SAEM EXAMINATION TEST PAPER 2026 FULL QUESTIONS AND SOLUTIONS

SAEM EXAMINATION TEST PAPER 2026
FULL QUESTIONS AND SOLUTIONS


◉ What is the cardioversion and defibrillation joules?
Answer: cardioversion = 50-100 J
defibrillation = 200 J


◉ What is the most common EKG finding in a pulmonary embolus?
What should you be on the lookout for?
Answer: most common = sinus tachycardia


look for = "S1Q3T3" (large S wave in lead I + Q wave in lead 3 + T
wave inversion in lead 3)


◉ What should you worry about if a patient's EKG shows electrical
alternans? What does this look like?
Answer: cardiac tamponade! looks like alternating big and small
spikes


◉ Describe the basic evolution of the EKG of a patient having a
STEMI

, Answer: 1-normal
2- T waves become wide and tall
3- ST elevation
4- Q waves and T wave inversion
5- Q waves persist but T wave normalizes


◉ chest pain, weakness, nausea, fatigue


classic presentation of ___________________
Answer: ACS!


◉ pleuritic chest pain, shortness of breath, anxiety


classic presentation of ___________________
Answer: pulmonary embolism


◉ a patient with SOB is found on physical exam to have tachycardia,
clear lung sounds, and a swollen leg


classic presentation of ___________________
Answer: pulmonary embolism