8/28/26, 3:15 PM SAEM M4 Exam Actual Exam 2026 | Complete Questions and Correct Answers | Graded A+ | Verified Answers | Just Released Fla…
SAEM M4 Exam Actual Exam 2026 | Complete
Questions and Correct Answers | Graded A+ |
Verified Answers | Just Released
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Terms in this set (1040)
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,8/28/26, 3:15 PM SAEM M4 Exam Actual Exam 2026 | Complete Questions and Correct Answers | Graded A+ | Verified Answers | Just Released Fla…
"Regarding the diagnosis of acute "A. Vital signs are usually abnormal, even early in the
appendicitis, all the following are true course of acute appendicitis.
EXCEPT:
A. Vital signs are usually abnormal, The answer is A. The presentation of acute
even early in the course of acute appendicitis varies tremendously. Early in its course,
appendicitis. vital signs including temperature may be normal.
B. Rebound is usually elicited only after Once perforation has occurred, the rate of low-grade
the appendix has ruptured or fever (<38 C) increases to about 40%. Other variations
infarcted. in presentation include pain in the right upper
C. Rovsing's sign is pain in the right quadrant, typically from a retrocecal or retroiliac
lower quadrant upon palpation of the appendix."
left lower quadrant.
D. The obturator sign is pain upon
flexion and internal rotation of the hip.
E. The psoas sign is pain upon
extension of the hip."
"Rosving's sign is described as: "E. Pain in the right lower quadrant when left lower
A. Tenderness in the right upper quadrant is palpated.
quadrant that is worse with inspiration.
B. Pelvic pain upon flexion of the thigh The answer is E. Rosving's sign is pain in the right
while the patient is supine. lower quadrant when the left lower quadrant is
C. Pelvic pain upon internal and palpated. Rebound tenderness occurs with the
external rotation of the thigh with the release of pressure. The iliopsoas sign is pain
knee flexed. associated with thigh flexion. The obturator sign is
D. Pain that increases with the release pain that occurs with thigh rotation. All of these signs
of pressure of palpation. are associated with appendicitis. Murphy's sign is
E. Pain in the right lower quadrant cessation of inspiration during palpation of the right
when left lower quadrant is palpated." upper quadrant and is associated with acute
cholecystitis."
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,8/28/26, 3:15 PM SAEM M4 Exam Actual Exam 2026 | Complete Questions and Correct Answers | Graded A+ | Verified Answers | Just Released Fla…
"In establishing a differential diagnosis "D. The onset of pain prior to the occurrence of
of abdominal pain, which of the nausea and vomiting is more often suggestive of a
following is true? surgical etiology.
A. Radiation of pain to the scapula is
suggestive of acute hepatitis. The answer is D. Pain prior to nausea and vomiting is
B. Cervical motion tenderness is a often suggestive of a surgical etiology of the pain,
useful physical finding for such as small bowel obstruction. Cervical motion
differentiating women with or without tenderness has been noted in up to 25% of women
acute appendicitis. with acute appendicitis. Patients with sickle cell
C. In patients with sickle cell anemia anemia are prone to Salmonella infections. Radiation
who present with abdominal pain and of pain to the scapula is classically present in acute
diarrhea, shigellosis should be a top choleycystitis. Diverticulitis pain is generally located in
consideration. the left lower quadrant."
D. The onset of pain prior to the
occurrence of nausea and vomiting is
more often suggestive of a surgical
etiology.
E. Diverticulitis tends to cause pain in
the right upper quadrant."
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, 8/28/26, 3:15 PM SAEM M4 Exam Actual Exam 2026 | Complete Questions and Correct Answers | Graded A+ | Verified Answers | Just Released Fla…
"Of the following pain patterns, which "C. unrelenting pain over a period of weeks
is the least likely associated with
diagnosis of peptic ulcer disease? The answer is C. Pain from peptic ulcer disease
A. non-radiating, burning epigastric typically occurs in periods of exacerbation and
pain remission. Unrelenting pain over weeks or months
B. pain that awakens a patient in the should suggest an alternative diagnosis. Pain is
middle of the night classically described as non-radiating, burning
C. unrelenting pain over a period of epigastric pain. Some patients may also complain of
weeks chest or back pain. Pain is frequently severe enough
D. relief of abdominal pain with to awaken patients from sleep in early morning hours
antacids but is often not present upon waking in the morning,
E. pain that is worse preceding a meal" as gastric acid secretion peaks around 2 a.m. and
nadirs upon awakening."
"A 78 year old female presents to the The answer is D. A patient with this general picture is
E.D. with a sensation of left-lower most likely to have diverticulitis, which is revealed on
quadrant abdominal pain, the CT scan as diverticular disease with inflammation
accompanied by some irregular bowel (wall thickening and stranding).
movements and loss of appetite. Her
abdominal CT (two images) is shown in
the Figure. What is the most likely
diagnosis?
A. ovarian cyst
B. volvulus
C. appendicitis
D. diverticulitis
E. gastroenteritis"
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SAEM M4 Exam Actual Exam 2026 | Complete
Questions and Correct Answers | Graded A+ |
Verified Answers | Just Released
Play your way to mastery with fun games
Match Blocks Charms NEW
Terms in this set (1040)
https://quizlet.com/1202613956/saem-m4-exam-actual-exam-2026-complete-questions-and-correct-answers-graded-a-verified-answers-just-released… 1/62
,8/28/26, 3:15 PM SAEM M4 Exam Actual Exam 2026 | Complete Questions and Correct Answers | Graded A+ | Verified Answers | Just Released Fla…
"Regarding the diagnosis of acute "A. Vital signs are usually abnormal, even early in the
appendicitis, all the following are true course of acute appendicitis.
EXCEPT:
A. Vital signs are usually abnormal, The answer is A. The presentation of acute
even early in the course of acute appendicitis varies tremendously. Early in its course,
appendicitis. vital signs including temperature may be normal.
B. Rebound is usually elicited only after Once perforation has occurred, the rate of low-grade
the appendix has ruptured or fever (<38 C) increases to about 40%. Other variations
infarcted. in presentation include pain in the right upper
C. Rovsing's sign is pain in the right quadrant, typically from a retrocecal or retroiliac
lower quadrant upon palpation of the appendix."
left lower quadrant.
D. The obturator sign is pain upon
flexion and internal rotation of the hip.
E. The psoas sign is pain upon
extension of the hip."
"Rosving's sign is described as: "E. Pain in the right lower quadrant when left lower
A. Tenderness in the right upper quadrant is palpated.
quadrant that is worse with inspiration.
B. Pelvic pain upon flexion of the thigh The answer is E. Rosving's sign is pain in the right
while the patient is supine. lower quadrant when the left lower quadrant is
C. Pelvic pain upon internal and palpated. Rebound tenderness occurs with the
external rotation of the thigh with the release of pressure. The iliopsoas sign is pain
knee flexed. associated with thigh flexion. The obturator sign is
D. Pain that increases with the release pain that occurs with thigh rotation. All of these signs
of pressure of palpation. are associated with appendicitis. Murphy's sign is
E. Pain in the right lower quadrant cessation of inspiration during palpation of the right
when left lower quadrant is palpated." upper quadrant and is associated with acute
cholecystitis."
https://quizlet.com/1202613956/saem-m4-exam-actual-exam-2026-complete-questions-and-correct-answers-graded-a-verified-answers-just-released… 2/62
,8/28/26, 3:15 PM SAEM M4 Exam Actual Exam 2026 | Complete Questions and Correct Answers | Graded A+ | Verified Answers | Just Released Fla…
"In establishing a differential diagnosis "D. The onset of pain prior to the occurrence of
of abdominal pain, which of the nausea and vomiting is more often suggestive of a
following is true? surgical etiology.
A. Radiation of pain to the scapula is
suggestive of acute hepatitis. The answer is D. Pain prior to nausea and vomiting is
B. Cervical motion tenderness is a often suggestive of a surgical etiology of the pain,
useful physical finding for such as small bowel obstruction. Cervical motion
differentiating women with or without tenderness has been noted in up to 25% of women
acute appendicitis. with acute appendicitis. Patients with sickle cell
C. In patients with sickle cell anemia anemia are prone to Salmonella infections. Radiation
who present with abdominal pain and of pain to the scapula is classically present in acute
diarrhea, shigellosis should be a top choleycystitis. Diverticulitis pain is generally located in
consideration. the left lower quadrant."
D. The onset of pain prior to the
occurrence of nausea and vomiting is
more often suggestive of a surgical
etiology.
E. Diverticulitis tends to cause pain in
the right upper quadrant."
https://quizlet.com/1202613956/saem-m4-exam-actual-exam-2026-complete-questions-and-correct-answers-graded-a-verified-answers-just-released… 3/62
, 8/28/26, 3:15 PM SAEM M4 Exam Actual Exam 2026 | Complete Questions and Correct Answers | Graded A+ | Verified Answers | Just Released Fla…
"Of the following pain patterns, which "C. unrelenting pain over a period of weeks
is the least likely associated with
diagnosis of peptic ulcer disease? The answer is C. Pain from peptic ulcer disease
A. non-radiating, burning epigastric typically occurs in periods of exacerbation and
pain remission. Unrelenting pain over weeks or months
B. pain that awakens a patient in the should suggest an alternative diagnosis. Pain is
middle of the night classically described as non-radiating, burning
C. unrelenting pain over a period of epigastric pain. Some patients may also complain of
weeks chest or back pain. Pain is frequently severe enough
D. relief of abdominal pain with to awaken patients from sleep in early morning hours
antacids but is often not present upon waking in the morning,
E. pain that is worse preceding a meal" as gastric acid secretion peaks around 2 a.m. and
nadirs upon awakening."
"A 78 year old female presents to the The answer is D. A patient with this general picture is
E.D. with a sensation of left-lower most likely to have diverticulitis, which is revealed on
quadrant abdominal pain, the CT scan as diverticular disease with inflammation
accompanied by some irregular bowel (wall thickening and stranding).
movements and loss of appetite. Her
abdominal CT (two images) is shown in
the Figure. What is the most likely
diagnosis?
A. ovarian cyst
B. volvulus
C. appendicitis
D. diverticulitis
E. gastroenteritis"
https://quizlet.com/1202613956/saem-m4-exam-actual-exam-2026-complete-questions-and-correct-answers-graded-a-verified-answers-just-released… 4/62
