AI SAMPS

Question 1

Stem + Question

Answer 1

Answer

Question 2

Jill Brien, age 20, is a university student with asthma. What class of medication should be the mainstay of her pharmacological therapy? (State ONE)

Answer 2

A short-acting beta-agonist

Question 3

Ms. Brien starts a part-time job at a construction site. What is the most likely cause of her asthma exacerbation? (State ONE)

Answer 3

Dust/An environmental allergen

Question 4

What class of medication should now be the mainstay of Ms. Brien’s pharmacological therapy? (State ONE)

Answer 4

An inhaled glucocorticoid

Question 5

Ms. Brien would like to manage her own asthma therapy. What device would you recommend she purchase? (State ONE)

Answer 5

A peak-flow meter

Question 6

Anne Sullivan, age 29, presents with 10-12 loose bowel movements daily, some bloody, for 3-4 weeks. What is the most likely diagnosis? (State ONE)

Answer 6

Crohn’s disease/Inflammatory bowel disease (IBD)/Ulcerative colitis

Question 7

What initial laboratory investigations would you order? (List FOUR)

Answer 7

Stool culture, Ova and parasites (O&P), Hemoglobin, ESR/CRP

Question 8

What is the most appropriate diagnostic investigation to do next? (State ONE)

Answer 8

Colonoscopy/Sigmoidoscopy

Question 9

What are the possible future gastrointestinal complications of Ms. Sullivan’s condition? (List THREE)

Answer 9

Strictures, Fistulae, Malabsorption

Question 10

Jamie Buchman, age 35, gave birth to a 4.1-kg girl six weeks ago and had gestational diabetes. When in the postpartum period should you test Ms. Buchman for diabetes or glucose intolerance? (State ONE)

Answer 10

At six weeks to six months postpartum

Question 11

What test should Ms. Buchman have to confirm diabetes or glucose intolerance? (State ONE)

Answer 11

Oral glucose tolerance test (OGTT)

Question 12

Testing confirms diabetes. What microvascular complications is Ms. Buchman at risk for? (List THREE)

Answer 12

Nephropathy, Neuropathy, Retinopathy

Question 13

What are the recommended screening methods for each of the three complications? (List THREE)

Answer 13

Urine albumin-to-creatinine ratio (ACR), Monofilament testing, Ophthalmoscopy

Question 14

Rachelle, age 16, presents after unprotected intercourse. What is the most important question to ask Rachelle? (State ONE)

Answer 14

When did you have intercourse?

Question 15

What is the most common side effect of oral post-coital contraception? (State ONE)

Answer 15

Nausea

Question 16

What is an absolute contraindication to treatment with oral post-coital contraception? (State ONE)

Answer 16

Pregnancy

Question 17

What other option exists for morning-after contraception? (State ONE)

Answer 17

Copper IUD

Question 18

What other subjects should be discussed with Rachelle? (List THREE)

Answer 18

Contraceptive use, STIs, Pap test/HPV vaccine

Question 19

Dee Francis, age 20, presents with fear of walking through crowds, heart pounding, hands shaking, etc. What does the electrocardiogram reveal? (State ONE)

Answer 19

Sinus tachycardia

Question 20

What investigation would you order to assess Dee’s palpitations? (State ONE)

Answer 20

Holter monitoring

Question 21

What feature of Dee’s history suggests she suffers from agoraphobia? (State ONE)

Answer 21

Fear of crowds

Question 22

What features suggest that Dee suffers from panic attacks? (List FIVE)

Answer 22

Palpitations, Shaking hands, Feeling of choking, Nausea, Lightheadedness

Question 23

Darlene, age 46, presents with fatigue, SOB, lightheadedness, and heavy menses. Bloodwork shows microcytic hypochromic anemia. What is your next management step? (State ONE)

Answer 23

Transfusion of red blood cells

Question 24

What are the most common causes of Darlene’s condition? (State TWO)

Answer 24

Menorrhagia, GI bleeding