Yale Palliative care Education - Post-participation Quiz

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Yale Palliative care Education - Post-participation Quiz

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


Questions and Answers
  • 1. 
    • A. 

      Neuropathic pain

    • B. 

      Somatic pain

    • C. 

      Vascular pain

    • D. 

      Visceral pain

  • 2. 
    The most reliable indicator of pain severity is:
    • A. 

      Fluctuations in pulse

    • B. 

      Patient behaviors: grimacing and crying

    • C. 

      Skilled nursing assessment

    • D. 

      The patient's self report

  • 3. 
    The peak analgesic effect from a dose of short-acting oral morphine can be expected in?
    • A. 

      15-30 minutes

    • B. 

      20-40 minutes

    • C. 

      60-90 minutes

    • D. 

      120-180 minutes

  • 4. 
    300 mg/day of a long-acting morphine preparation is equivalent to what dose-rate of IV morphine as a continuous infusion?
    • A. 

      1 mg/hr

    • B. 

      4 mg.hr

    • C. 

      7 mg/hr

    • D. 

      10 mg/hr

  • 5. 
    The dose of breakthrough morphine, for a patient taking 300 mg of long acting morphine/day should be approximately:
    • A. 

      10 mg

    • B. 

      30 mg

    • C. 

      60 mg

    • D. 

      120 mg

  • 6. 
    • A. 

      Addiction is very rare when opioids are used in patients with pain.

    • B. 

      Emotional or spiritual distress may affect a patient's experience of pain and its severity.

    • C. 

      Respiratory depression from opioids is very rate and occurs only after a patient has a decreased level or arousal.

    • D. 

      Opiate-associated constipation often resolves over time so laxatives can be used sparingly.

  • 7. 
    Common metabolic causes of delirium include all the following, except:
    • A. 

      Hypocalcemia

    • B. 

      Hypercalcemia

    • C. 

      Hypernatremia

    • D. 

      Uremia

  • 8. 
    Benzodiasepines are not the first drug choice for treating delirium because of the:
    • A. 

      Risk of aspiration due to sedation

    • B. 

      Risk of dependence

    • C. 

      Risk of paradoxical worsening of delirium

    • D. 

      Risk of respiratory depression when used with opioids

  • 9. 
    Opioid-induced constipation is caused by all the following except:
    • A. 

      Decreased bowel fluid secretion and/or increased absorption

    • B. 

      Decreased tone of bowel musculature

    • C. 

      Opioid binding to gut and central nervous system opioid receptors

    • D. 

      Increase in non-propulsive activity

  • 10. 
    All of the following metabolic conditions may cause constipation, except:
    • A. 

      Hypothyroidism

    • B. 

      Hypercalcemia

    • C. 

      Hypnotremia

    • D. 

      Uremia