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SAEM Pulm Exam Questions and Answers 2024
SAEM Pulm Exam Questions and Answers 2024 
A thin 18 year old female complains of acute onset of sharp right-sided chest pain this morning. 
She has developed some mild shortness of breath during the morning and thought she should 
get it checked out. Her chest X-ray is shown in the Figure. The next course of action should be: 
[PICTURE OF LUNGS WITH RIGHT BLUNTED COSTODIAPHRAGMATIC ANGLE] 
1.Electrocardiogram 
2.Antibiotics 
3.Chest tube placement 
4.Needle decompression - Answer ️️ -3. Che...
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SAEM Pulm Exam Questions and Answers 2024 
A thin 18 year old female complains of acute onset of sharp right-sided chest pain this morning. 
She has developed some mild shortness of breath during the morning and thought she should 
get it checked out. Her chest X-ray is shown in the Figure. The next course of action should be: 
[PICTURE OF LUNGS WITH RIGHT BLUNTED COSTODIAPHRAGMATIC ANGLE] 
1.Electrocardiogram 
2.Antibiotics 
3.Chest tube placement 
4.Needle decompression - Answer ️️ -3. Che...
SAEM 241 – 390 Exam 2024 Questions and Answers
SAEM 241 – 390 Exam 2024 Questions and Answers 
A 32 year old male, intravenous heroin abuser, presents with a one-day history of mid-back pain, 
progressive weakness of his legs, and an inability to urinate. He has a temperature of 38.3° C 
(100.8° F). On exam, absent patellar deep tendon reflexes are noted, he cannot stand or walk, a 
distended bladder is palpable, and he has tenderness to palpation over his T10 and T11 vertebrae. 
Which of the following is not an acceptable next step? 
A....
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SAEM 241 – 390 Exam 2024 Questions and Answers 
A 32 year old male, intravenous heroin abuser, presents with a one-day history of mid-back pain, 
progressive weakness of his legs, and an inability to urinate. He has a temperature of 38.3° C 
(100.8° F). On exam, absent patellar deep tendon reflexes are noted, he cannot stand or walk, a 
distended bladder is palpable, and he has tenderness to palpation over his T10 and T11 vertebrae. 
Which of the following is not an acceptable next step? 
A....
EM M4 SAEM EXAM 2024 QUESTIONS AND ANSWERS
EM M4 SAEM EXAM 2024 QUESTIONS AND ANSWERS 
treatment of PE - Answer ️️ -Anticoagulation may be started before imaging confirmation in 
patients with a high pre-test probability of the disease. Either unfractionated heparin or low- 
molecular weight heparins (e.g. enoxaparin) may be used in most cases. 
Warfarin (Coumadin) has a transient hypercoagulable effect; therefore, patients starting warfarin 
are placed on heparin until warfarin reaches a therapeutic level (INR 2-3). 
DOAC (rivaroxab...
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EM M4 SAEM EXAM 2024 QUESTIONS AND ANSWERS 
treatment of PE - Answer ️️ -Anticoagulation may be started before imaging confirmation in 
patients with a high pre-test probability of the disease. Either unfractionated heparin or low- 
molecular weight heparins (e.g. enoxaparin) may be used in most cases. 
Warfarin (Coumadin) has a transient hypercoagulable effect; therefore, patients starting warfarin 
are placed on heparin until warfarin reaches a therapeutic level (INR 2-3). 
DOAC (rivaroxab...
SAEM Tox, Infxn, Optho, Foreign Bodies, SAEM AMS, 2023 CV, trauma, SAEM MISC, SAEM - Shock and Sepsis, Environment and Endocrine, Pulm Emergencies Exam
SAEM Tox, Infxn, Optho, Foreign Bodies, 
SAEM AMS, 2023 CV, trauma, SAEM 
MISC, SAEM - Shock and Sepsis, 
Environment and Endocrine, Pulm 
Emergencies Exam 
Parents bring in their 13 year old girl two hours after she ingested a large amount of 
Acetaminophen in suicide attempt. She tearfully refuses to drink the activated charcoal. Which 
of the following is TRUE regarding your ability to administer the charcoal? 
1. A court injunction is needed to force her to drink the charcoal 
2. A nasogastr...
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SAEM Tox, Infxn, Optho, Foreign Bodies, 
SAEM AMS, 2023 CV, trauma, SAEM 
MISC, SAEM - Shock and Sepsis, 
Environment and Endocrine, Pulm 
Emergencies Exam 
Parents bring in their 13 year old girl two hours after she ingested a large amount of 
Acetaminophen in suicide attempt. She tearfully refuses to drink the activated charcoal. Which 
of the following is TRUE regarding your ability to administer the charcoal? 
1. A court injunction is needed to force her to drink the charcoal 
2. A nasogastr...
SAEM - Abdominal Pain Exam Questions with correct Answers
SAEM - Abdominal Pain Exam Questions 
with correct Answers 
Regarding the diagnosis of acute appendicitis, all the following are true EXCEPT: 
A. Vital signs are usually abnormal, even early in the course of acute appendicitis. 
B. Rebound is usually elicited only after the appendix has ruptured or infarcted. 
C. The psoas sign is pain upon extension of the hip. 
D. Rovsing's sign is pain in the right lower quadrant upon palpation of the left lower quadrant. 
E. The obturator sign is pain upon ...
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SAEM - Abdominal Pain Exam Questions 
with correct Answers 
Regarding the diagnosis of acute appendicitis, all the following are true EXCEPT: 
A. Vital signs are usually abnormal, even early in the course of acute appendicitis. 
B. Rebound is usually elicited only after the appendix has ruptured or infarcted. 
C. The psoas sign is pain upon extension of the hip. 
D. Rovsing's sign is pain in the right lower quadrant upon palpation of the left lower quadrant. 
E. The obturator sign is pain upon ...
SAEM Practice Exams Missed Questions with correct Answers
SAEM Practice Exams Missed Questions 
with correct Answers 
What is the MC of fatal anaphylaxis? - Answer ️️ -PCN 
For a patient who has suffered a severe anaphylactic reaction, which of the following 
medications would serve little purpose if prescribed upon discharge? - Answer ️️ -Albuterol 
Women who develop pre-eclempsia in their first pregnancy have a long-term risk for which of 
the following? 
A. habitual miscarriage 
B. diabetes mellitus 
C. renal failure 
D. hypertension 
E. liv...
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SAEM Practice Exams Missed Questions 
with correct Answers 
What is the MC of fatal anaphylaxis? - Answer ️️ -PCN 
For a patient who has suffered a severe anaphylactic reaction, which of the following 
medications would serve little purpose if prescribed upon discharge? - Answer ️️ -Albuterol 
Women who develop pre-eclempsia in their first pregnancy have a long-term risk for which of 
the following? 
A. habitual miscarriage 
B. diabetes mellitus 
C. renal failure 
D. hypertension 
E. liv...
saem m4 curriculum 2-with correct answers
saem m4 curriculum 2-with correct answers 
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 infecti...
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saem m4 curriculum 2-with correct answers 
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 infecti...
EM SAEM Exam Questions and Answers
EM SAEM Exam Questions and Answers 
Obturator sign - Answer ️️ -Pain with flexion and internal rotation of hip 
Psoas sign - Answer ️️ -Pain with extension of hip 
What does pain onset prior to nausea and vomiting suggest? - Answer ️️ -Surgical etiology (ie 
small bowel obstruction) 
CT findings in diverticulitis - Answer ️️ -Wall thickening and stranding 
Cholelithiasis vs. cholecystits - Answer ️️ -no fever or Murphy's sign with cholelithiasis 
Risk factors for cecal volvu...
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EM SAEM Exam Questions and Answers 
Obturator sign - Answer ️️ -Pain with flexion and internal rotation of hip 
Psoas sign - Answer ️️ -Pain with extension of hip 
What does pain onset prior to nausea and vomiting suggest? - Answer ️️ -Surgical etiology (ie 
small bowel obstruction) 
CT findings in diverticulitis - Answer ️️ -Wall thickening and stranding 
Cholelithiasis vs. cholecystits - Answer ️️ -no fever or Murphy's sign with cholelithiasis 
Risk factors for cecal volvu...
SAEM Trauma Exam 2024 with complete solutions
SAEM Trauma Exam 2024 with complete solutions 
An 18 year old hockey player is hit in the mouth with a puck, fracturing a maxillary canine tooth. 
He brings the severed piece of tooth with him. On physical exam, the tooth is fractured halfway 
between the tip and the gumline. The root of the tooth is still firmly intact. The exposed fracture 
site has a yellowish tinge without blood. Of the following choices, which is the most appropriate 
management for this patient? 
A. Application of calcium ...
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SAEM Trauma Exam 2024 with complete solutions 
An 18 year old hockey player is hit in the mouth with a puck, fracturing a maxillary canine tooth. 
He brings the severed piece of tooth with him. On physical exam, the tooth is fractured halfway 
between the tip and the gumline. The root of the tooth is still firmly intact. The exposed fracture 
site has a yellowish tinge without blood. Of the following choices, which is the most appropriate 
management for this patient? 
A. Application of calcium ...
SAEM Derm Exam with complete solutions
SAEM Derm Exam with complete solutions 
A 32 year old woman walks into the emergency department two weeks after a fall from a bus. 
She tripped stepping off the bus and landed with her right hip on the last stair. The fall was only 
a few feet in distance. She noted very little immediate pain, and there was no pain at all by the 
next day. However, the next week her right hip began to "burn." After a day's burning sensation 
she developed a rash involving the hip region (see Figure). She deni...
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SAEM Derm Exam with complete solutions 
A 32 year old woman walks into the emergency department two weeks after a fall from a bus. 
She tripped stepping off the bus and landed with her right hip on the last stair. The fall was only 
a few feet in distance. She noted very little immediate pain, and there was no pain at all by the 
next day. However, the next week her right hip began to "burn." After a day's burning sensation 
she developed a rash involving the hip region (see Figure). She deni...
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the answers are incorrect
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