SAEM M4 Exam Questions And
Correct Answers
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
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.
A 23 Year Old Woman Is Dropped Off By Her Boyfriend After An Unknown
Overdose. You Notice That She Is Has Very Large Pupils And Is Sweating
Profusely. Her Respiratory Rate, Blood Pressure And Heart Rate Are Elevated.
Which Of The Following Is The Most Likely Agent To Have Caused Her
Symptoms?
Answers:
1. Jimson Weed
2.Cocaine
3.Heroin
4.Insulin --Correct Answer--2. Cocaine
A Mother Brings In Her 4 Year Old Child Who Was Happily Eating
"Blackberries" From Weeds In The Garden And Is Now Acting Strangely. She
Has Identified Them
As Belladonna From A Quick Internet Search. Which Physical Examination
Finding Might You Also Expect To Find In This Child?
,Answers:
1. Diaphoresis
2. Flushed Skin
3.Miosis
4.Urinary Incontinence --Correct Answer--2. Flushed Skin
For Which Of The Following Cases Is Activated Charcoal Therapy Most
Appropriate?
Answers:
1. Acetaminophen Overdose
2. Drain Cleaner Ingestion
3. Iron Supplement Overdose
4. Lithium Overdose --Correct Answer--1. Acetaminophen Overdose
A 45 Year-Old Is Brought In 8 Hours After A Large Overdose Of His Lithium.
What Is The Best Treatment Method For This Overdose?
Answers:
1. Activated Charcoal
2. Gastric Lavage
3.Hemodialysis
4.Whole Bowel Irrigation --Correct Answer--3.Hemodialysis
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
Management For Nursemaid Elbow Injury --Correct 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? --Correct Answer--Compression
Fracture Of The Posteriolateral Aspect Of The Humeral Head (Hill-Sachs
Deformity)
What Are Most Common Heart Rhythms Seen In Pediatric Arrest? --
Correct Answer--Bradycardia Or Asystole
Risk Factors For Neonatal Resuscitation --Correct 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: --Correct Answer--Epi
Low Body Temperatures In Newborns Can Lead To Severe Physiologic
Correct Answers
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
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.
A 23 Year Old Woman Is Dropped Off By Her Boyfriend After An Unknown
Overdose. You Notice That She Is Has Very Large Pupils And Is Sweating
Profusely. Her Respiratory Rate, Blood Pressure And Heart Rate Are Elevated.
Which Of The Following Is The Most Likely Agent To Have Caused Her
Symptoms?
Answers:
1. Jimson Weed
2.Cocaine
3.Heroin
4.Insulin --Correct Answer--2. Cocaine
A Mother Brings In Her 4 Year Old Child Who Was Happily Eating
"Blackberries" From Weeds In The Garden And Is Now Acting Strangely. She
Has Identified Them
As Belladonna From A Quick Internet Search. Which Physical Examination
Finding Might You Also Expect To Find In This Child?
,Answers:
1. Diaphoresis
2. Flushed Skin
3.Miosis
4.Urinary Incontinence --Correct Answer--2. Flushed Skin
For Which Of The Following Cases Is Activated Charcoal Therapy Most
Appropriate?
Answers:
1. Acetaminophen Overdose
2. Drain Cleaner Ingestion
3. Iron Supplement Overdose
4. Lithium Overdose --Correct Answer--1. Acetaminophen Overdose
A 45 Year-Old Is Brought In 8 Hours After A Large Overdose Of His Lithium.
What Is The Best Treatment Method For This Overdose?
Answers:
1. Activated Charcoal
2. Gastric Lavage
3.Hemodialysis
4.Whole Bowel Irrigation --Correct Answer--3.Hemodialysis
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
Management For Nursemaid Elbow Injury --Correct 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? --Correct Answer--Compression
Fracture Of The Posteriolateral Aspect Of The Humeral Head (Hill-Sachs
Deformity)
What Are Most Common Heart Rhythms Seen In Pediatric Arrest? --
Correct Answer--Bradycardia Or Asystole
Risk Factors For Neonatal Resuscitation --Correct 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: --Correct Answer--Epi
Low Body Temperatures In Newborns Can Lead To Severe Physiologic
