SAEM M4 EMERGENCY MEDICINE EXAM 2026/2027 ||
EMERGENCY MEDICINE REVIEW || VERIFIED QUESTIONS
& ANSWERS || HIGH-YIELD STUDY GUIDE || COMPLETE
TEST BANK || GRADED A+
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
consequences, which include all EXCEPT:
Answers:
1. metabolic acidosis
2. increased oxygen consumption
3. hypoglycemia
4. apnea
5. hyperglycemia - CORRECT ANSWER -3. hypoglycemia
In a newborn, bradycardia is most commonly an indicator of: - CORRECT
ANSWER -hypoxemia
All the following are signs of hypoxemia in a newborn, EXCEPT:
Answers:
1.cyanosis
2.lethargy
3.tachycardia
4.unresponsiveness
5.bradycardia - CORRECT 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?
Answers:
,1.osteogenesis imperfecta
2.inborn error of metabolism
3.congenital diaphragmatic hernia
4.foreign body
5.tracheoesophageal fistula - CORRECT 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 - 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?
EMERGENCY MEDICINE REVIEW || VERIFIED QUESTIONS
& ANSWERS || HIGH-YIELD STUDY GUIDE || COMPLETE
TEST BANK || GRADED A+
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
consequences, which include all EXCEPT:
Answers:
1. metabolic acidosis
2. increased oxygen consumption
3. hypoglycemia
4. apnea
5. hyperglycemia - CORRECT ANSWER -3. hypoglycemia
In a newborn, bradycardia is most commonly an indicator of: - CORRECT
ANSWER -hypoxemia
All the following are signs of hypoxemia in a newborn, EXCEPT:
Answers:
1.cyanosis
2.lethargy
3.tachycardia
4.unresponsiveness
5.bradycardia - CORRECT 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?
Answers:
,1.osteogenesis imperfecta
2.inborn error of metabolism
3.congenital diaphragmatic hernia
4.foreign body
5.tracheoesophageal fistula - CORRECT 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 - 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?
