Post-test Oic In Palliative care: A Case Based Approach

Reviewed by Editorial Team
The ProProfs editorial team is comprised of experienced subject matter experts. They've collectively created over 10,000 quizzes and lessons, serving over 100 million users. Our team includes in-house content moderators and subject matter experts, as well as a global network of rigorously trained contributors. All adhere to our comprehensive editorial guidelines, ensuring the delivery of high-quality content.
Learn about Our Editorial Process
| By Hness
H
Hness
Community Contributor
Quizzes Created: 1 | Total Attempts: 176
| Attempts: 176
SettingsSettings
Please wait...
  • 1/13 Questions

    Walter is a 36-year old cancer patient, treated successfully with chemotherapy but developed peripheral neuropathy ·         Walter's pain was so severe that he was unable to work or even stand. ·         He consulted a physician at a pain clinic, and he was started on an opioid regimen. ·         The treatment was very effective. Walter was able to  move without pain and return to work. ·         However, he developed constipation, and wanted to cut his dose of opioids. ·         An evaluation revealed that Walter had not been taking his bowel regimen because of the pill burden (8 senna and 2 docusate). ·         On restarting the constipation regimen, Walter found that it did not work as before. ·         In discussion with his provider, it was decided to rotate the opioids to see if Walter's pain and constipation could be controlled on fewer pills. ·         A switch to methadone and lactulose successfully controlled pain and constipation on fewer pills.With respect to opioid rotation, which of the following is associated with less constipation?

    • Oxycodone
    • Methadone
    • Hydromorphone
    • Fentanyl
    • B and D
Please wait...
About This Quiz


Thank you for viewing this activity. Please complete the following post-test and evaluation to receive your certificate of credits. Your certificate will be emailed to you within 2 weeks of successful completion.

Post-test Oic In Palliative care: A Case Based Approach - Quiz

Quiz Preview

  • 2. 

    Isabel is a 57-year old woman with chronic progressive multiple sclerosis, receiving care at home ·         During a recent pain crisis, Isabel requested morphine, which had worked in another pain crisis. ·         On the previous regimen of opioids, Isabel had difficult-to-manage constipation which had resulted in hospitalization for fecal impaction. The patient and her family were concerned that this would happen again and thus requested guidance. ·         When oral laxatives were recommended, the physician was told that Isabel had difficulty swallowing at times, but that she refused to have a standing regimen of enemas since she  did not want her family to have to perform this task. ·         The physician prescribed long-acting morphine ER 15 mg every 12 hrs, with immediate-release morphine 5 mg every 2 hrs for breakthrough pain. ·         At the same time, the physician initiated a standing dose of docusate sodium 200 mg bid and sennoside 8.6 mg bid, ensuring the family that if constipation occurred for more than 3 days on this regimen, a subcutaneous injection of methylnaltrexone would be prescribed. ·         This satisfied the patient and family, knowing that Isabel would be able to obtain adequate pain relief and maintain bowel function at homeThe pathophysiology of constipation in patients with multiple schlerosis is due to inherent:

    • Metabolic alterations

    • Electrolyte imbalance

    • Neurogenic bowel

    • Pain modulation mechanisms

    • Lack of mobility

    Correct Answer
    A. Neurogenic bowel
    Explanation
    The correct answer is neurogenic bowel. In patients with multiple sclerosis, the pathophysiology of constipation is often due to neurogenic bowel dysfunction. This means that there is a disruption in the normal functioning of the nerves that control bowel movements. This can result in difficulties with stool evacuation and can be exacerbated by factors such as immobility and certain medications, like opioids. In this case, the patient had previously experienced difficult-to-manage constipation while on opioids, which led to hospitalization. The physician prescribed a combination of medications and interventions to help manage constipation and maintain bowel function at home.

    Rate this question:

  • 3. 

    Multifactorial issues leading to constipation in palliative care patients include all of the following EXCEPT:

    • Immobility

    • Reduced intake of food

    • Inadequate fluid intake

    • Pain

    • Care giver support

    Correct Answer
    A. Care giver support
    Explanation
    The correct answer is "Care giver support." In palliative care patients, constipation can be caused by various factors such as immobility, reduced intake of food, inadequate fluid intake, and pain. However, caregiver support does not directly contribute to constipation in these patients. It is important for caregivers to provide adequate support and assistance to palliative care patients, but it is not a factor that directly affects constipation.

    Rate this question:

  • 4. 

    Please check if you agree with the following statements:

    • The way I practice in this clinical area is acceptable to me

    • I may need to examine one or more of my clinical practices in this area

    • I plan to change the way I practice in this area in the near future

    Correct Answer(s)
    A. The way I practice in this clinical area is acceptable to me
    A. I may need to examine one or more of my clinical practices in this area
    A. I plan to change the way I practice in this area in the near future
    Explanation
    The answer suggests that the individual finds their current practice acceptable but also acknowledges the need to evaluate and potentially change certain practices in the near future. This indicates a willingness to reflect on their clinical practices and make improvements as necessary.

    Rate this question:

  • 5. 

    May we contact you in the future regarding other CME activities and to determine the impact of this activity on your practice?

    • Yes

    • No

    Correct Answer(s)
    A. Yes
    A. No
    Explanation
    The given correct answer is "Yes, No". This means that the individual is open to being contacted in the future for other CME activities and to assess the impact of this activity on their practice. It indicates a willingness to engage in further professional development and contribute to the evaluation of educational initiatives.

    Rate this question:

  • 6. 

    Do you anticipate making any changes in practice as a result of participating in this program?

    • Yes

    • This program confirms my current practice

    • No

    Correct Answer(s)
    A. Yes
    A. This program confirms my current practice
    A. No
    Explanation
    The correct answer is "Yes, This program confirms my current practice, No." This response suggests that the individual anticipates making changes in their practice as a result of participating in the program. They acknowledge that the program aligns with their current practice, indicating that they may continue or reinforce their current approach. However, they also state "No," indicating that they do not anticipate making any changes. This response may be seen as contradictory, but it could imply that while they recognize the program's alignment with their practice, they do not foresee any significant changes or adjustments being made.

    Rate this question:

  • 7. 

    Was this activity fair balanced and free of commercial bias?  If no, please explain

    • Yes

    • No

    Correct Answer(s)
    A. Yes
    A. No
  • 8. 

    EVALUATIONYour Name as You Would Like Printed on Your Certificate

  • 9. 

    Your Address as You Would Like Printed on Your Certificate

  • 10. 

    What was the most effective part of this activity?

  • 11. 

    What was the least effective part of this activity?

  • 12. 

    Please list any practice changes you plan to make.

  • 13. 

    If you answered no above, please explain.

    Correct Answer(s)
    .

Quiz Review Timeline (Updated): Mar 29, 2024 +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Mar 29, 2024
    Quiz Edited by
    ProProfs Editorial Team
  • Dec 16, 2010
    Quiz Created by
    Hness
Back to Top Back to top
Advertisement
×

Wait!
Here's an interesting quiz for you.

We have other quizzes matching your interest.