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SAEM M4 Emergency Medicine EXAM LATEST
2026-2027 QUESTIONS AND CORRECT VERIFIED
ANSWERS LATEST UPDATE JUST RELEASED THIS
YEAR
Question: Which of the following bacteria does NOT produce bloody diarrhea?
Answers:
1.Campylobacter enteritis
2.Clostridium perfringens
3.Escherichia coli 0157
4.Yersinia enterocolitica - CORRECT ANSWER✔✔2.Clostridium perfringens
Question: With respect to laboratory findings in diabetic ketoacidosis (DKA) and hyperglycemic
hyperosmolar nonketotic coma (HHNC), all of the following guidelines are generally true
EXCEPT:
1
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Answers:
1.Patients with HHNC typically have blood glucose > 700 mg/dL, whereas patients with DKA
have blood glucose > 350 mg/dL.
2.Serum ketones are present in patients with DKA but not usually in patients with HHNC.
3.Serum bicarbonate is typically severely low (<10mEq) in patients with either DKA or HHNC.
4.Serum osmolality in patients with HHNC is typically > 350 mOsm/L.
5.BUN is elevated more in patients with HHNC (>50 mg/dL) than in patients with DKA (25-50
mg/dL). - CORRECT ANSWER✔✔3.Serum bicarbonate is typically severely low (<10mEq) in
patients with either DKA or HHNC.
Question: Regarding the treatment of hyperosmolar hypertonic nonketotic coma (HHNC) and
its associated symptoms, which of the following is correct:
Answers:
1.Half of the fluid deficit should be corrected over the first hour and the remainder over the
following 8 hours.
2.Since patients are not acidotic, close monitoring of glucose is not necessary.
3.Hyperosmolarity should be corrected within the first few hours in the emergency department.
2
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4.Phenytoin (Dilantin) is often ineffective for seizures associated with HHNC.
5.In HHNC patients with severe dehydration, bleeding diathesis is a major clinical concern. -
CORRECT ANSWER✔✔4.Phenytoin (Dilantin) is often ineffective for seizures associated with
HHNC.
Question: Regarding the development of cerebral edema in patients being treated for DKA, all
of the following are true EXCEPT:
Answers:
1.Cerebral edema typically occurs six to ten hours following onset of treatment.
2.Children have a higher incidence of cerebral edema.
3.Mannitol and steroids should be administered immediately to any patient suspected of
developing cerebral edema.
4.Mortality of patients developing cerebral edema is 90%.
5.Patients with serum glucose below 250 mg/dL still being treated with insulin are most likely to
develop clinically evident cerebral edema. - CORRECT ANSWER✔✔3.Mannitol and steroids
should be administered immediately to any patient suspected of developing cerebral edema.
3
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Question: Metabolic abnormalities often seen with hypothyroidism include all of thefollowing
EXCEPT:
Answers:
1.hyponatremia
2.hyperglycemia
3.hypercholesterolemia
4.respiratory acidosis from hypoventilation
5.anemia - CORRECT ANSWER✔✔2.hyperglycemia
Question: Laboratory abnormalities typically seen with adrenal insufficiency include all of the
following EXCEPT:
Answers:
1.hypoglycemia
2.hyponatremia
3.hypokalemia
4.hypercalcemia
4
SUCCESS!
SAEM M4 Emergency Medicine EXAM LATEST
2026-2027 QUESTIONS AND CORRECT VERIFIED
ANSWERS LATEST UPDATE JUST RELEASED THIS
YEAR
Question: Which of the following bacteria does NOT produce bloody diarrhea?
Answers:
1.Campylobacter enteritis
2.Clostridium perfringens
3.Escherichia coli 0157
4.Yersinia enterocolitica - CORRECT ANSWER✔✔2.Clostridium perfringens
Question: With respect to laboratory findings in diabetic ketoacidosis (DKA) and hyperglycemic
hyperosmolar nonketotic coma (HHNC), all of the following guidelines are generally true
EXCEPT:
1
SUCCESS!
,Page 2 of 74
Answers:
1.Patients with HHNC typically have blood glucose > 700 mg/dL, whereas patients with DKA
have blood glucose > 350 mg/dL.
2.Serum ketones are present in patients with DKA but not usually in patients with HHNC.
3.Serum bicarbonate is typically severely low (<10mEq) in patients with either DKA or HHNC.
4.Serum osmolality in patients with HHNC is typically > 350 mOsm/L.
5.BUN is elevated more in patients with HHNC (>50 mg/dL) than in patients with DKA (25-50
mg/dL). - CORRECT ANSWER✔✔3.Serum bicarbonate is typically severely low (<10mEq) in
patients with either DKA or HHNC.
Question: Regarding the treatment of hyperosmolar hypertonic nonketotic coma (HHNC) and
its associated symptoms, which of the following is correct:
Answers:
1.Half of the fluid deficit should be corrected over the first hour and the remainder over the
following 8 hours.
2.Since patients are not acidotic, close monitoring of glucose is not necessary.
3.Hyperosmolarity should be corrected within the first few hours in the emergency department.
2
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4.Phenytoin (Dilantin) is often ineffective for seizures associated with HHNC.
5.In HHNC patients with severe dehydration, bleeding diathesis is a major clinical concern. -
CORRECT ANSWER✔✔4.Phenytoin (Dilantin) is often ineffective for seizures associated with
HHNC.
Question: Regarding the development of cerebral edema in patients being treated for DKA, all
of the following are true EXCEPT:
Answers:
1.Cerebral edema typically occurs six to ten hours following onset of treatment.
2.Children have a higher incidence of cerebral edema.
3.Mannitol and steroids should be administered immediately to any patient suspected of
developing cerebral edema.
4.Mortality of patients developing cerebral edema is 90%.
5.Patients with serum glucose below 250 mg/dL still being treated with insulin are most likely to
develop clinically evident cerebral edema. - CORRECT ANSWER✔✔3.Mannitol and steroids
should be administered immediately to any patient suspected of developing cerebral edema.
3
SUCCESS!
, Page 4 of 74
Question: Metabolic abnormalities often seen with hypothyroidism include all of thefollowing
EXCEPT:
Answers:
1.hyponatremia
2.hyperglycemia
3.hypercholesterolemia
4.respiratory acidosis from hypoventilation
5.anemia - CORRECT ANSWER✔✔2.hyperglycemia
Question: Laboratory abnormalities typically seen with adrenal insufficiency include all of the
following EXCEPT:
Answers:
1.hypoglycemia
2.hyponatremia
3.hypokalemia
4.hypercalcemia
4
SUCCESS!
