Management of Non-Pain Conditions 1

1. 

Which of the following antibiotics can be administered intramuscularly?

2. 

84-year-old male with a long history of CHF and COPD with admission to hospital for CHF exacerbation. On admission, patient with CO2 29, 5 days later CO2 38. Patient feeling better overall. Most likely reason is:

3. 

Which of the following laxatives would be most beneficial in a patient with comorbid end-stage liver disease?

4. 

Which of the following antiemetics would be most beneficial in a patient with comorbid vestibular disturbance?

5. 

Which of the following diet consistencies is likely safest in a hospice patient with dysphagia where “pleasure feeds” are desired?

6. 

Which of the following medications should not be given subcutaneously?

7. 

Which of the following may be nebulized for patients with dyspnea who are opioid sensitive?

8. 

Which of the following is not an acceptable primary hospice diagnosis?

9. 

Which of the following opioids is not available in both oral and intravenous preparations?

10. 

Physicians overestimate life expectancy by what percent?

11. 

The average methadone maintenance dose has increased over the last several decades.

12. 

A hospice can have more than one medical director.

13. 

A patient can be recertified for hospice beyond the initial 6-month period if he or she remains prognostically appropriate.

14. 

Dementia is an acceptable hospice terminal diagnosis.

15. 

A patient with Alzheimer’s disease and a FAST of 6e can use this as the hospice terminal diagnosis.

16. 

A patient with stage 4 lung cancer and an ECOG of 4 is a good candidate for immunotherapy.

17. 

Barriers to palliative care include culture and a fractionated health care system.

18. 

The majority of patients who receive hospice have a primary diagnosis that is cancer related.

19. 

Patients with ALS are often referred to hospice earlier than patients with non-small cell lung cancer.

20. 

Dyspnea is often undertreated in patients with advanced pulmonary disease.