We are excited to see so many of you join our 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

Mr. J.D. is a 68-year-old man presenting for his annual checkup. He complains of fatigue, reduced libido, and decreased motivation over the past 6 months. He exercises moderately and has no known cardiovascular disease. His morning total testosterone levels, checked twice, are 8.5 nmol/L. He asks whether starting testosterone therapy would help him feel better and improve his sexual performance. (5 points)

1. Based on current evidence, which benefit is most consistently associated with testosterone therapy in older men like Mr. J.D.? (1 point)

• 1. Enhanced sexual performance
  2. Increased lean body mass
  3. Improved memory and cognition
  4. Increased energy and reduced fatigue
• Answer: B

2. Testosterone therapy has been clearly proven to reduce cardiovascular risk in older men with low testosterone. (1 point)

• 1. True
  2. False
• Answer: B

3. What best supports starting testosterone therapy in Mr. J.D.’s case? (1 point)

• 1. His age is over 65
     
  2. His subjective fatigue
     
  3. His confirmed low testosterone (<10 nmol/L) with symptoms
     
  4. His interest in gaining muscle mass
     
• Answer: C

4. Systematic reviews found a large and clinically significant improvement in sexual function with testosterone therapy. (1 point)

• 1. True
  2. False
• Answer: B