This quiz is designed to assess the knowledge of medical students, who HAVE completed Med I & II, who DID participate in the Interdisciplinary Palliative Care Educational Project, a new initiative beginning in October 2008. If you took the Internal Medicine Clerkship as your FIRST clerkship in fall 2008 you did not have this course- Please DO NOT take this quiz, please attend the session on Palliative Caree Pain Management with Dr. Ellman during ICM, you may attend the session again if you like, to prepare for internship. Please do not look up questions, just answer the best you can. This is an anonymous quiz, no names will be used in evaluating the results. Entering your name below is optional, you can leave it blank. Please enter the access code you rece
Fluctuations in pulse
Patient behaviors: grimacing and crying
Skilled nursing assessment
The patient's self report
Addiction is very rare when opioids are used in patients with pain.
Emotional or spiritual distress may affect a patient's experience of pain and its severity.
Respiratory depression from opioids is very rate and occurs only after a patient has a decreased level or arousal.
Opiate-associated constipation often resolves over time so laxatives can be used sparingly.
Risk of aspiration due to sedation
Risk of dependence
Risk of paradoxical worsening of delirium
Risk of respiratory depression when used with opioids
Decreased bowel fluid secretion and/or increased absorption
Decreased tone of bowel musculature
Opioid binding to gut and central nervous system opioid receptors
Increase in non-propulsive activity
Here's an interesting quiz for you.