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SAEM M4 Curriculum Exam EMERG401 2026 – 600+ Questions on Emergency Medicine, Trauma & Critical Care

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This document is a comprehensive exam preparation resource containing over 600 multiple-choice questions with verified answers and detailed rationales focused on SAEM M4 emergency medicine curriculum content. It covers a wide range of high-yield topics including infectious diseases, obstetrics and gynecology emergencies, neurology, trauma management, respiratory conditions, and critical care decision-making. The structured Q&A format supports efficient revision while strengthening both clinical reasoning and exam performance. As shown on page 1 , the document begins with core OB/GYN emergency concepts such as pelvic inflammatory disease (PID), including causes (e.g., Neisseria gonorrhoeae, Chlamydia trachomatis) and clinical presentation. It then expands into advanced emergency medicine topics such as ovarian and testicular torsion, intracranial hemorrhages (epidural, subdural, subarachnoid), stroke management (tPA guidelines), meningitis and encephalitis, seizure management, and psychiatric emergencies. The document aligns closely with standard references such as Tintinalli’s Emergency Medicine: A Comprehensive Study Guide and SAEM curriculum guidelines. Further sections cover respiratory emergencies including asthma, COPD exacerbations, pneumonia, and pneumothorax, along with detailed trauma management topics such as blunt and penetrating injuries, chest trauma (flail chest, hemothorax, tamponade), traumatic brain injury, and spinal precautions. The material integrates key diagnostic tools (CT, ultrasound, labs), treatment algorithms, and clinical decision rules (e.g., CURB-65, Canadian CT Head Rule), making it highly applicable for both exams and clinical rotations. This document is particularly relevant for students enrolled in Medicine (MD/DO), Emergency Medicine rotations, Physician Assistant (PA), Nursing, and Health Sciences programs. It is especially useful for individuals preparing for SAEM M4 exams, USMLE Step 2 CK, shelf exams, or emergency medicine clinical assessments. Additionally, it supports medical students, interns, and healthcare professionals seeking to strengthen their knowledge in acute care, diagnostics, and life-saving interventions. Whether used as a primary study guide or a comprehensive question bank, this material provides a detailed and structured approach to mastering emergency medicine concepts and achieving exam success. Keywords: SAEM M4 exam, emergency medicine questions, PID gonorrhea chlamydia, ovarian testicular torsion diagnosis, intracranial hemorrhage types epidural subdural, stroke tpa guidelines, meningitis encephalitis treatment, seizure management benzodiazepines, asthma COPD exacerbation treatment, pneumonia CURB65 criteria, pneumothorax needle decompression, trauma management ATLS, traumatic brain injury care

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Saem M4 Curriculum 2 EXAM
(2026) UPDATE Verified
Questions And Answers | With
100% Correct Answers Graded
A+ Guaranteed Success!!

PID cause - 🧠 ANSWER ✔✔originates as a cervical infection with Neisseria

gonorrheaand/or Chlamydia trachomatis, and becomes polymicrobial as it

ascends into the uterus, fallopian tubes and ovaries.


3 sx PID - 🧠 ANSWER ✔✔-lower abd pain

,-purulent vag d/c

-vag bleed


when getPID sx - 🧠 ANSWER ✔✔Symptoms begin shortly after the start of

the menstrual cycle, when there are fewer defenses by the cervical

mucosal barrier to ascending infections.


PID with gonnoccal - 🧠 ANSWER ✔✔more likely to appear toxic (fever,

N/V)


dont forget one risk factor pid - 🧠 ANSWER ✔✔-recent instrumentation of

uterus


common exam findings pid - 🧠 ANSWER ✔✔-b/l adenexal tenderness


-cervical d/c

cervical motion tenderness

-uterine tender

-lower abd tenderness


if pain is u/l think more - 🧠 ANSWER ✔✔TOA

,if RUQ tender think - 🧠 ANSWER ✔✔Fitz-Hugh Curtis (perihepatitis,

inflamation of liver capsule)


best test for gonorrohea and chlaymida - 🧠 ANSWER ✔✔NAAT with PCR

or DNA probes (either urine or cervical secretions)


if suspect TOA get - 🧠 ANSWER ✔✔US


ruptured ovarian cyst shows - 🧠 ANSWER ✔✔free fluid in pouch of douglas


ovarian torsion shows - 🧠 ANSWER ✔✔absence of blood flow to one ovary

on pelvic ultrasound with doppler


why US>CT - 🧠 ANSWER ✔✔CT cannot eval for torsion bc there is no

doppler


who gets abx for PID - 🧠 ANSWER ✔✔-lower abdominal or pelvic pain

coupled with adnexal, uterine or cervical motion tenderness on exam, in a

patient at risk for STDs with no other discernible cause for the illness

identified


complications of pid - 🧠 ANSWER ✔✔-chronic pelvic pain


-infertility



COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
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, -ectopic

-toa

-fitz-hiugh curtis


toa process - 🧠 ANSWER ✔✔walled-off abscess that originates in the

infected fallopian tube and extends to involve the ovary


how confirm dx of Fitz hugh curtis - 🧠 ANSWER ✔✔elevated liver fxn tests


inpatient abx pid - 🧠 ANSWER ✔✔-cefoxitin + doxy


or

-cefotentan + doxy

or

clinda+gentamycin


outpatient abx pid? add _____ if 2 - 🧠 ANSWER ✔✔-ceftriaxone


-doxy

-add metro if severe infection or hx of uterine instrumentation


who getsa dmitted - 🧠 ANSWER ✔✔-toa


-fitz hugh curtis

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