The Long and Short of Long-COVID in Adults
We are excited to see so many of you join our fall FMEP courses. Several...0
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.
Mrs. Orthopn Eay, a 77 year old female, presents to your office with a new onset of bilateral leg edema and shortness of breath on exertion. She notes that over the last 2 months she has had to sleep with 2 pillows as she is increasingly short of breath at night. She denies any chest pain, fevers, shortness of breath at reset. She is currently taking a multivitamin and Acetaminophen 1-2 times a week for knee osteoarthritis. She smokes 3 cigarettes a day and drinks 2 bottles of wine per week. She works as a bookkeeper and lives a sedentary lifestyle. She has no known drug allergies. Her vitals are: T 36.8, HR 76 and regular, BP 132/88, SP02 99 % on room air. (21 points)
1. What three non-laboratory investigations would you consider ordering for her? (3 points)
2. What three laboratory investigations would you consider ordering for her? (3 points)
3. She undergoes an ECHO and the ejection fraction is 30%. What three classes of medication would you consider offering to her to reduce mortality? (3 points)
4. What laboratory investigations would you order for monitoring, specifically related to the medications you started in the question above? (2 points)
5. What three non-pharmacologic management options would you counsel her on in the setting of heart failure? (3 points)
6. What are five risk factors for heart failure? (5 points)
7. What two vaccines would you like to offer her to reduce her risk of future congestive heart failure exacerbations? (2 points)