SAEM M4 LATEST 2026 EXAM QUESTIONS AND ANSWERS
GRADED A+
✔✔men v women in suicide - ✔✔-women more liekly to attempt men more likely co
complete bc use more violent means
✔✔SAD persosns - ✔✔S = Sex (male)
A = Age (<19 or >45)
D = Depressive symptoms and hopelessness*
P = Previous suicide attempt or psychiatric illness
E= Excessive alcohol or drug use
R= Rational thinking loss*
S = Single, separated, divorced or widowed
O = Organized or serious suicide attempt*
N = No social support
S = Stated future intent
✔✔interpret score sad persons - ✔✔5 or below: low risk
9 or more high risk
(in between get pych constul
✔✔how score sad persons - ✔✔-everything 1 except the following are 2
-depression/hopelessness
-organzied or serious attempt
-stated future attmept
✔✔agitation is a sx of 3 - ✔✔-delirium
-dementia
=psychosis
✔✔always consdier - ✔✔hypoglycemia and trauma (c collar)
✔✔vitals og agitaiton - ✔✔-tachycardia
-HTN
✔✔dementia - ✔✔chronic progressive decline in intellectual ability, behavior and
perosnality
✔✔psyhcosis - ✔✔-delusions
-hallucinations0disorganized speech or bheavior
✔✔ddx delirium - ✔✔dimtops
Drugs-intoxication, poisoning or withdrawal
Infections-UTI, pneumonia, meningitis/encephalitis, and others
, Metabolic Disturbance-Glucose and other endocrine derangements as well as
electrolyte disorders
Trauma-Head injury
Oxygen-Hypoxia
Postictal State
Space Occupying Lesion-Intracranial Tumor
✔✔2 meds often used in agitation - ✔✔-benzo
-antipsych (often give benztropine or diphenhydramine to prevent EPS sx)
✔✔pathophys asthma 2 - ✔✔-inc inflammation of airways
-bronchospasm
✔✔why chest tight in asthma - ✔✔dec expiratory airflow
✔✔most common resp trigger - ✔✔uri
✔✔when intubate asthm - ✔✔-severe resp distress + one of the folllowing
-albuterol or other tx not helping
-hypoxia even with o2
-too tired to breathe on their own
✔✔imp asthma questions - ✔✔-how many ed visitis
-hospitalziaitons
-icu
-intubations
-what are meds and are they complaint?
✔✔astmha 2 tx - ✔✔-o2
-beta block by nebulizer
✔✔if albuterol not working waht do (onset) 3 - ✔✔-steroids: onset in 4-6h
-epi
-terbutaline
✔✔needs labs? - ✔✔not in known asthmatic
✔✔when get abg - ✔✔-hypoxic after initiation of o2
✔✔expect abg to show - ✔✔-resp aljalosis and hypoxia
✔✔if severe abg shows - ✔✔hypercpanea and acidosis
✔✔pfts done when - ✔✔-when present
GRADED A+
✔✔men v women in suicide - ✔✔-women more liekly to attempt men more likely co
complete bc use more violent means
✔✔SAD persosns - ✔✔S = Sex (male)
A = Age (<19 or >45)
D = Depressive symptoms and hopelessness*
P = Previous suicide attempt or psychiatric illness
E= Excessive alcohol or drug use
R= Rational thinking loss*
S = Single, separated, divorced or widowed
O = Organized or serious suicide attempt*
N = No social support
S = Stated future intent
✔✔interpret score sad persons - ✔✔5 or below: low risk
9 or more high risk
(in between get pych constul
✔✔how score sad persons - ✔✔-everything 1 except the following are 2
-depression/hopelessness
-organzied or serious attempt
-stated future attmept
✔✔agitation is a sx of 3 - ✔✔-delirium
-dementia
=psychosis
✔✔always consdier - ✔✔hypoglycemia and trauma (c collar)
✔✔vitals og agitaiton - ✔✔-tachycardia
-HTN
✔✔dementia - ✔✔chronic progressive decline in intellectual ability, behavior and
perosnality
✔✔psyhcosis - ✔✔-delusions
-hallucinations0disorganized speech or bheavior
✔✔ddx delirium - ✔✔dimtops
Drugs-intoxication, poisoning or withdrawal
Infections-UTI, pneumonia, meningitis/encephalitis, and others
, Metabolic Disturbance-Glucose and other endocrine derangements as well as
electrolyte disorders
Trauma-Head injury
Oxygen-Hypoxia
Postictal State
Space Occupying Lesion-Intracranial Tumor
✔✔2 meds often used in agitation - ✔✔-benzo
-antipsych (often give benztropine or diphenhydramine to prevent EPS sx)
✔✔pathophys asthma 2 - ✔✔-inc inflammation of airways
-bronchospasm
✔✔why chest tight in asthma - ✔✔dec expiratory airflow
✔✔most common resp trigger - ✔✔uri
✔✔when intubate asthm - ✔✔-severe resp distress + one of the folllowing
-albuterol or other tx not helping
-hypoxia even with o2
-too tired to breathe on their own
✔✔imp asthma questions - ✔✔-how many ed visitis
-hospitalziaitons
-icu
-intubations
-what are meds and are they complaint?
✔✔astmha 2 tx - ✔✔-o2
-beta block by nebulizer
✔✔if albuterol not working waht do (onset) 3 - ✔✔-steroids: onset in 4-6h
-epi
-terbutaline
✔✔needs labs? - ✔✔not in known asthmatic
✔✔when get abg - ✔✔-hypoxic after initiation of o2
✔✔expect abg to show - ✔✔-resp aljalosis and hypoxia
✔✔if severe abg shows - ✔✔hypercpanea and acidosis
✔✔pfts done when - ✔✔-when present
