Quiz: 12-Palliative care

1. Which of the following members of the health care team are important to the delivery of palliative care?

A a) physician B b) nurse. C c) Nursing assistant D d Physical and occupational

2.Palliative care is different from traditional care because palliative care is

A a) curative B b) Equivalent to hospice care C c) Focused on comfort rather than cure D d) Withdraws care

3- If oral is not possible what is the preferred route for palliative patient?

A a) topical. B b) intravenous. C c) rectal. D d) Subcutaneous

4- The majority of family caregivers are usually:

A a)Women B b) husbands C c) adult children D d) Elderly

5- In the context of palliative care, family should be defined as:

A a) Blood relationship only for clinical decision making B b) People considered by the family to be important C C) Anyone whom the patient considers as' D d) Anyone who has direct experience of caring previously

6- Assessment of pain is carried out

A a) Once only B b) Pre and post treatment C c) c) Following treatment only D d) d) before treatment only

7- Most people who express a choice of where they would like to die, would choose

A a) In a hospital B b) At home C c) In a hospice D d) in the street.

8- Best practice in symptom assessment warrants:

A a) Weekly reassessment and documentation B b) Continual reassessment and documentation C d) d) Documentation of all medical decisions made D c) c) Multi- disciplinary decision- making

9- Clinical interventions to manage complex symptoms should:

A Focus towards individual need B b) Be dictated by protocol C e) Be led by the senior clinician in the team D d) Only be advised if evidence- based

10- 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 B b) Use multiple anti- emetics in combination C c) Give anti- emetics only when the patient is nausented D d) None of the above

11- Patients who are opiate- dependent will:

A a) Benefit from an increase in dietary fiber B b) Always require prescribed laxative therapy C c) Need to reduce opioid dosage if constipation is unresolved D d) Need to drink 2-3 L of fluid daily to prevent constipation

12- What percentage of patients with advanced cancer are likely to be depressed?

A a) 100% B b) 60% C 25% D d) 70%

13- how long should patents with cancer take anti- depressant medication?

A a) 1 week. B b) at least 3 months C c) c) I month D d) d) 12 months

14- What is the most common cause of myoclonus in palliative care?

A a) Brain tumors B b) Dehydration C c)Opioid toxicity D d) None of the above.

15- The use of' tube' feeding should

A a) Be the first choice when swallowing ceases B b) Be set against the clinical condition of the patient and goals of care C c) Be the last resort when D d) Be avoided at all costs.

16- Breathlessness is a common symptom in ill health particularly in cancer where it experienced by:

A a) 10-25% of patients B b) 90-95% of patients C c) 30-50% of patients D d) 50-70% of patients

17- A range of pharmacological interventions are used to treat breathlessness including:

A a)Opioids, anxiolytics, nebulized bronchodilators and oxygen B b) Antibiotics, aspirin, opioids and oxygen C e) Diuretics, bronchodilators, anti- emetics and opioids D d) Opioids, bronchodilators, anxiolytics and aspirin

18. What are the common causes of cough in palliative care?

A a) Imitation of airways due to lung cancer B b)Complications of radiotherapy C c)Chest infection D d)All of the above

19. What is the primary aim in the management of cough in palliative care?

A Treating the underlying cause B b) Suppressing the cough C 2) Sedating the patient D Managing the secretions

20- Which of the following is not a commonly registered cause of fatigue within the palliative care?

A a) Malnutrition B b) Disturbed sleep pattern C hypertension D d) Anemia

21- Which of the following is not a primary goal of exercise during palliative care?

A a) Weight loss B b) Muscle strengthening C c) Cardiovascular fitness D d) Improving balance

22- Terminal haemorrhage is a distressing event that affects between:

A a)13-10% of patients with advanced cancer B b) 10-20% of patients with advanced cancer C c) 15-25% of patients with advanced cancer D d) 20-30% of patients with advanced cancer

23- Deterioration of physical function towards the end of life is:

A a) A natural part of the dying process B b) Best managed through aggressive physical rehabilitation C c) Unrelated to dietary intake D d) Not a common occurrence for most

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