SAEM M4 EXAM ACTUAL QUESTIONS WITH VERIFIED

SAEM M4 EXAM (ACTUAL / ) QUESTIONS WITH VERIFIED

ANSWERS |GUARANTEED PASS

A 4-year old child sustained a large leg laceration while riding his bike. A medical student who was on his first clinical rotation was told to "numb up" the wound. The patient became symptomatic soon after the student gave the anesthetic. Which of the following is usually the earliest sign of lidocaine toxicity?

Answers:

1.Nausea/vomiting 2.Nystagmus 3.Lightheadedness and dizziness 4.Tonic-clinic seizures - ---Answers----3.Lightheadedness and dizziness

You are performing procedural sedation to repair a complex facial laceration on a child in the ED. Unfortunately your patient is progressing from clinical signs of moderate sedation to deep sedation and is in need of reversal using flumazenil. In which of the following scenarios is the use of flumazenil appropriate?

Answers:

1.Patient exhibits signs of seizure activity during procedural sedation 1 / 4

2.Patient has been given IV fentanyl as a single agent for sedation 3.Patient is younger than 3 years old and had a glass of milk four hours ago 4.Patient has been given IV ketamine as a single agent for sedation - ---Answers----3.Patient is younger than 3 years old and had a glass of milk four hours ago

You are performing procedural sedation on a 42 year old male who is quite muscular and requires high doses of analgesia to reduce a dislocated hip sustained during an MVA. He begins to show signs of respiratory depression and needs manual ventilation with a bag valve mask. You are having great difficulty providing manual ventilations due to presumed spasm of the glottis and rigidity of the chest wall musculature. Which of the following analgesics was likely used?

Answers:

1.Demerol 2.Dilaudid 3.Fentanyl 4.Morphine - ---Answers----3.Fentanyl

A 25 year old male college student with a history of type I diabetes mellitus presents to the emergency department complaining of worsening headache, vomiting, and fever. On 2 / 4

exam, he has a temperature of 101.6 F, meningismus, and photophobia. A lumbar puncture is performed and reveals a CSF glucose consistent with bacterial meningitis. What is the normal ratio between CSF and serum glucose?

Answers:

1. 1:1

2. 2:1

3. 0.4:1

• 0.6:1 - ---Answers----4. 0.6:1

An 18 year old male is transported to the emergency department after being involved in a motor vehicle collision. On initial evaluation, he is found to be comatose, hypotensive, and is diagnosed clinically as having a tension pneumothorax on the left side. What is the correct statement regarding needle decompression or chest tube placement in this patient?

Answers:

1.A chest x-ray is unnecessary before needle decompression 2.An 18 French chest tube would be appropriate in this situation.

3.Placement of the needle should be in the 3rd ICS, midaxillary line. 3 / 4

4.The chest tube should be inserted under the lower edge of the rib - ---Answers----1.A chest x-ray is unnecessary before needle decompression

A fracture in which there are more than two fragments is:

Answers:

1.compound 2.comminuted 3.oblique 4.spiral 5.transverse - ---Answers----2.comminuted

Incomplete angulated fractures of long bones are denoted by the

term:

Answers:

1.greenstick fracture 2.march fracture 3.open fracture 4.Salter-Harris fracture - ---Answers----1.greenstick fracture

What other injury(s) may be associated with calcaneal fracture after a fall?

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