Palliative Care

Question 1

Hiccups Rx

Answer 1

Haloperidol
Chlorpromazine

Question 2

Nausea mechanisms

Answer 2

Reduced gastric motility
Raised ICP
Chemically mediated
Visceral/serosal
Vestibular
Cortical

Question 3

Reduced gastric motility antiemetic

Answer 3

Metoclopramide/Domperidone

Question 4

Intracranial mass antiemetic

Answer 4

Cyclizine
Dex or radiotherapy to be considered

Question 5

Chemically mediated antiemetic

Answer 5

Ondansetron/haloperidol/levomepromazine

Question 6

Visceral/serosal antiemetic

Answer 6

Cyclizine/levomepromazine
Hyoscine can help

Question 7

Vestibular antiemetic

Answer 7

Cyclizine
Metoclopramide/prochlorperazine
Atypical antipsychotics (olanzapine/risperidone) in refractory cases

Question 8

Cortical (anticipatory) antiemetic

Answer 8

Lorazepam
Cyclizine
Ondansetron/metoclopramide

Question 9

Bone pain palliative Rx

Answer 9

Opioids
Bisphosphonates
Radiotherapy

Question 10

Palliative care agitation ladder

Answer 10

Haloperidol
Chlorpromazine/Levomepromazine
Subcut midazolam in terminal phase

Question 11

Opioids in renal impairment

Answer 11

Oxycodone in mild-moderate
Buprenorphine/fentanyl/alfentanil in severe