Prophylactic Laxatives to Prevent Opioid Induced Constipation
Prophylactic laxatives are associated with a reduced incidence of opioid induced constipation.
- True
- False
Palliative Care
Silence in Serious Illness Conversations
When leading serious illness conversations, silence is a crucial element of the dialogue and should be utilized intentionally to convey empathy, affirmation, respect, and safety. Which one of the following statements about silence is false?
- It can serve as a pause to slow down the pace of a serious illness conversation.
- It allows patients and caregivers to process clinical information before moving ahead in discussions.
- It allows patients and caregivers time to elaborate on their thoughts or perform further introspection.
- It is not associated with improved patient-reported quality-of-life.
Volume 40.5 - Question 34
Narrative Therapy
Which one of the following statements about narrative interventions in health care is false?
- They can increase patients’ sense of hope.
- They can decrease distress.
- They can be performed across health care settings.
- They should be performed by a trained psychosocial professional.
Volume 40.4 - Question 35
Delirium with Morphine in CHF
When used to relieve dyspnea due to heart failure in inpatients, morphine is not associated with delirium.
- True
- False
Volume 40.1 - Question 16
Seizures in Palliative Care
A 69 yo female with metastatic breast cancer attends your office stating she had increasing headaches of late with nausea and vomiting. You send her for an infused CT scan, and it shows multiple brain metastases.
Volume 36.6 - Question 41
End of Life Care Preferences for Muslims
Which one of the following statements about caring for Muslim patients at the end of life is false?
- Medications that palliate symptoms (e.g., opioids) are acceptable if they do not cause unnecessary sedation.
- Most Muslim patients do not want to hear prognostic information.
- Postmortems are usually not acceptable unless required by law.
- Knocking on the door and waiting for permission to enter is recommended.
Volume 37.6 - Question 38
Cachexia in Patients with Advanced Illness
Which one of the following about cachexia in patients with advanced illness is false?
- The off-label use of megestrol is not associated with improved quality of life.
- Adverse events limit long term corticosteroid use.
- Meaningful improvement with cannabinoids is well supported.
- By the time it is clinically recognized, the syndrome is usually clinically resistant.
Volume 36.5 - Question 10
Sustained Release Morphine in Severe COPD
Regular, low-dose, oral sustained-release morphine for four weeks improves disease-specific health status in patients with COPD.
- True
- False
Volume 36.4 - Question 33
Medical Assistance in Dying and Palliative Care
Specialist palliative care consultation is associated with a significantly reduced likelihood of completion of medical assistance in dying.
- True
- False
Volume 36.4 - Question 9
Celiac Plexus Neurolysis
Which one of the following statements about celiac plexus neurolysis is false?
- Anticoagulation that cannot be stopped is a contraindication.
- Common side effects include transient diarrhea.
- The median duration of benefit is four to six months.
- There is a high risk of paresthesias.
Volume 36.2 - Question 13
COVID-19 Symptoms in Nursing Home Residents
Patients dying of COVID-19 in nursing homes have lower symptom prevalence than those dying in hospital.
- True
- False
Volume 36.1 - Question 11
Epidural Infusions in Palliative Care
Epidural infusions of local anesthetic combined with opioids can be an effective therapy for patients with intractable cancer pain in the trunk and / or lower extremities and life expectancies of days to weeks.
- True
- False
Volume 36.1 - Question 10
Anticoagulation Discontinuation in Home Palliative Care
Anticoagulant discontinuation after beginning home palliative care was associated with higher rates of thrombosis compared with continuing anticoagulation.
- True
- False
Volume 38.1 - Question 31
Family Caregiver Challenges in Pain Management
In the setting of pain management for patients with advanced illness, about 30% of family caregivers are hesitant to administer analgesics for their care partners.
- True
- False
Volume 38.1 - Question 30
Management of Motor Symptoms of Advanced Parkinson’s without Safe Oral Access
Clinical trials support the use of the rotigotine patch for management of motor symptoms in patients with advanced Parkinson’s disease without safe oral access.
- True
- False
Volume 38.2 - Question 31
Dexamethasone for Dyspnoea in Patients with Cancer
High-dose dexamethasone improves dyspnea in patients with cancer. True or false?
- True
- False
Volume 38.2 - Question 23
ALS: Prognostication in Advanced Illness
Which one of the following statements about Amyotrophic Lateral Sclerosis (ALS) is false?
- Most patient with ALS have a linear pattern of decline.
- Median survival from time of onset is 3 to 5 years..
- Clinician gestalt by an ALS specialist that is aware of the patient’s clinical scenario is crucial for accurate prognostication.
- Most patients who are not mechanically ventilated experience a distressing death.
Volume 37.5 - Question 32
Psilocybin in Life-Threatening Cancer
One time administration of psilocybin significantly reduces anxiety and depression associated with a life-threatening cancer when utilized under the direct supervision of a trained therapist and followed up with a few psychotherapy sessions.
- True
- False
Volume 39.2 - Question 15
Posthumous Reproduction
Which one of the following statements about posthumous assisted reproduction is false?
- It is most frequently conducted in biological females.
- Oocytes can be retrieved through follicular aspiration.
- One method of sperm retrieval is testicular biopsy.
- It should occur within 24 – 36 hours after death.