1
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SAEM M4 Exam Questions and Answers
(100% Correct Answers) Already Graded
A+
True or False: gastric distension due to excessive volume or rate of
ventilation impairing ventilatory function is a reason to intubate a
neonate [ ANS: ] False
management for nursemaid elbow injury [ ANS: ] apply pressure to
the radial head while flexing and supinating elbow
© 2025 Assignment Expert
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
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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? [ ANS: ] compression fracture of the posteriolateral
aspect of the humeral head (Hill-Sachs deformity)
What are most common heart rhythms seen in pediatric arrest? [
ANS: ] bradycardia or asystole
risk factors for neonatal resuscitation [ ANS: ] 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: [ ANS: ] epi
Low body temperatures in newborns can lead to severe
physiologic consequences, which include all EXCEPT:
, 2
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Answers:
1. metabolic acidosis
2. increased oxygen consumption
3. hypoglycemia
4. apnea
5. hyperglycemia [ ANS: ] 3. hypoglycemia
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In a newborn, bradycardia is most commonly an indicator of: [
ANS: ] hypoxemia
All the following are signs of hypoxemia in a newborn, EXCEPT:
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Answers:
1.cyanosis
2.lethargy
3.tachycardia
4.unresponsiveness
5.bradycardia [ ANS: ] 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:
, 3
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1.osteogenesis imperfecta
2.inborn error of metabolism
3.congenital diaphragmatic hernia
4.foreign body
5.tracheoesophageal fistula [ ANS: ] 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?
© 2025 Assignment Expert
Answers:
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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 [ ANS: ] 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.
, 4
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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. [ ANS: ] 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.
© 2025 Assignment Expert
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
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agent to have caused her symptoms?
Answers:
1.Jimson weed
2.Cocaine
3.Heroin
4.Insulin [ ANS: ] 2. cocaine
A mother brings in her 4 year old child who was happily eating
"blackberries" from weeds in the garden and is now acting
strangely. She has identified them as Belladonna from a quick
internet search. Which physical examination finding might you
also expect to find in this child?
Answers:
For Expert help and assignment solutions, +254707240657
SAEM M4 Exam Questions and Answers
(100% Correct Answers) Already Graded
A+
True or False: gastric distension due to excessive volume or rate of
ventilation impairing ventilatory function is a reason to intubate a
neonate [ ANS: ] False
management for nursemaid elbow injury [ ANS: ] apply pressure to
the radial head while flexing and supinating elbow
© 2025 Assignment Expert
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
Guru01 - Stuvia
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? [ ANS: ] compression fracture of the posteriolateral
aspect of the humeral head (Hill-Sachs deformity)
What are most common heart rhythms seen in pediatric arrest? [
ANS: ] bradycardia or asystole
risk factors for neonatal resuscitation [ ANS: ] 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: [ ANS: ] epi
Low body temperatures in newborns can lead to severe
physiologic consequences, which include all EXCEPT:
, 2
For Expert help and assignment solutions, +254707240657
Answers:
1. metabolic acidosis
2. increased oxygen consumption
3. hypoglycemia
4. apnea
5. hyperglycemia [ ANS: ] 3. hypoglycemia
© 2025 Assignment Expert
In a newborn, bradycardia is most commonly an indicator of: [
ANS: ] hypoxemia
All the following are signs of hypoxemia in a newborn, EXCEPT:
Guru01 - Stuvia
Answers:
1.cyanosis
2.lethargy
3.tachycardia
4.unresponsiveness
5.bradycardia [ ANS: ] 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:
, 3
For Expert help and assignment solutions, +254707240657
1.osteogenesis imperfecta
2.inborn error of metabolism
3.congenital diaphragmatic hernia
4.foreign body
5.tracheoesophageal fistula [ ANS: ] 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?
© 2025 Assignment Expert
Answers:
Guru01 - Stuvia
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 [ ANS: ] 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.
, 4
For Expert help and assignment solutions, +254707240657
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. [ ANS: ] 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.
© 2025 Assignment Expert
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
Guru01 - Stuvia
agent to have caused her symptoms?
Answers:
1.Jimson weed
2.Cocaine
3.Heroin
4.Insulin [ ANS: ] 2. cocaine
A mother brings in her 4 year old child who was happily eating
"blackberries" from weeds in the garden and is now acting
strangely. She has identified them as Belladonna from a quick
internet search. Which physical examination finding might you
also expect to find in this child?
Answers:
