Palliative quiz

Which one of the following should be given intravenously in the initial treatment of status epilepticus?

A 65---year---old male with known metastatic lung cancer is hospitalized because decreased appetite, lethargy, and confusion of 2 weeks’ duration. Laboratory evaluation reveals the following: Serum calcium……………….15.8 mg/dL (N 8.4---10.0) Serum phosphorus……………3.9 mg/dL (N 2.6---4.2) Serum creatinine……………..1.1 mg/dL (N 0.7---1.3) Total serum protein…………..7.3 g/dL (N 6.0---8.0) Albumin……………........……4.1 g/dL (N 3.7---4.8) Which one of the following is the most appropriate initial management?

The initial step in the management of hypercalcemia of malignancy should be?

A 60---year---old patient known to have multiple myeloma presents in a state of stupor. Calcium levels done during this visit show severe hypercalcaemia. What would be the initial management of severe acute hypercalcaemia in such a patient?

A 56---year---old man, whose father died of prostate cancer, is found to have on digital rectal exam (DRE) a small nodule on the right lobe of his prostate. His PSA level is 2.2. The appropriate management is:

A 78---year---old man develops prostate cancer and is also found to have metastases. He would like to have definitive treatment. Which of the following is not an appropriate treatment?

A 63---year---old man develops hemoptysis, weight loss and chest pain. His initial chest x---ray shows a mass which is further confirmed by CT of the chest. Biopsy is positive for malignancy. Which of the following would not be a cause of his lung cancer?

78---year---old man complains of 3 months of fatigue and a 10 kg weight loss. Physical examination reveals jaundice without abdominal tenderness or organomegaly. Which one of the following is the most likely diagnosis?

You are asked to assess a 65---year---old woman with a lung tumor. Routine blood test reveal that the patient is hyponatremic. You suspect the cause of hyponatremia is antidiuretic hormone (ADH) secretion by the tumor. Which one of the following lung tumors does this patient have?

A 71---year---old female with end---stage lung cancer was recently extubated and is awaiting transfer to hospice. She is awake and confused and has significant respiratory secretions. Which one of the following medications used for reducing TK respiratory secretions is LEAST likely to cause central nervous system effects such a sedation?

A 58---year---old male presents to your department with complaints of severe pain on the right lateral side of the chest for the last 5 days. The patient says that it started feeling like tingling, then it got worse to the point that he could barely put a shirt on as the slightest touch of a shirt to his skin caused unbearable pain. Ibuprofen and acetaminophen have had minimal effect in reducing the pain. The patient denies cough, shortness of breath, trauma, and any pain felt internally. He reports that the pain is on his skin. The patient’s past medical history is significant for diabetes and ulcerative colitis. The patient had shingles about 3 weeks ago. Which of the following is the most appropriate treatment for his current condition?

Laboratory studies of a 70---year---old male who is being evaluated for abdominal pain reveal hypercalcemia, normal serum phosphorus, and normal calcium levels in urine. Which of the following is most likely to be the diagnosis?