palliative + oncology

Question 1

first line for secretions

Answer 1

Hyoscine hydrobromide or hyoscine butylbromide

Question 2

chemo induced N&V

Answer 2

ondansetron

Question 3

N&V with intracranial tumours

Answer 3

dexamethasone

Question 4

N&V caused by gastric dysmotility and stasis

Answer 4

pro-kinetic agent
- Domperidone
- Metoclopramide

Question 5

what is BRCA2 mutation is associated with in men

Answer 5

prostate cancer

Question 6

what to use for bowel colic (obstruction) in pall care

Answer 6

hyoscine hydrobromide, hyoscine butylbromide, or glycopyrronium bromide

• anti-muscarinics (so reduces smooth muscle contractions)

Question 7

preferred opioid in a syringe driver

Answer 7

diamorphine

Question 8

how much to increase morphine by if pain not controlled

Answer 8

30-50% (of the daily prescribed dose)

Question 9

oral to subcut morphine

Answer 9

half

Question 10

CA 125

Answer 10

ovarian

Question 11

CA 19-9

Answer 11

pancreatic

Question 12

CA 15-3

Answer 12

breast

Question 13

Prostate specific antigen (PSA)

Answer 13

Prostatic carcinoma

Question 14

Alpha-feto protein (AFP)

Answer 14

Hepatocellular carcinoma, teratoma

Question 15

Carcinoembryonic antigen (CEA)

Answer 15

Colorectal cancer

Question 16

S-100

Answer 16

Melanoma, schwannomas

Question 17

Bombesin

Answer 17

Small cell lung carcinoma, gastric cancer, neuroblastoma