SAEM M4 Exam with Verified Answers Graded A+
1. True or False: gastric distension due to excessive
volume or rate of ventilation impairing ventilatory
function is a reason to intubate a neonate
False
2. management for nursemaid elbow injury apply pressure to
the radial head
while flexing and...
1. True or False: gastric distension due to excessive False
volume or rate of ventilation impairing ventilatory
function is a reason to intubate a neonate
2. management for nursemaid elbow injury apply pressure to
the radial head
while flexing and
supinating elbow
3. A 17 year old boy injured his right shoulder playing compression frac-
football. He tried to arm-tackle a player when his ture of the poste-
right arm was pulled away from his body and back riolateral aspect of
(abducted and extended). He felt a sudden pain in his the humeral head
shoulder. He presents to the emergency department (Hill-Sachs defor-
holding his arm in slight abduction and external ro- mity)
tation by his good arm. He has severe pain with ad-
duction or internal rotation. What is the most common
fracture associated with this injury?
4. What are most common heart rhythms seen in pedi- bradycardia or
atric arrest? asystole
10. A newborn presents to the emergency department a 5. tracheoe-
few days after hospital discharge. The infant has been sophageal fistula
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
11. Which of the following pairs of maneuvers are con- 2. back blow then
sistent with current recommendations for emergency chest thrust
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
, SAEM M4 Exam with Verified Answers Graded A+
12. All of these steps are involved in pediatric rapid se- 4.Due to the
quence intubation (RSI) EXCEPT: fragility of the
pediatric C-spine,
Answers: a cervical collar
1. If administering succinylcholine, pretreatment with should always be
atropine is always indicated in children under age 10. placed prior to in-
2.Lidocaine pretreatment is usually provided to chil- tubation for chil-
dren with head trauma. dren under age
3. When deciding which size endotracheal tube to use, ten.
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 cervi-
cal collar should always be placed prior to intubation
for children under age ten.
5. Uncuffed endotracheal tubes are the preferred de-
vices used in children under 6-8 years of age.
13. A 23 year old woman is dropped off by her boyfriend 2. cocaine
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?
14. A mother brings in her 4 year old child who was hap- 2. flushed skin
pily 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?
17. A 42 year-old woman presents with an overdose of 4. Intubation for
her Xanax (alprazolam) that her family indicates she airway support
has been taking for years to help with her anxiety.
The bottle indicates that the prescription was filled
yesterday with 90 pills and is now empty. The patient
is minimally responsive to painful stimuli and does
not react when you suction secretions out of her pos-
terior pharynx. What is your next management step?
Answers:
1. Administration of flumazenil
2.Administration of narcan
3.Close observation
4.Intubation for airway support
18. A 72 year-old presents with an intentional overdose of
a bottle of aspirin about 3 hours prior to presentation
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