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

Jonny J is brought in by his mother. Jonny is a 12 year boy who is in competitive swimming and has a bad habit of running around the pool without slippers. His mom has noticed that he has had some growths on his foot that aren’t going away. She is wondering if these are warts and what can be done. Jonny has a history of eczema and asthma. His medications include ventolin and flovent puffers which he uses occasionally during the winter months. His immunizations are up-to-date and he is otherwise healthy. (8 points)

1. True or false: Almost 67% of warts will resolve on their own within 24 months. (1 point)

• • True

2. List two common treatment options for warts. (2 points)

• • Salicylic acid
  • Cryotherapy
  • Compounded salicylic acid + 5-fluorouracil
    

3. What virus causes warts? (1 point)

• • Human papillomavirus (HPV)

4. How are warts spread? (1 point)

• • Through direct contact with broken skin

5. List two different types of warts. (2 points)

• • Common
  • Flat
  • Intermediate
  • Periungual
  • Plantar
  • Mosaic
    

6. True or false: Duct tape has been shown to be effective in treating warts. (1 point)

• • True

References:

Mulhem, E., & Pinelis, S. (2011). Treatment of nongenital cutaneous warts. American Family Physician, 84(3), 288–293. https://pubmed.ncbi.nlm.nih.gov/21842775/

Image by DermNet NZ, https://dermnetnz.org/

Creative Commons Attribution, https://creativecommons.org/licenses/by-nc-nd/3.0/nz/legalcode