CCC

Question 1

PET scans are only offered to px

Answer 1

undergoing curative tx

(determine malignant hotspots & monitor response to tx)

Question 2

antiemetic 1st choices

Answer 2

palliative care - cyclizine (H1)

chemo/radio induced - ondansetron (5HT3)

gastric stasis - metoclopramide (D2)

Question 3

opioid options in renal compromise

Answer 3

mild - oxycodone

severe - buprenorphine patches, alfentanil

Question 4

breast metastases –> brain route
(most common route for distant metastasis to spread)

Answer 4

haematogenous

Question 5

blood transfusion threshold in mormocytic anaemia

Answer 5

Hb<80
no signs ACS

Question 6

neutropenic sepsis meds

Answer 6

tazocin (ciprofloxacin if pen. allergic)

meropenem & vancomycin 48hrs later if fever persists (MRSA cover)

Question 7

chemotherapeutic causing haemorrhagic cystitis (dysuria, frequency, haematuria) 24-48hrs later

Answer 7

Cyclophosphamide

Question 8

pyrimidine antagonist associated with palmar–plantar erythrodysesthesia.

Answer 8

Gemcitabine

Question 9

chemotherapeutic causing reversible peripheral neuropathy & nephrotoxicity

Answer 9

cisplatin

Question 10

chemo, pulm fibrosis & oedema

Answer 10

Melphalan

Question 11

chemo nail changes

Answer 11

taxane

Question 12

anxiolytics used

Answer 12

morphine

midazolam

Question 13

palliative care SOB/pain control if renal impairment

Answer 13

oxycodone (not morphine)

Question 14

hiccups in palliative care

Answer 14

chlorpromazine or haloperidol

Question 15

N/V due to gastric stasis

Answer 15

metoclopramide

Question 16

add this to syringe drivers for biliary colic & respiratory secretions

Answer 16

hyoscine hydrobromide, hyoscine butylbromide, or glycopyrronium bromide

Question 17

how might raised IC pressure present on C

Answer 17

hypodense lesions within the brain with surrounding vasogenic oedema

Question 18

peripheral neuropathy & urinary hesitancy secondary to bladder atony are SEs of what chemo

Answer 18

Vincristine

Question 19

bone mets often originate from

Answer 19

prostate/breast –> lung

Question 20

1st line agitation med vs terminal care agitation med

Answer 20

PO haloperidol
SC midazolam

Question 21

cardiomyopathy chemo

Answer 21

Anthracyclines (e.g. doxorubicin)

Question 22

painful mouth that may occur at the end of life

Answer 22

Benzydamine hydrochloride mouthwash or spray

Question 23

x-ray spine fractures in MSCC

Answer 23

vertebral wedge compression fractures and focal sclerotic bony lesions

Question 24

blood test prognostic in cancers

Answer 24

FBC (anaemic –> worried)

Question 25

spasmodic pain tx in palliative care px

Answer 25

doazepam

Question 26

syndrome associated with breast cancer, osteosarcoma & soft tissue sarcomas

Answer 26

Li-Fraumeni syndrome

Question 27

confusion bloods

Answer 27

FBC, U&Es, LFTs, coag/INR, haematinics, TFTs, bone profile, glucose & blood/urine culture,

Question 28

1st line abx for animal bites

Answer 28

co-amoxiclav

Question 29

anti-emetic in renal impairment

Answer 29

haloperidol

Question 30

laxative to give when a softner required (ie no need to change number of stools, just make it easier/less painful to pass stool)

Answer 30

docusate capsules

Question 31

remember anyone with mesothelioma who dies then

Answer 31

refer to coroner

Question 32

diuretic that is common cause of hyponatraemia

Answer 32

thiazide diuretics

Question 33

normal spirometry results

Answer 33

FEV1 & FVC >80% & normal FEV1:FVC (>70%)

Question 34

when would u not use Q-risk

Answer 34

CKD

Question 35

cardioprotective anti-diabetic med

Answer 35

SGLT2 (-flozin)

Question 36

DDx 23 year old male student, constant localised pain LT anterior chest wall. Anxious, feels has to ‘catch breath’ sometimes, but able to run 5k without undue SOB. Sats 99%. HR 70. Palpation reproduces symptoms

Answer 36

costochondritis

Question 37

barthel index

Answer 37

measure performance of ADLs

Question 38

possible causes of hallucinations in elderly with cancer

Answer 38

opiate toxicity mets hypercalcaemia infections

Question 39

DOAC monitoring

Answer 39

at start then annually

Question 40

statin monitoring

Answer 40

start, 3 months, annually

Question 41

med for diabetic neuropathy

Answer 41

duloxetine

Question 42

how to measure central adiposity

Answer 42

waist:height

Question 43

consideration for referral for oral tx psoriasis

Answer 43

severe // >10% // scalp psoriasis

Question 44

when to turn PRN subcut into dyringe

Answer 44

if needing repeated (>2 in 24hrs)

Question 45

stage 1-2 NSCLC tx

Answer 45

surgery (if not then radio)

Question 46

localised prostate cancer tx

Answer 46

radical prostectomy or radio or surgery then radio

Question 47

advanced prostate cancer tx

Answer 47

hormonal (goserelin/buserelin)

Question 48

prostate cancer with mets tx

Answer 48

radio