SAEM COMPREHENSIVE TEST SCRIPT 2026
FULL QUESTIONS AND CORRECT ANSWERS
GRADED A+
●● management for nursemaid elbow injury.
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 (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?.
Answer: compression fracture of the posteriolateral aspect of the
humeral head (Hill-Sachs deformity)
●● What are most common heart rhythms seen in pediatric arrest?.
Answer: bradycardia or asystole
●● risk factors for neonatal resuscitation.
Answer: 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:.
Answer: 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.
Answer: 3. hypoglycemia
●● In a newborn, bradycardia is most commonly an indicator of:.
Answer: hypoxemia
●● All the following are signs of hypoxemia in a newborn, EXCEPT:
,Answers:
1.cyanosis
2.lethargy
3.tachycardia
4.unresponsiveness
5.bradycardia.
Answer: 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.
Answer: 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.
Answer: 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.
FULL QUESTIONS AND CORRECT ANSWERS
GRADED A+
●● management for nursemaid elbow injury.
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 (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?.
Answer: compression fracture of the posteriolateral aspect of the
humeral head (Hill-Sachs deformity)
●● What are most common heart rhythms seen in pediatric arrest?.
Answer: bradycardia or asystole
●● risk factors for neonatal resuscitation.
Answer: 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:.
Answer: 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.
Answer: 3. hypoglycemia
●● In a newborn, bradycardia is most commonly an indicator of:.
Answer: hypoxemia
●● All the following are signs of hypoxemia in a newborn, EXCEPT:
,Answers:
1.cyanosis
2.lethargy
3.tachycardia
4.unresponsiveness
5.bradycardia.
Answer: 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.
Answer: 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.
Answer: 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.
