Approach to Care, Prognosis

1. A nurse practitioner may serve as a hospice medical director.
2. A nurse practitioner may serve as an attending for a hospice patient.
3. It is more difficult to prognosticate for non-oncologic diagnoses than it is for oncologic diagnoses.
4. A Medicare-certified hospice must have at least 15% of its hours provided by volunteers.
5. A CNA must be present during each team IDT meeting.
6. The most recent average length of stay (ALOS) for any hospice patient in the United States is 90 days.
7. Hospital inpatient palliative care services have been shown to increase hospice utilization in the communities they serve.
8. While hospice and palliative care may differ, they face the same barriers to implementation.
9. A patient in a skilled nursing facility may simultaneously be on hospice and skilled care.
10. The initial hospice benefit is divided into 3 60-day benefit periods.
11. Which of the following is (are) not acute side effects of radiation therapy?
12. Patient is 59-year-old female with stage 4 non-small cell lung cancer. Family desires to keep patient at home on hospice, pain is well controlled but now with significant EOL dysphagia. Prior regimen is LA morphine 100 mg P.O. Q12H and MSIR 30 mg P.O Q4H PRN (average 3 BTP dose/24hr). What is PCA morphine basal and bolus dose?
13. Which of the following patients (all with same stage disease) could likely most benefit from palliative care?
14. Which of the following is not typically used in the treatment of neutropenic fever?
15. An elderly patient has stage 4 lung cancer with decline in functional status and PPS of 20. The family would like to know “how long?” Your best estimate is:
16. Which of the following regarding PEG tubes in end-stage Alzheimer’s disease patients is correct?
17. Which of the following is least likely to cause serotonin syndrome?
18. All of the following are CAGE questions except:
19. You are asked to see a patient in consultation for opioid withdrawal; you are told the patient has a COWS (Clinical Opiate Withdrawal Scale) score of 14. You determine:
20. Which of the following is not a substance/drug abuse risk screening tool?
21. Which of the following is not associated with poor prognosis in patients with Covid-19?
22. What is the median incubation period (in days) for Covid-19?
23. Which of the following symptom clusters would be most consistent with Covid-19 presentation?
24. Which of the following confirmed Covid-19 positive patients would benefit most from early palliative consultation?
25. Which of the following statements from the Surviving Sepsis Campaign: Guidelines on the Management of Critically Ill Adults with Coronavirus Disease 2019 (COVID-19) are false?