SAEM M4 EXAM Questions & Answers | 100% Verified solutions |Questions with Correct Answers 2025 latest
update!!
SAEM M4 EXAM Questions & Answers |
100% Verified solutions |Questions with
Correct Answers 2025 latest update!!
Question 1
True or False: gastric distension due to excessive volume or rate of ventilation
impairing ventilatory function is a reason to intubate a neonate
Correct Answer
False
Question 2
management for nursemaid elbow injury
Correct Answer
apply pressure to the radial head while flexing and supinating elbow
Question 3
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?
Correct Answer
compression fracture of the posteriolateral aspect of the humeral head (Hill-Sachs
deformity)
Question 4
What are most common heart rhythms seen in pediatric arrest?
Correct Answer
bradycardia or asystole
Page 1 of 55
,SAEM M4 EXAM Questions & Answers | 100% Verified solutions |Questions with Correct Answers 2025 latest
update!!
Question 5
risk factors for neonatal resuscitation
Correct Answer
prematurity
IUGR
multiple gestation
thick meconium
Question 6
In the post-arrest setting, which of the following is the drug of choice in treating
hypotension in a child:
Correct Answer
epi
Question 7
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
Correct Answer
3. hypoglycemia
Question 8
In a newborn, bradycardia is most commonly an indicator of:
Correct Answer
hypoxemia
Page 2 of 55
,SAEM M4 EXAM Questions & Answers | 100% Verified solutions |Questions with Correct Answers 2025 latest
update!!
Question 9
All the following are signs of hypoxemia in a newborn, EXCEPT:
Answers:
1.cyanosis
2.lethargy
3.tachycardia
4.unresponsiveness
5.bradycardia
Correct Answer
3. tachycardia
Question 10
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
Correct Answer
5. tracheoesophageal fistula
Page 3 of 55
, SAEM M4 EXAM Questions & Answers | 100% Verified solutions |Questions with Correct Answers 2025 latest
update!!
Question 11
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
Correct Answer
2.back blow then chest thrust
Question 12
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.
5.Uncuffed endotracheal tubes are the preferred devices used in children under 6-8
years of age.
Correct Answer
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.
Page 4 of 55
update!!
SAEM M4 EXAM Questions & Answers |
100% Verified solutions |Questions with
Correct Answers 2025 latest update!!
Question 1
True or False: gastric distension due to excessive volume or rate of ventilation
impairing ventilatory function is a reason to intubate a neonate
Correct Answer
False
Question 2
management for nursemaid elbow injury
Correct Answer
apply pressure to the radial head while flexing and supinating elbow
Question 3
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?
Correct Answer
compression fracture of the posteriolateral aspect of the humeral head (Hill-Sachs
deformity)
Question 4
What are most common heart rhythms seen in pediatric arrest?
Correct Answer
bradycardia or asystole
Page 1 of 55
,SAEM M4 EXAM Questions & Answers | 100% Verified solutions |Questions with Correct Answers 2025 latest
update!!
Question 5
risk factors for neonatal resuscitation
Correct Answer
prematurity
IUGR
multiple gestation
thick meconium
Question 6
In the post-arrest setting, which of the following is the drug of choice in treating
hypotension in a child:
Correct Answer
epi
Question 7
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
Correct Answer
3. hypoglycemia
Question 8
In a newborn, bradycardia is most commonly an indicator of:
Correct Answer
hypoxemia
Page 2 of 55
,SAEM M4 EXAM Questions & Answers | 100% Verified solutions |Questions with Correct Answers 2025 latest
update!!
Question 9
All the following are signs of hypoxemia in a newborn, EXCEPT:
Answers:
1.cyanosis
2.lethargy
3.tachycardia
4.unresponsiveness
5.bradycardia
Correct Answer
3. tachycardia
Question 10
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
Correct Answer
5. tracheoesophageal fistula
Page 3 of 55
, SAEM M4 EXAM Questions & Answers | 100% Verified solutions |Questions with Correct Answers 2025 latest
update!!
Question 11
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
Correct Answer
2.back blow then chest thrust
Question 12
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.
5.Uncuffed endotracheal tubes are the preferred devices used in children under 6-8
years of age.
Correct Answer
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.
Page 4 of 55
