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. What percentage of adults in North America have dietary copper intake below the estimated average requirement? (1 point)

• 1. 10%
     
  2. 15%
     
  3. 25%
     
  4. Over 25%
     
• Answer: D

2. Which of the following is NOT typically associated with copper deficiency? (1 point)

• 1. Anemia
     
  2. Neutropenia
     
  3. Thrombocytopenia
     
  4. Myeloneuropathy
     
• Answer: C

3. Which of the following is a common cause of copper deficiency? (1 point)

• 1. Iron deficiency
     
  2. Excess calcium intake
     
  3. Excess zinc intake
     
  4. Low vitamin D levels
     
• Answer: C

4. What combination of lab findings helps confirm copper deficiency? (1 point)

• 1. High ceruloplasmin and low zinc
     
  2. Low serum copper and low ceruloplasmin
     
  3. Low ferritin and high copper
     
  4. Elevated vitamin B12 and low ceruloplasmin
     
• Answer: B

5. Which statement about the treatment of copper deficiency is true? (1 point)

• 1. Myelopathy symptoms usually resolve within weeks of treatment
     
  2. Only IV copper is effective for mild deficiency
     
  3. Oral copper supplementation is sufficient for mild to moderate cases
     
  4. Zinc supplements should be increased during treatment
     
• Answer: C