Palliative Care Day 4 - Nurses Revision

Welcome to your Palliative Care Day 4

May 15, 2025

Attempt all questions

Time Allowed: 20 min

1. According to the WHO, what should be considered a Basic Human Right?

a) Freedom from cancer pain

b) Freedom from all pain

c) Freedom from any discomfort

d) Freedom from minor aches

2. Which principle of effective pain management emphasizes giving treatment orally when possible?

a) By the ladder

b) By the clock

c) By the mouth

d) By the patient

3. For persistent pain, what is recommended regarding the dosages of analgesics?

a) Give analgesics only when the pain is severe.

b) Give analgesics sporadically.

c) Give analgesics at regular intervals.

d) Give analgesics only before bedtime.

4. Which principle suggests that dosages of analgesics should be titrated against pain?

a) By the ladder

b) By the patient

c) By the mouth

d) By the clock

5. When managing bone pain that is semi-responsive to opiates, what additional medication may be considered?

a) Steroid

b) Muscle relaxant

c) Anticonvulsant

d) NSAID

6. What type of pain may require the use of tricyclic antidepressants like amitriptyline?

a) Muscle pain

b) Bone pain

c) Neuropathic pain

d) Inflammatory pain

7. Which of the following should be used as adjuvants to manage pain effectively?

a) Steroids

b) Opioids alone

c) NSAIDs alone

d) Paracetamol plus Diclofenac

8. What practice involves inserting thin needles at specific points on the body to stimulate energy flow and reduce pain?

a) Massage Therapy

b) Yoga

c) Acupuncture

d) Meditation

9. Which medication class may be prescribed to manage anxiety and muscle tension, which can exacerbate pain perception in some patients?

a) Antipsychotics

b) Benzodiazepines

c) Antidepressants

d) Antispasmodic Agents

10. What is the cornerstone of pain management in palliative care?

a) Adjuvant Medications

b) Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)

c) Opioid Analgesics

d) Local Anesthetics

11. What is the purpose of a black box warning for prescription drugs?

a) To promote the drug's sales

b) To alert healthcare providers and patients about serious potential risks

c) To indicate the drug's expiration date

d) To highlight the drug's affordability

12. What is the recommended action for preventing further absorption of morphine in cases of overdose?

a) Administer a narcotic antagonist

b) Use activated charcoal

c) Provide laxatives

d) Administer corticosteroids

13. Which medication is mentioned as an example of an adjuvant medication used in pain management?

a) Morphine

b) Naloxone

c) Amitriptyline

d) Hyoscine butylbromide

14. What is the recommended action for preventing diversion of class A drugs?

a) Keeping them in open access areas

b) Storing them in a secure, double-locked cupboard

c) Sharing them with other healthcare facilities

d) Disposing of them in public waste bins

15. What is the primary purpose of Bisphosphonates in medical treatment?

a) Managing pain associated with nerve damage

b) Managing pain associated with bone metastases.

c) Managing pain associated with gastrointestinal issues

d) Managing pain associated with migraine headaches