SAEM EXAM QUESTIONS 2024-2025 ACTUAL
EXAM 400 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
Terms in this set (1040)
A.
B.
C.
D.
E.
D.
C.
B.
E.
A.
D.
C.
B.
E.
A.
B.
C.
A.
,B.
C.
A.
D.
B.
E.
C.
E.
D.
D.
E.
,A 2 and a half year old girl D. Stapholococcus aureus retropharyngeal abscess
is brought in to the
emergency department by The answer is D. This patient exhibits several classic
her mother for "loud symptoms of retropharyngeal abscess including fever,
breathing" and a fever. The neck stiffness, and drooling, as well as her generally
mother states the child has toxic appearance. Retropharyngeal abscess in children is
been previously healthy often associated with foreign body ingestion leading to
and is up to date on all her perforation of the hypopharynx or esophagus.
vaccines. Initial evaluation Pneumonia, viral croup and upper respiratory tract
of the child reveals an ill- infection are unlikely to cause airway obstruction, which
appearing child with her is suggested by this patient's drooling. Choanal atresia is
head propped upright, who typically diagnosed in infancy. Another consideration in
is drooling and making this patient would be epiglottitis; however, given her
stridorous noises. Her vital vaccination history, she would be less likely to contract
signs are notable for a epiglottitis from H. influenzae Type b, which is the most
temperature of 104.2 F. common causative organism.
Which of the following is
most likely in this child?
A. Chlamydia pneumonia
B. choanal atresia
C. viral upper respiratory
tract infection
D. Stapholococcus aureus
retropharyngeal abscess
E. viral croup
C. Deferoxamine
A 2 year old child presents
with an overdose of her
The answer is C. Deferoxamine binds directly to free iron
mother's iron containing
and thus is the antidote for iron toxicity. It is given
multivitamins. What antidote
intramuscularly or intravenously and often causes the
should you consider for iron
patient's urine to turn color (vin rosé urine). Methylene
toxicity?
blue is an antidote for methemoglobinemia. N-
A. Pyridoxine
acetylcysteine is the antidote for acetaminophen.
B. Glucagon
Pyridoxine is the antidote for isoniazid toxicity and
C. Deferoxamine
glucagon can serve as an antidote for beta blocker,
D. Methylene blue
calcium channel blocker, or insulin overdoses.
, A 2 year old is brought in to D. Objects lodged in the proximal airway have the worst
the emergency department prognosis
by his mother for difficulty
breathing. The mother thinks The answer is D. Large objects in upper airway and
he might have swallowed or trachea have the worst prognosis and typically present
aspirated something. In with the most severe symptoms.
regards to this patient,
which of the following is
TRUE regarding foreign
body aspiration or
ingestion?
A. Large objects in the
upper airway typically
present with mild symptoms
B. Small objects in the lower
airways typically present
with the most severe
symptoms
C. The most difficult objects
to remove are stiff, non-
conformable objects
D. Objects lodged in the
proximal airway have the
worst prognosis
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