We are excited to see so many of you join our fall FMEP courses. Several of you have requested we continue to post more practice SAMPs, so here you go!

Just a reminder… pay attention to the questions. Here are our general tips one more time:

1. Pay attention to the questions. Look carefully at how many items you are being asked to list. If the question asks for five items, you will not get more marks if you list eight items; the examiner will look at the first five and allocate marks only for the first five answers – so be careful. On a SAMP, if it is not clearly stated how many items you should list, look at the amount of points/marks being allocated for the question to get an idea of how many answers the examiner may be anticipating you write down.

2. Do not write lengthy answers. Most questions can be answered in 10 words or less!

3. Be specific when writing down investigations (hemoglobin instead of CBC; CT abdomen instead of CT).

4. Remember that trade names and generic names are both acceptable when writing down medications.

5. For more helpful tips, you can refer to CCFP’s SAMP instructions by clicking here.

SAMP

Sandra is a 32 year old, G2P1 female. She has a history of gestational diabetes mellitus during
her first pregnancy. She is now pregnant again and has come to see you for her first prenatal appointment. She is a non-smoker and a non-drinker. She is taking prenatal vitamins. She has a supportive husband who works long hours in finance. You calculate her BMI to be 38.5. She is concerned that she is at risk of gestational diabetes with this pregnancy as well and is wondering what she can do to optimize her health during this pregnancy. (7 points)

1. True or false: Obesity in pregnancy results in an increased risk of adverse maternal-child outcomes. (1 point)

• • True

2. True or false: Weight loss in pregnancy is recommended if the BMI exceeds 35. (1 point)

• • False. It is important to focus on PRE-pregnancy and POST-pregnancy weight loss.

3. True or false: Additional testing is recommended in the third trimester for obese pregnant women. (1 point)

• • True. Additional growth scans are recommended in the third trimester.

4. List three intrapartum risks associated with obesity in pregnancy. (3 points)

• • Pre-eclampsia
  • Gestational diabetes
  • Preterm birth
  • Congenital anomalies
  • Fetal macrosomia
  • Labour complications

5. If a patient has risk factors for pre-eclampsia, what medication should you offer around 12 weeks of pregnancy? (1 point)

• • Aspirin