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SAEM M4 Emergency Medicine EXAM NEWEST
VERSION ALL QUESTIONS AND CORRECT ANSWERS
WITH LATEST UPDATE JUST RELEASED THIS YEAR
Question: A 72 year-old presents with an intentional overdose of a bottle of aspirin about 3
hours prior to presentation in the ED. Which of the following arterial blood gas results would
you expect to come from this patient?
Answers:
1.pH 7.14 pCO2 68 pO2 102 HCO3 23
2.pH 7.33 pCO2 48 pO2 58 HCO3 29
3.pH 7.45 pCO2 21 pO2 124 HCO3 14
4.pH 7.47 pCO2 31 pO2 96 HCO3 25 - CORRECT ANSWER✔✔3.pH 7.45 pCO2 21 pO2 124 HCO3
14
Question: A teenager presents one hour after ingesting a "handful" of acetaminophen tablets.
Which of the following statements is TRUE?
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Answers:
1.An acetaminophen level drawn at hour four dictates need for antidotal therapy.
2.Serial liver function tests are indicated in all acetaminophen ingestions.
3.Renal sequelae are expected.
4.The intravenous formulation of N-acetylcysteine is safer than oral N-acetylcysteine. - CORRECT
ANSWER✔✔1.An acetaminophen level drawn at hour four dictates need for antidotal therapy.
Question: A 2 year old child presents with an overdose of her mother's iron containing
multivitamins. What antidote should you consider for iron toxicity?
Answers:
1.Deferoxamine
2.Glucagon
3.Methylene blue
4.Pyridoxine - CORRECT ANSWER✔✔1.Deferoxamine
Question: Severe lead toxicity can commonly result in which of the following clinical symptoms
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Answers:
1.Constipation
2.Dermatitis
3.Memory loss
4.Stocking glove peripheral neuropathy - CORRECT ANSWER✔✔3.Memory loss
Question: A 27 year old woman is brought into the emergency department by her roommate
30 minutes after ingesting a bottle of aspirin in a suicide attempt. Which of the following acid-
base disorders is most likely to be present in this patient?
Answers:
1.Respiratory acidosis due to somnolence causing decreased respiratory drive
2.Respiratory alkalosis due to stimulation of the respiratory center and increased CO2
production
3.Primary respiratory acidosis with compensatory metabolic alkalosis
4.Primary metabolic acidosis with compensatory respiratory alkalosis - CORRECT
ANSWER✔✔2.Respiratory alkalosis due to stimulation of the respiratory center and increased
CO2 production
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Question: The most common cause of intrinsic lower gastrointestinal (GI) bleeding in an adult
is:
Answers:
1.Cancer
2.Diverticulosis
3.Inflammatory bowel disease
4.Polyps - CORRECT ANSWER✔✔2.Diverticulosis
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
SAEM M4 Emergency Medicine EXAM NEWEST
VERSION ALL QUESTIONS AND CORRECT ANSWERS
WITH LATEST UPDATE JUST RELEASED THIS YEAR
Question: A 72 year-old presents with an intentional overdose of a bottle of aspirin about 3
hours prior to presentation in the ED. Which of the following arterial blood gas results would
you expect to come from this patient?
Answers:
1.pH 7.14 pCO2 68 pO2 102 HCO3 23
2.pH 7.33 pCO2 48 pO2 58 HCO3 29
3.pH 7.45 pCO2 21 pO2 124 HCO3 14
4.pH 7.47 pCO2 31 pO2 96 HCO3 25 - CORRECT ANSWER✔✔3.pH 7.45 pCO2 21 pO2 124 HCO3
14
Question: A teenager presents one hour after ingesting a "handful" of acetaminophen tablets.
Which of the following statements is TRUE?
, Page 2 of 74
Answers:
1.An acetaminophen level drawn at hour four dictates need for antidotal therapy.
2.Serial liver function tests are indicated in all acetaminophen ingestions.
3.Renal sequelae are expected.
4.The intravenous formulation of N-acetylcysteine is safer than oral N-acetylcysteine. - CORRECT
ANSWER✔✔1.An acetaminophen level drawn at hour four dictates need for antidotal therapy.
Question: A 2 year old child presents with an overdose of her mother's iron containing
multivitamins. What antidote should you consider for iron toxicity?
Answers:
1.Deferoxamine
2.Glucagon
3.Methylene blue
4.Pyridoxine - CORRECT ANSWER✔✔1.Deferoxamine
Question: Severe lead toxicity can commonly result in which of the following clinical symptoms
, Page 3 of 74
Answers:
1.Constipation
2.Dermatitis
3.Memory loss
4.Stocking glove peripheral neuropathy - CORRECT ANSWER✔✔3.Memory loss
Question: A 27 year old woman is brought into the emergency department by her roommate
30 minutes after ingesting a bottle of aspirin in a suicide attempt. Which of the following acid-
base disorders is most likely to be present in this patient?
Answers:
1.Respiratory acidosis due to somnolence causing decreased respiratory drive
2.Respiratory alkalosis due to stimulation of the respiratory center and increased CO2
production
3.Primary respiratory acidosis with compensatory metabolic alkalosis
4.Primary metabolic acidosis with compensatory respiratory alkalosis - CORRECT
ANSWER✔✔2.Respiratory alkalosis due to stimulation of the respiratory center and increased
CO2 production
, Page 4 of 74
Question: The most common cause of intrinsic lower gastrointestinal (GI) bleeding in an adult
is:
Answers:
1.Cancer
2.Diverticulosis
3.Inflammatory bowel disease
4.Polyps - CORRECT ANSWER✔✔2.Diverticulosis
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
