First line drug for opioid induced nausea and vomiting

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Reference no: EM133922041

Questions

1. Management of G I symptoms include

a. anticipation of problems before they occur

b. Ongoing assessment of treatment and their effectiveness

c. Reassess the treatment

d. All of the above

2. Normal secretion of saliva in 24 hours

a. 0.5L

b. 1L

c. 1.5L

d. 2L

3. Mouth care should be undertaken in all patients

a. Once in the morning

b. 2-4 hours

c. 6-8 hours

d. On request by the family

4. Which is not a feature of oral candidiasis

a. Intense inflammation

b. Reddish appearance of mucosa

c. White patches in the mucous membrane

d. Leukopalakia

5. Management options for candidiasis

a. Antibiotic

b. Antiviral

c. Antifungal

d. Hormone Therapy e

6. Causes of stomatitis include the following except

a. Dry mouth

b. Vitamin D deficiency

c. Infection

d. Vitamin C deficiency

7. Causes of xerostomia include the following except one

a. Anti muscarinics

b. Anti depressants

c. Opioids

d. Laxatives

8. Bio chemical mediator for vomiting include the following except

a. Histamine

b. Hydroxytryptamine

c. Dopamine

d. Serotonin

9. First line drug for opioid induced nausea and vomiting

a. Haloperidol

b. Prokinetic agents

c. 5HT3 Antagonists

d. Steroids

10. In intractable opioid induced nausea and vomiting

a. Try another opioid

b. Reduce the dose of opioid

c. Try combination of antiemetics

d. All of above

11. Drug of choice for vomiting induced by raised intracranial pressure

a. Prokinetics

b. 5HT3 Antagonists

c. Haloperidol

d. Steroids

12. Which of the following drugs should be discontinued in vomiting due to gastric irritation

a. Antacids

b. Omeprazole

c. NSAID

d. Metoclopramide

13. Side effect of antiemetics include all the following except

A.Extrapyramidal symptoms

b .Akathisia

c. Itching

d Constipation

14. Treatment of vomiting due to hypercalcemia should be initiated by

a. Bisphosphonates

b. Rehydration

c. Antiemetics

d. Steroids

15. All of these drugs are used for opioid induced constipation except

a. Stimulants

b. Faecal softeners

c. Rectal agents

d. Bulk forming agents

16. Treatment of choice in severe constipation

a. Phosphate enema

b. Rectal laxatives

c. Oral laxatives

d. Soap & water enema

17. Which laxatives has earliest onset of action

a. Phosphate Enema

b. Polyethylene glycol

c. Senna

d. Lactulose

18. Commonest causes of diarrhea in palliative care setting is

a. Malabsorption

b. Bowel fistulae

c. Odd dietary habits

d. Imbalance of laxative therapy

19. Which antiemetics causes constipation

a. Steroids

b. Ondansetron

c. Metoclopramide

d. Domperidone

20. Drugs to be used with caution in suspected bowel obstruction

a. Prokinetic drugs

b. Hyoscine butyl bromide

c. Dexamethasone

d. Octreotide

21. Drug of choice in panic with hyperventilation

a. Theophylline

b. Frusemide

c. Benzodiazepine

d. Steroids

22. Breathlessness common in all these cancers except

a. Lung

b. Prostate

c. Breast

d. Stomach

Reference no: EM133922041

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