1. Palliative care is appropriate during which of the following times?
|
 | (A) Day of diagnosis
|
| (B) Last day of life
|
| (C) After death
|
| (D) All the above
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2. With regard to palliative care, patients and families want all the following, except:
|
| (A) Pain relief
|
| (B) Communication about illness and death
|
| (C) False hope
|
| (D) Psychosocial support
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3. What percentage of patients has moderate-to-severe pain during their last 3 days of life?
|
| (A) 20%
|
| (B) 30%
|
| (C) 40%
|
| (D) 50%
|
4. Which statement best describes the therapeutic usefulness of meperidine?
|
| (A) First-line analgesic agent for patients with moderate-to-severe pain.
|
| (B) Commonly combined with fluoxetine to treat patients with neuropathic pain.
|
| (C) Limited usefulness due to neurotoxic metabolites and drug interactions
|
| (D) Has a black-box warning against use in elderly patients
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5. Which of the following analgesic agents has been deemed inappropriate for treating pain in elderly patients?
|
| (A) Hydromorphone
|
| (B) Propoxyphene
|
| (C) Levorphanol
|
| (D) Methadone
|
6. How long does the analgesic effect of methadone last?
|
| (A) 4 to 6 hr
|
| (B) 6 to 12 hr
|
| (C) 12 to 18 hr
|
| (D) 18 to 24 hr
|
7. A patient on controlled-release oxycodone requires a short-acting opioid to treat breakthrough pain. What
percentage of the around-the-clock dose should be given for this purpose?
|
| (A) 2% to 3%
|
| (B) 5% to 10%
|
| (C) 10% to 15%
|
| (D) 20%
|
8. When initiating treatment with the fentanyl transdermal system, it can take up to________ to achieve steady-
state analgesia?
|
| (A) 8 hr
|
| (B) 12 hr
|
| (C) 24 hr
|
| (D) 40 hr
|
9. Which of the following routes of delivery should be avoided when giving analgesic agents?
|
| (A) Oral
|
| (B) Rectal
|
| (C) Transdermal
|
| (D) Intramuscular
|
10. Which of the following adverse effects associated with opioids is least tolerated by patients?
|
| (A) Constipation
|
| (B) Nausea and vomiting
|
| (C) Sedation
|
| (D) Itching
|
|
