23 Aug 2022 ( 169-180 )
Palliative Care Quiz
Test your knowledge of palliative care through this informative quiz designed for healthcare professionals and students alike. Delve into essential topics related to pain management, opioid use, and communication in end-of-life care.
Key Topics Covered:
- Nerve damage and pain types
- Opioid toxicity signs
- Management of nausea and vomiting
- Effective communication with families
169. Pain associated with nerve damage is known as:
A. Nociceptive
B. Neuropathic
C. somatic
D. None of the above
170. Signs of opioid toxicity include:
A. Hypertension, aggression
B. Irritability and restlessness
C. Sleepiness, respiratory depression, pinpoint pupils
D. All of the above.
171. What is the most logical approach to managing nausea and vomiting in palliative care?
A. Identify the likely cause and use the most appropriate anti-emetic based on its mechanism of action
B. Use multiple anti-emetics in combination
C. Give anti-emetics only when the patient is nauseated
D. None of the above
172. The most appropriate first-line treatment for the management of constipation is:
A. A stool softener and stimulant in combination
B. A stool softener alone to reduce hardness of stool
C. A rectal intervention to ensure the rectum is clear
D. Stimulant to move faeces along the colon and a softener then added
173. Communication with families at the end of life is a vital component of the palliative approach. Which of the following statements are true?
A. Families need to be given honest information about the patient's deteriorating condition
B. Families should be asked to decide what in the best interest of the patient
C. Families should concentrate on the patient's needs and wait until after the death to consider their own needs
D. None of the above are true.
174. A 65-year-old white female with terminal cancer and severe hepatic dysfunction has musculoskeletal and neuropathic pain at the end of life. Which one of the following medications should not be used in this patient because of her hepatic dysfunction?
A) Fentanyl
B) Hydromorphone (Dilaudid)
C) Methadone
D) Morphine
E) Oxycodone (OxyContin)
175. 60 years old lady diagnosed with ovarian cancer causing severe abdominal pain, started on morphine infusion to control her pain, which of the following complications of opioid therapy tend to persist throughout the treatment:
A) Cognitive impairment
B) Vomiting
C) Constipation
D) Drowsiness
176. A patient receiving palliative care is not getting adequate pain relief with codeine 60 mg and paracetamol 1 gm QID on step two analgesic ladder.which of the following options is the most appropriate?
A) Increase dose of codeine
B) Replace codeine with tramadol
C) Replace codeine with morphine
D) Replace paracetamol with NSAID
177. Which one of the following would not be an appropriate treatment for a patient with advanced cancer requiring morphine treatment for pain who presents with myoclonus, hallucinations, sedation?
A) Nalaxone (opioid antagonist)
B) Switch the opioid (opioid rotation)
C) Reduce the opioid dose while trying other measures to control pain
D) Hydrate the patient
E) Give haloperidol
178. Mr. Khalid has locally advanced transitional cell cancer of the bladder with chronic pelvic and abdominal pain. Which of the following is MOST IMPORTANT in determining the maximum dose of morphine during dose titration?
A) Pain relief
B) Respiratory depression
C) drowsiness
D) Strength of pill
179. All of the following are key elements of palliative care EXCEPT:
A) Pain and symptom management
B) Psychological and spiritual support
C) Getting the patient to be DNR
D) Coordination of care
179. A 78 year old male with metastatic renal cell carcinoma to bones who is refractory to all medical therapy presents to the emergency department with severe pain and elevated renal function What is an appropriate analgesia to give this man?
A) Morphine
B) Fentanyl
C) Tramadol
D) NSAID
180. Primary goal of palliative care is:
A. To ensure that the patient has appropriate nutrition
B. To help family members accept the approach of death
C. To improve the quality of life, despite the approach of death
D. To provide complete pain relief
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