SAEM ACTUAL EXAM SCRIPT 2026 COMPREHENSIVE QUESTIONS AND ANSWERS

SAEM ACTUAL EXAM SCRIPT 2026
COMPREHENSIVE QUESTIONS AND
ANSWERS

◉ these are the septal EKG leads
Answer: V1 and V2


◉ V1 and V2 are __________ leads anatomically
Answer: septal


◉ These are the anterior EKG leads
Answer: V3 and V4


◉ V3 and V4 are the ____________ leads anatomically
Answer: anterior


◉ ST elevation in leads V1-V4 indicates occlusion of the _________
Answer: LAD!


◉ these are the lateral EKG leads
Answer: leads I, AVL, V5, V6

, ◉ leads I, AVL, V5, V6 are the _________ leads anatomically
Answer: lateral


◉ Up to 40% of inferior STEMIs are complicated by ______________
(which leads?)
Answer: inferior = II, III, AVF


up to 40% are complicated by right ventricular involvement -->
don't give nitroglycerin without checking


◉ What are the signs that an inferior STEMI may have right
ventricular involvment?
Answer: inferior STEMI (leads II, III, AVF)


ST elevation in V1 (looks at right ventricle)


ST elevation in lead III > lead II


ST elevation in V1 + ST depression in V2


◉ ST elevation in V1 + ST depression in V2 --> you should be
concerned about what?