Revision Lecture weekend

Question 1

Cerebral causes of N&V? (2)

Answer 1

1. Anxiety/anticipatory

2. Raised ICP

Question 2

Treatment for cerebral N&V? (3)

Answer 2

1. Dexamethasone
2. Cyclizine
3. Benzodiazepines

Question 3

Causes of toxic N&V? (5)

Answer 3

1. Chemotherapy
2. Radiotherapy
3. Infection
4. Drug toxins
5. Biochemical abnormalities

Question 4

Treatment for toxic N&V? (3)

Answer 4

1. Levomapromazine
2. Cyclizine
3. Haloperidol

Question 5

Causes of gastric N&V? (2)

Answer 5

1. Gastritis (e.g. drugs)

2. Gastric stasis (e.g. liver mets)

Question 6

Treatment for gastric N&V? (2)

Answer 6

1. Domperidone
2. Metoclopramide
3. PPI

Question 7

Vestibular N&V?

Answer 7

1. Motion sickness

2. Labrinthitis

Question 8

Treatment vestibular N&V?

Answer 8

Antihistamine e.g. promethazine

Question 9

Pharmacological management for breathlessness in advanced disease…what are the options? (2)

Answer 9

1. Opioids

2. Benzodiazepines

Question 10

Non-pharmacological treatment for breathlessness in advanced disease? (3)

Answer 10

1. Discuss fears
2. Breathing re-training
3. Fan

Question 11

In the final months of life, what needs to be discussed with the patient and management put into place?

Answer 11

1. Communicate the stage of their illness
2. Goals of care
3. Preferred place of care and death
4. Social and family needs
5. Spiritual and religious needs
6. Medication review
7. Manage physical symptoms
8. Palliative care register / gold standards framework

Question 12

What are the 4 main anticipatory drugs?

Answer 12

1. Analgesic
2. Anxiolytic
3. Anti emetic
4. Anti secretory

Question 13

Converting MST to diamorphine, what do you need to divide by?

Answer 13

3

Question 14

Converting MST to morphine sulphate, what do you need to divide by?

Answer 14

2

Question 15

Which cancers is hypercalcaemia linked with?

Answer 15

1. Lung
2. Breast
3. Myeloma
4. Renal
5. Prostate