SAEM Exam Questions with correct
answers,48
True or False: gastric distension due to excessive volume or rate of ventilation impairing
ventilatory function is a reason to intubate a neonate - verified answers; False
management for nursemaid elbow injury - verified answers; 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? - verified
answers; compression fracture of the posteriolateral aspect of the humeral head (Hill-Sachs
deformity)
What are most common heart rhythms seen in pediatric arrest? - verified answers;
bradycardia or asystole
risk factors for neonatal resuscitation - verified answers; 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: - verified answers; 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 - verified answers; 3. hypoglycemia
In a newborn, bradycardia is most commonly an indicator of: - verified answers; hypoxemia
All the following are signs of hypoxemia in a newborn, EXCEPT:
Answers:
1.cyanosis
2.lethargy
3.tachycardia
4.unresponsiveness
5.bradycardia - verified answers; 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 - verified answers; 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 - verified answers; 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. - verified answers; 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
4.Insulin - verified answers; 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:
1.Diaphoresis
2.Flushed skin
3.Miosis
4.Urinary incontinence - verified answers; 2. flushed skin
For which of the following cases is activated charcoal therapy most appropriate?
Answers:
1.Acetaminophen overdose
2.Drain cleaner ingestion
answers,48
True or False: gastric distension due to excessive volume or rate of ventilation impairing
ventilatory function is a reason to intubate a neonate - verified answers; False
management for nursemaid elbow injury - verified answers; 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? - verified
answers; compression fracture of the posteriolateral aspect of the humeral head (Hill-Sachs
deformity)
What are most common heart rhythms seen in pediatric arrest? - verified answers;
bradycardia or asystole
risk factors for neonatal resuscitation - verified answers; 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: - verified answers; 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 - verified answers; 3. hypoglycemia
In a newborn, bradycardia is most commonly an indicator of: - verified answers; hypoxemia
All the following are signs of hypoxemia in a newborn, EXCEPT:
Answers:
1.cyanosis
2.lethargy
3.tachycardia
4.unresponsiveness
5.bradycardia - verified answers; 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 - verified answers; 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 - verified answers; 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. - verified answers; 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
4.Insulin - verified answers; 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:
1.Diaphoresis
2.Flushed skin
3.Miosis
4.Urinary incontinence - verified answers; 2. flushed skin
For which of the following cases is activated charcoal therapy most appropriate?
Answers:
1.Acetaminophen overdose
2.Drain cleaner ingestion
