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
(5 points)

1. Why is sleeping posture important after 28 weeks of pregnancy? (1 point)

• 1. It affects maternal weight gain
     
  2. It can impact fetal brain development
     
  3. Supine sleeping is associated with an increased risk of stillbirth
     
  4. It determines the mode of delivery
     
• Answer: C

2. According to research, how much of the night do pregnant individuals spend supine if they go to sleep in the supine position? (1 point)

• 1. 10%
  2. 25%
  3. 33%
  4. 50%
• Answer: D

3. What is the risk associated with the supine going-to-sleep posture in late pregnancy besides stillbirth? (1 point)

• 1. Preterm labour
  2. Small-for-gestational-age neonate
  3. Gestational diabetes
  4. Preeclampsia
• Answer: B

4. When should clinicians begin advising pregnant patients to avoid the supine sleeping position? (1 point)

• 1. As soon as pregnancy is confirmed
  2. After 12 weeks’ gestation
  3. After 20 weeks’ gestation
  4. After 28 weeks’ gestation
• Answer: D

5. What has been shown to reduce time spent sleeping in the supine position during late pregnancy? (1 point)

• 1. Caffeine avoidance
  2. White noise machines
  3. Pregnancy pillows and positional therapy devices
  4. Frequent waking during the night
• Answer: C