is most commonly an indicator of: -
<<<correct answer >>>..hypoxemia
All the following are signs of hypoxemia in a newborn,
EXCEPT:
Answers:
1.cyanosis
2.lethargy
,3.tachycardia
4.unresponsiveness
5.bradycardia - <<<correct 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 - <<<correct 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 - <<<correct 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. - <<<correct 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?
Answers:
1.Jimson weed
2.Cocaine
3.Heroin
