SAMP Case EXAMPLES
Example 1
Sarah, 24, comes in requesting the morning-after pill.
- In what timeframe is the morning-after pill appropriately prescribed?
- What are the contraindications to the morning-after pill?
Example 2
Samira, 67, says her mother broke her hip, and she wonders if she could be at risk of osteoporosis.
- Name FIVE risk factors for osteoporosis.
- Name FOUR lifestyle measures you would discuss with Samira.
- Name FOUR classes of medications that can be used in the treatment of osteoporosis.
Example 3
Charles, 62, comes to see you about knee pain. He has had intermittent insidious onset left knee pain over the last 2 years. In general, it is worse with activity and better with rest. He does not have morning pain. About 30 years ago, he tore his ACL skiing and had reconstructive surgery soon after. Now, Charles works as an electrician and has controlled hypertension and hypothyroidism.Â
- What is the most likely diagnosis?
- What ONE investigation would you order? Be specific.
- What FOUR broad management strategies do you discuss with Charles?
Example 4
A previously healthy 67-year-old male patient presents with tingling in his hands and feet for the previous 6 months. He takes amlodipine for hypertension and BP is well-controlled. You suspect a peripheral neuropathy.
- Name SIX possible causes of peripheral neuropathy in this patient?
- Name SIX blood tests you would order in an initial work-up.Â
- What additional investigation would you order? Name ONE.
- What are the TWO goals of management of any peripheral neuropathy?
- List THREE classes of medications that can be used for neuropathic pain and give an example of each.
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