1
SAEM M4 EXAM | 100%
VERIFIED SOLUTIONS
|QUESTIONS WITH CORRECT
ANSWERS 2025 LATEST
UPDATE!!
True or False: gastric distension due to excessive volume or rate of
ventilation impairing ventilatory function is a reason to intubate a
neonate
- ............ANSWER..........False
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)
,2
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
,3
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
, 4
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.
SAEM M4 EXAM | 100%
VERIFIED SOLUTIONS
|QUESTIONS WITH CORRECT
ANSWERS 2025 LATEST
UPDATE!!
True or False: gastric distension due to excessive volume or rate of
ventilation impairing ventilatory function is a reason to intubate a
neonate
- ............ANSWER..........False
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)
,2
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
,3
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
, 4
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.
