Thank you to all our participants who attended the Family Medicine Exam Prep Course in Hamilton. We are excited to see so many of you join our fall classes. 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.

Welcome to Canada! Let’s get you ready for your “Immigration” SAMP!

SAMP

Sam Ahmed is a 43-year-old male who just landed in Canada as a refugee from Vietnam. He states that he has never seen a doctor as he has “always been healthyâ€. He cannot recall if he ever received any vaccines.

1. List 3 vaccine-preventable infectious conditions you would consider vaccinating him for. (3 points)

• • MMR
  • Varicella
  • Diphtheria, tetanus, pertussis and polio
  • Hepatitis B
  • HPV

2. True or false: For immigrant patients, If an integrated treatment program is available, screen adults for depression using a systematic clinical inquiry or validated patient health questionnaire. (1 point)

• • True

3. True or false: For immigrant patients, conduct routine screening for child maltreatment. (1 point)

• • False

4. True or false: For immigrant patients, conduct routine screening for exposure to traumatic events. (1 point)

• • False

5. True or false: For immigrant patients, Do not conduct routine screening for intimate partner violence. (1 point)

• • True

6. Sam’s wife comes with him. She is 28 years old and is seeking preventative health counselling. What important women’s health topics would you want to consider discussing with her? List 3 topics. (3 points)

• • Vaccinations (e.g. HPV vaccine)
  • Contraception and family planning
  • Cervical cancer screening

7. As part of Sam’s ongoing care, you inquire about whether he is taking any OTC medications. What other treatments should you inquire about? List 2. (2 points)

• • “Natural†or herbal medicines​
  • Spiritual healers​
  • Medications from different countries​
  • Moxibustion​

8. What two asymptomatic intestinal parasites might you consider screening for with serologic testing especially in immigrant patients from Southeast Asia and Africa? (2 points)

• • Strongyloides
  • Schistosoma