SAEM M4 EXAM QUESTIONS AND CORRECT
ANSWERS NEWLY MODIFIED EXAM GRADED
A+ TESTED AND APPROVED 2025/2026 NEWLY
MODIFIED!!!
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.
Page 1 of 62
,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
Page 2 of 62
,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:
Page 3 of 62
, 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
Page 4 of 62
ANSWERS NEWLY MODIFIED EXAM GRADED
A+ TESTED AND APPROVED 2025/2026 NEWLY
MODIFIED!!!
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.
Page 1 of 62
,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
Page 2 of 62
,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:
Page 3 of 62
, 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
Page 4 of 62
