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Flashcards in Palliative care Deck (5)
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1
Q

The drug of choice in mild cancer related pain is

a) Paracetamol/aspirin
b) Opioids oral
c) Morphine infusion
d) Paracetamol/codeine combination
e) Gabapentin

A

a) Paracetamol/aspirin

2
Q

Theme: Types of pain and first line treatment

1) Nociceptive pain
2) Neuropathic pain
3) Superficial burning pain
4) Tumour associated oedema
5) Bony metastases and other tissue destruction
6) Muscle spasm pain
7) Viscous(hollow organ obstruction) such as colic/tenesmus
8) Hypercalcaemia
9) Skin infiltration/ulceration

A

1) Aspirin
2) Amitriptyline first line/antiepileptics/antidepressants used
3) Antidepressants
4) Corticosteroids
5) NSAIDs/aspirin; radiotherapy most effective
6) Diazepam/baclofen
7) Antispasmodics
8) Bisphosphonates
9) Aspirin/opioids

Opioids second line for most of the conditions

3
Q

Which one of the following is true in pain management for palliation

a) Morphine is a last resort
b) Patient will become addicted

C) Patient will need ever increasing amounts

d) Morphine will cause respiratory depression
e) Morphine will not shorten life

A

e) Morphine will not shorten life

4
Q

All of the following are features of hypercalcaemia except

a) Drowsiness
b) Confusion
c) Twitching
d) Abdominal pain
e) Anorexia

A

e) Anorexia

5
Q

All of the following are true about hypercalcaemia except

a) Monitor calcium >3mmol/l
b) When present as part of a neoplastic syndrome, it has a poor prognosis
c) Manage with rehyrdration, reduction of tissue mass and bisphosphonated
d) Drowsiness, twitching and abdominal pain are typical features
e) Myeloma, lung and breast cancers are not common cause of hypercalcaemia

A

e) Myeloma, lung and breast cancers are not common cause of hypercalcaemia