SAEM M4 Exam Newest Exam 2026 | All Questions
and Correct Answers | Graded A+ | Verified
Answers | Brand New Version!
Which of the following cervical spine fractures is considered stable?
Answers:
1.Flexion teardrop fracture
2.Bilateral facet dislocation
3.Transverse process fracture
4.Jefferson fracture of C1
5.Hangman's fracture of C2 ---------CORRECT ANSWER-----------------3.Transverse
process fracture
A 23 year old man is stabbed in the anterior neck with a 3-inch knife during a
street fight. At the scene, there is some bleeding, which is controlled with direct
pressure. He presents to the emergency department breathing comfortably and
in no distress. His pulse is 88, blood pressure 126/76, and oxygen saturation 99%
on room air. There is a 1cm laceration 2cm above the right sternoclavicular
junction, lateral to the trachea. There is mild oozing and no obvious underlying
hematoma. There is no obvious subcutaneous air, and he has clear lung sounds.
What is the most appropriate management for this patient?
Answers:
1.Immediate operative exploration
,2.Local wound exploration and discharge home if no significant injury identified
3.Local wound exploration and discharge home after 6-hour observation period
4.Angiography, esophogram, and admission for observation
5.CT scan of the neck and discharge home after 6 hours of ---------CORRECT
ANSWER-----------------4.Angiography, esophogram, and admission for observation
Which is the most common associated neurological finding with a distal radius
fracture?
Answers:
1.Wrist drop
2.Decreased sensation over the thenar eminance
3.Weakness of finger adduction
4.Decreased sensation over the hypothenar eminance
5.Weakness with flexion at the finger MCP joints ---------CORRECT ANSWER----------
-------2.Decreased sensation over the thenar eminance
A 22 year old running back is struck from behind by a 300-pound lineman. The
blow occurs below the knee as his foot is firmly planted and two other linemen
are holding his upper body. He presents to the emergency department with gross
anterior dislocation of the tibia on the femur. His foot is cool and pale, and
dorsalis pedis and posterior tibial pulses are not detected by Doppler ultrasound.
What is the most appropriate management for this patient?
Answers:
,1.Immediate orthopedic consultation without attempts to manipulate the knee
2.Immediate arteriography to assess for popliteal artery disruption
3.Immediate reduction in emergency department under conscious sedation
without X-rays
4.Open reduction in OR with exploration of popliteal artery ---------CORRECT
ANSWER-----------------3.Immediate reduction in emergency department under
conscious sedation without X-rays
In differentiating high voltage electrical injury from lightning injury, which of the
following is your best discriminator?
Answers:
1.Loss of consciousness
2.Cardiac arrest
3.Fractures or dislocations
4.Deep burns ---------CORRECT ANSWER-----------------4.Deep burns
Regarding the epidemiology of asthma in the United States, which of the
following is true?
Answers:
1.Etiology is thought to be genetic, not environmental
2.Incidence is comparable for Caucasians and African-Americans
3.More common in males than females in adult and pediatric populations
, 4.Prevalence increased in the 1980's, and then decreased in the 1990's ---------
CORRECT ANSWER-----------------4.Prevalence increased in the 1980's, and then
decreased in the 1990's
Which of the following patients is the most likely to develop S. pneumoniae
pneumonia?
Answers:
1.59 year old woman who is a cigarette smoker.
2.61 year old man with hypertension
3.64 year old man with type 2 diabetes
4.65 year old woman with no past medical history ---------CORRECT ANSWER--------
---------3.64 year old man with type 2 diabetes
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
and Correct Answers | Graded A+ | Verified
Answers | Brand New Version!
Which of the following cervical spine fractures is considered stable?
Answers:
1.Flexion teardrop fracture
2.Bilateral facet dislocation
3.Transverse process fracture
4.Jefferson fracture of C1
5.Hangman's fracture of C2 ---------CORRECT ANSWER-----------------3.Transverse
process fracture
A 23 year old man is stabbed in the anterior neck with a 3-inch knife during a
street fight. At the scene, there is some bleeding, which is controlled with direct
pressure. He presents to the emergency department breathing comfortably and
in no distress. His pulse is 88, blood pressure 126/76, and oxygen saturation 99%
on room air. There is a 1cm laceration 2cm above the right sternoclavicular
junction, lateral to the trachea. There is mild oozing and no obvious underlying
hematoma. There is no obvious subcutaneous air, and he has clear lung sounds.
What is the most appropriate management for this patient?
Answers:
1.Immediate operative exploration
,2.Local wound exploration and discharge home if no significant injury identified
3.Local wound exploration and discharge home after 6-hour observation period
4.Angiography, esophogram, and admission for observation
5.CT scan of the neck and discharge home after 6 hours of ---------CORRECT
ANSWER-----------------4.Angiography, esophogram, and admission for observation
Which is the most common associated neurological finding with a distal radius
fracture?
Answers:
1.Wrist drop
2.Decreased sensation over the thenar eminance
3.Weakness of finger adduction
4.Decreased sensation over the hypothenar eminance
5.Weakness with flexion at the finger MCP joints ---------CORRECT ANSWER----------
-------2.Decreased sensation over the thenar eminance
A 22 year old running back is struck from behind by a 300-pound lineman. The
blow occurs below the knee as his foot is firmly planted and two other linemen
are holding his upper body. He presents to the emergency department with gross
anterior dislocation of the tibia on the femur. His foot is cool and pale, and
dorsalis pedis and posterior tibial pulses are not detected by Doppler ultrasound.
What is the most appropriate management for this patient?
Answers:
,1.Immediate orthopedic consultation without attempts to manipulate the knee
2.Immediate arteriography to assess for popliteal artery disruption
3.Immediate reduction in emergency department under conscious sedation
without X-rays
4.Open reduction in OR with exploration of popliteal artery ---------CORRECT
ANSWER-----------------3.Immediate reduction in emergency department under
conscious sedation without X-rays
In differentiating high voltage electrical injury from lightning injury, which of the
following is your best discriminator?
Answers:
1.Loss of consciousness
2.Cardiac arrest
3.Fractures or dislocations
4.Deep burns ---------CORRECT ANSWER-----------------4.Deep burns
Regarding the epidemiology of asthma in the United States, which of the
following is true?
Answers:
1.Etiology is thought to be genetic, not environmental
2.Incidence is comparable for Caucasians and African-Americans
3.More common in males than females in adult and pediatric populations
, 4.Prevalence increased in the 1980's, and then decreased in the 1990's ---------
CORRECT ANSWER-----------------4.Prevalence increased in the 1980's, and then
decreased in the 1990's
Which of the following patients is the most likely to develop S. pneumoniae
pneumonia?
Answers:
1.59 year old woman who is a cigarette smoker.
2.61 year old man with hypertension
3.64 year old man with type 2 diabetes
4.65 year old woman with no past medical history ---------CORRECT ANSWER--------
---------3.64 year old man with type 2 diabetes
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
