1|Page
2025/2026 SAEM M4 EXAM WITH ALL COMPLETE
QUESTIONS AND DETAILED ANSWERS (EXPERT
VERIFIED) FOR GUARANTEED PASS TOP-RATED
A+.
SAEM M4
Pass your SAEM M4 Exam with confidence. This focused
comprehensive resource features case-based questions, evidence-based
answers, and detailed explanations aligning with SAEM curriculum
objectives and clinical guidelines. Ideal for medical students preparing
for the Emergency Medicine M4 clerkship exam.
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
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common fracture associated with this injury? ......
ANSWER ....... compression fracture of the
posteriolateral aspect of the humeral head (Hill-Sachs
deformity)
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
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2. increased oxygen consumption
3. hypoglycemia
4. apnea
5. hyperglycemia ...... ANSWER ....... 3. hypoglycemia
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?
, 4|Page
Answers:
1.osteogenesis imperfecta
2.inborn error of metabolism
3.congenital diaphragmatic hernia
4.foreign body
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
2025/2026 SAEM M4 EXAM WITH ALL COMPLETE
QUESTIONS AND DETAILED ANSWERS (EXPERT
VERIFIED) FOR GUARANTEED PASS TOP-RATED
A+.
SAEM M4
Pass your SAEM M4 Exam with confidence. This focused
comprehensive resource features case-based questions, evidence-based
answers, and detailed explanations aligning with SAEM curriculum
objectives and clinical guidelines. Ideal for medical students preparing
for the Emergency Medicine M4 clerkship exam.
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
,2|Page
common fracture associated with this injury? ......
ANSWER ....... compression fracture of the
posteriolateral aspect of the humeral head (Hill-Sachs
deformity)
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
,3|Page
2. increased oxygen consumption
3. hypoglycemia
4. apnea
5. hyperglycemia ...... ANSWER ....... 3. hypoglycemia
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?
, 4|Page
Answers:
1.osteogenesis imperfecta
2.inborn error of metabolism
3.congenital diaphragmatic hernia
4.foreign body
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
