“Doc, It Hurts… Down There…“

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“Doc, It Hurts… Down There…“

August 14, 2021 | Family Medicine Exam Prep Course | CCFP

We are excited to see so many of you join our spring 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.



George Foreskin is a 23 year old construction worker who comes into your evening clinic. You review his chart and see that he hasn’t been to the clinic in several years. He does not have any previous medical issues. He smokes a pack a day and drinks socially on weekends. He tells you he has only been sexually active once. He comes to see you today because he has significant discomfort “down thereâ€. (7 points)

1. You perform a physical exam and there is significant redness of the glans and inflammation of the foreskin. What is the term for this condition? (1 point)

    • Balanoposthitis

2. List two common infectious etiologies for the above-named condition? (2 points)

    • Candida
    • Streptococci
    • Staphylococci
    • Trichomonas vaginalis
    • Syphilis
    • Herpes simplex virus (HSV)
    • Human papillomavirus (HPV)
    • Mycobacteria

3. You perform a swab – it comes back positive for Candidiasis. What metabolic condition should you consider screening for? (1 point)

    • Type 2 diabetes

4. He returns a few weeks later and now the foreskin is no longer easily retractable. What is the name of this condition? (1 point)

    • Phimosis

5. The patient calls and tells you that he retracted the foreskin this morning and is not able to place it back. What is the term for this condition? (1 point)

    • Paraphimosis

6. The patient is at work and says he cannot leave. Why is emergent management required in this situation? (1 point)

    • Emergent management is essential to avoid penile necrosis