SAEM MIDTERM ASSESMENT TEST 2025/2026 GRADED
A+ 125 QUESTIONS WITH 100% CORRECT ANSWERS
All the following are generally accepted indications for endotracheal intubation of the paediatric
trauma patient, EXCEPT:
Answers:
1.respiratory failure from hypoxia or hypoventilation
2.gastric distension due to excessive volume or rate of ventilation impairing ventilatory function
3.GCS score less than or equal 9, to secure airway and provide controlled hyperventilation
4.any trauma patient in decompensated shock and resistant to initial fluid resuscitation
5.any inability to ventilate by bag-valve-mask methods or the need for prolonged control of the
airway - 2. gastric distension due to excessive volume or rate of ventilation impairing ventilatory
function
Regarding paediatric head injury, all the following are true EXCEPT:
Answers:
1.Head trauma is the leading cause of death among injured children.
2.A child's cranial vault is larger and heavier in proportion to its total body mass than an adult's.
3.Pediatric epidural hematomas are venous in origin.
4.A brief seizure occurring immediately after the insult, with rapid return to normal level of
consciousness is usually associated with intracranial parenchymal injury.
5.Retinal haemorrhages are a common finding in mild-moderate trauma. - 5.Retinal haemorrhages
are a common finding in mild-moderate trauma.
, An 8 year old boy falls off his bike onto his outstretched hand with his elbow in extension. He
presents to the emergency department with obvious anterior bowing of his distal humerus. His distal
neurovascular exam is intact. The X-ray shows a transverse supracondylar humerus fracture with
dorsal displacement and angulation of the distal fragment. Of the following, which is the most
appropriate treatment?
Answers:
1.Splinting the extremity in its current position, and arranging for orthopedic follow-up
2.Fracture reduction and casting by the E.D. physician
3.Orthopedic consultation for possible open reduction and internal fixation (ORIF)
4.CT scan of the elbow
5.Splinting and hospital admission for neurovascular checks - 3.Orthopedic consultation for possible
open reduction and internal fixation (ORIF)
A 7 year old boy falls off his bike onto his outstretched arm and sustains a supracondylar fracture.
The fracture originates in the metaphysis and a portion of it extends into the physis (growth plate)
without extending through to the epiphysis. How is this fracture classified?
Answers:
1.Salter I
2.Salter II
3.Salter III
4.Salter IV
5.Salter V - 2.Salter II
A mother brings her 3 year old daughter into the emergency department for an arm injury. The
mother was holding her hand to cross a busy street. She pulled hard on her daughter's arm to hurry
across the street and the child began to cry. Since the incident the child has kept her arm against her
A+ 125 QUESTIONS WITH 100% CORRECT ANSWERS
All the following are generally accepted indications for endotracheal intubation of the paediatric
trauma patient, EXCEPT:
Answers:
1.respiratory failure from hypoxia or hypoventilation
2.gastric distension due to excessive volume or rate of ventilation impairing ventilatory function
3.GCS score less than or equal 9, to secure airway and provide controlled hyperventilation
4.any trauma patient in decompensated shock and resistant to initial fluid resuscitation
5.any inability to ventilate by bag-valve-mask methods or the need for prolonged control of the
airway - 2. gastric distension due to excessive volume or rate of ventilation impairing ventilatory
function
Regarding paediatric head injury, all the following are true EXCEPT:
Answers:
1.Head trauma is the leading cause of death among injured children.
2.A child's cranial vault is larger and heavier in proportion to its total body mass than an adult's.
3.Pediatric epidural hematomas are venous in origin.
4.A brief seizure occurring immediately after the insult, with rapid return to normal level of
consciousness is usually associated with intracranial parenchymal injury.
5.Retinal haemorrhages are a common finding in mild-moderate trauma. - 5.Retinal haemorrhages
are a common finding in mild-moderate trauma.
, An 8 year old boy falls off his bike onto his outstretched hand with his elbow in extension. He
presents to the emergency department with obvious anterior bowing of his distal humerus. His distal
neurovascular exam is intact. The X-ray shows a transverse supracondylar humerus fracture with
dorsal displacement and angulation of the distal fragment. Of the following, which is the most
appropriate treatment?
Answers:
1.Splinting the extremity in its current position, and arranging for orthopedic follow-up
2.Fracture reduction and casting by the E.D. physician
3.Orthopedic consultation for possible open reduction and internal fixation (ORIF)
4.CT scan of the elbow
5.Splinting and hospital admission for neurovascular checks - 3.Orthopedic consultation for possible
open reduction and internal fixation (ORIF)
A 7 year old boy falls off his bike onto his outstretched arm and sustains a supracondylar fracture.
The fracture originates in the metaphysis and a portion of it extends into the physis (growth plate)
without extending through to the epiphysis. How is this fracture classified?
Answers:
1.Salter I
2.Salter II
3.Salter III
4.Salter IV
5.Salter V - 2.Salter II
A mother brings her 3 year old daughter into the emergency department for an arm injury. The
mother was holding her hand to cross a busy street. She pulled hard on her daughter's arm to hurry
across the street and the child began to cry. Since the incident the child has kept her arm against her
