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Chapter 4. Palliative Care

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JP is being treated for lung cancer, and received his last chemotherapy infusion 3 weeks ago. He is currently reporting nausea and vomiting since he started taking morphine for his cancer-related pain. Which of the following antiemetics would be the best option to treat his uncontrolled nausea and vomiting?

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A. Ondansetron

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B. Aprepitant

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C. Lorazepam

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D. Haloperidol

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E. Dolasetron

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A patient diagnosed with advanced COPD is reporting dyspnea associated with thickened pulmonary secretions. The patient has a strong cough reflex and is adequately hydrated. Which of the following is the best option for this patient?

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A. Oxygen therapy

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B. Low-dose oral morphine

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C. Scopolamine patches

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D. Nebulized saline

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E. Lorazepam

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Delirium often presents gradually, with persistent decline in memory and global functioning.

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A. True

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B. False

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In a patient diagnosed with advanced heart failure, who is demonstrating excessive fluid overload symptoms, which of the following medication should be reduced or discontinued?

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A. Digoxin

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B. Beta-adrenergic blocker

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C. Angiotensin-converting enzyme (ACE) inhibitor

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D. Loop diuretic

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E. Aspirin

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Nausea secondary to gastroparesis is most appropriately treated by which of the following agents?

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A. Lorazepam

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B. Haloperidol

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C. Metoclopramide

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D. Ondansteron

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E. Dolasteron

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Which of the following adjuvant is often used in conjunction with standard opioid therapy for the treatment of severe bone pain?

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A. Acetaminophen

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B. Corticosteroids

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C. Lorazepam

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D. Tricyclic antidepressants

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E. Alprazolam

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Which of the following best describes the cause of death in patients diagnosed with Lou Gehrig disease?

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A....

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