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6. Which of these drugs has a higher potential for harm in renally impaired patients?

  • Alfentanil
  • Methadone
  • Oxycodone
  • Fentanyl

7. Which of these may be used in palliative care for dyspnoea associated with partial obstruction?

  • Dexamethasone
  • Diazepam or lorazepam
  • Regular oral morphine or oxycodone at low doses
  • Bronchodilators

8. Which drug has 3rd or 4th line use in chemo associated NV associated with bowel obstruction and gut related vomiting?

  • Cyclizine
  • Levopromazine
  • Octreotide
  • Ondansetron
  • Haloperidol
  • Metoclopramide
  • Dexamethasone

9. For the treatment of anxiety and agitation, which of the following is useful if psychotic symptoms are present?

  • Lorazepam
  • Phenobarbitone
  • Levopromazine
  • Midazolam
  • Haloperidol

10. Pain management should be reviewed frequently. If patient requires 2 extra doses as well as regular morphine then the basal dose may need to be increased. How may this be done?

  • Add 1/6 of the total of all PRN doses over the past 24 hours to current dose
  • Add 1/6 of the total of all PRN doses over the past 48 hours to current dose
  • Add the total of all PRN doses over past 24 hours to current dose
  • Add the total of all PRN doses over past 48 hours to current dose

11. Which of the following must be used as a continuous SC infusion?

  • Alfentanil
  • Oxycodone
  • Fentanyl
  • Morphine

12. What drugs can be used in palliative care for pruritis?

  • Metronidazole
  • Tranexamic acid, topical adrenaline
  • Emollients, antihistamines
  • Nebulisers, opioids
  • Temazepam, zopiclone
  • Metoclopramide, baclofen

13. Which drug is being described: "reduce tumour mass/ pain due to compression or infiltration, reduces headache due to cerebral oedema"

  • Amitriptyline
  • Dexamethasone
  • Gabapentin
  • Paracetamol
  • Alendronic acid

14. Which drug is being described: "reduces rate of bone turnover and cancer related bone pain"

  • Alendronic acid
  • Paracetamol
  • Dexamethasone
  • Gabapentin
  • Amitriptyline

15. True or false: Morphine is safer than oxycodone in mild renal impairment?

  • False
  • True

16. Which of these is useful to treat NV if 1st line antiemetics are inadequate but anxiety and agitation coexist?

  • Ondansetron
  • Levopromazine
  • Cyclizine
  • Haloperidol
  • Metoclopramide
  • Dexamethasone
  • Octreotide

17. What drug can be used to treat chemo induced NV or can be used as an adjunct if all else fails?

  • Metoclopramide
  • Dexamethasone
  • Cyclizine
  • Octreotide
  • Haloperidol
  • Levopromazine
  • Ondansetron

18. Which drug is 1st line in NV associated with gastritis, gastric stasis, functional bowel obstruction, or opioid induced NV?

  • Ondansetron
  • Levopromazine
  • Dexamethasone
  • Metoclopramide
  • Haloperidol
  • Cyclizine
  • Octreotide

19. What drugs can be used in palliative care for capillary bleeding?

  • Temazepam, zopiclone
  • Tranexamic acid, topical adrenaline
  • Nebuliers, opioids
  • Metronidazole
  • Metoclopramide, baclofen
  • Emollients, antihistamines

20. For the treatment of anxiety and agitation, which of the following is useful if nightmares and hallucinations coexist?

  • Haloperidol
  • Levopromazine
  • Lorazepam
  • Midazolam
  • Phenobarbitone