Reference no: EM133923296
Question
True or False
1. Laxative should be routinely prescribed while starting a strong opioid.
2. Quick response to treatment is seen with treatment for pain than for GI symptom.
3. Majority of patients in palliative care have oral problem of varying severity.
4. Xerostomia is an objective feeling
5. Non humidified Oxygen therapy causes xerostomia
6. Halitosis can be caused by suppurative lung diseases
7. 5- Hydroxytryptamine which causes vomiting is found in gut lining
8. In complete bowel obstruction Prokinetic drugs should be given
9. In palliative care setting morphine can be used for treatment of breathlessness
10. Blood gases are always abnormal in malignant lung diseases
11. Oxygen is indispensable in all cases of breathlessness
True or False Statements
1. Prior to wound dressing extra dose of analgesia is used to reduce pain
2. Dressing must be soaked prior to removal to reduce pain and bleeding from the wound
3. Tap water is used for bowel irrigation in patients with colostomy
4. Patients should be advised not to travel with colostomy bag
5. Putting charcoal in the colostomy will prevent mal odour
6. Outer tube of tracheostomy should be cleaned and boiled every day
7. Tracheostomy patients can be trained to speak
8. Blood pressure should not be checked on the lymphodema arm
9. Compression bandage promotes lymph flow
10. Exercise should be strictly avoided in lymphoedema limb
11. Whole body should be exposed and bathed at the time of giving bed bath
12. Soaps which contain less alkali should be used for bed bath
13. Good hair care enhances self image of the patient
14. Cleaning of the perineum starts from urethra
15. Patients with colostomy should not indulge in sexual activity
16. Elevation of limb reduces lymph oedema
17. Lymphorrea dry hard skin
18. Peaud' orange is leaking of lymph
19. Bed bath should be given immediately after meals
20. Cleaning is done from a clean area to a less clean area
True or False
1. There are no emergency situations in palliative care.
2. An emergency situation in palliative care will always require management in intensive care unit
3. Delirium is always seen during terminal phase of an illness
4. Dementia is irreversible
5. Antibiotics have to be given to a neutropenic patient with sepsis only after C&S tests
6. Sudden deterioration of general condition without fever, tachycardia and sweating. can occur in a neutropenic patient having sepsis
7. In a patient with Ca. Breast complaining of recent onset of back ache, spinal metastases should always be ruled out
8. Clinical diagnosis of spinal cord compression can be made only when there is sphincter disturbance
9. Basic pain and weakness alone can be early signs of spinal cord compression
10. MRI Scan is mandatory in a patient with spinal cord compression before starting radiotherapy
11. Management of spinal cord compression needs multi team approach
12. Steroids can be a first line management option in patients with spinal cord compression
13. Myoclonic twitching can occur in uremia
14. Palliative care is applicable only in the care of cancer patients
15. All the patients having dyspnoea will be having respiratory failure
16. Treatment with opioid can worsen dyspnoea in a terminally ill patient
17. Opioids are contraindicated in dyspnoea
18. Oxygen therapy is mandatory for all patients having dyspnoea
19. In terminal dyspnoea opioids and benzodiazepines should not be combined
20. In terminal dyspnoea nebulised opioids are better than oral opioids
21. Chronic heart failure can lead to multiple organ failure
22. Towards end of life phase discontinuation of cardiac drugs may be appropriate
True or False
1. We should never use sedatives in Motor Neuron Disease (MND)
2. Morphine can not be used in MND
3. Depression disorder can also exhibit psychiatric features
4. Sphincter tone is lost in UMN bowel
5. Pain in spinal cord injuries can only be neuropathic
6. The most common pathology of stroke is atherosclerosis
7. Hormone replacement therapy/ Oral contraceptive pills can contribute to the development of stroke
8. Reversible Ischemic neurological Deficit resolve within 24hours
9. Old age pension is being provided as part of the national social assistance programme
10. Geriatric age group generally refers to people above 65 years.