EOLC

End of Life Care:
The Latest Including Pain Management

Quiz for EOLC

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1.) A 78 year-old gentleman with lung cancer visits his doctor for the complaint of back pain. The patient rates his pain as 8 of 10 and describes it as burning. Which one of the following accurately describes the patient’s pain?
      a Severe neuropathic pain
      b. Moderate neuropathic pain
      c. Severe nociceptive pain
      d. Moderate nociceptive pain

2.) Which one of the following opioid adverse effects do patients NOT develop a tolerance to?
      a. Dry mouth
      b. Nausea
      c. Sedation
      d. Sweating
      e. Constipation

3.) According to the World Health Organization Three-Step Analgesic Ladder, which one of the following medications would be appropriate for a patient who rates his pain as 5 of 10 and describes it as throbbing?
      a. Gabapentin
      b. Aspirin
      c. Tramadol
      d. Morphine
      e. Fentanyl

4.) Pain that is dull and easily localized is classified as which one of the following?
      a. Visceral
      b. Somatic
      c. Somatosensory
      d. Vascular
      e. Neuropathic

5.) According to a study in the Journal of the American Medical Association in 2008 on pharmaceutical overdose deaths in West Virginia, doctor shopping was identified as one of the major sources of abused drugs. For approximately what percentage of the deaths was doctor shopping the source of the medication involved in the drug overdose deaths?
      a. 10%
      b. 20%
      c. 30%
      d. 40%
      e. 50%

6.) Under West Virginia Law for a patient who lacks decision-making capacity and who does not have a guardian, which one of the following should serve as the patient’s decision-maker if available?
      a. Healthcare proxy
      b. Healthcare surrogate
      c. Medical Power of Attorney Representative
      e. Healthcare agent
      f. Durable power of attorney for healthcare

7.) The first communication goal in meeting with a patient and family is which one of the following?
      a. Establish a trusting relationship
      b. Deliver medical information in an understandable way
      c. Share in decision- making with the family
      d. Decide on the goals of care
      e. Determine code status

8.) Which one of the following has been determined in multiple research studies to be a statistically significant independent predictor of patient prognosis?
      a. Beck Depression Inventory Score
      b. Folstein Mini-Mental Status Examination Score
      c. Serum hemoglobin level
      d. Serum albumin level
      e. The Montreal Cognitive Assessment Test Score

9.) Which one of the following is the most accurate statement with regard to advance care planning?
      a. Advance care planning is part of good preventive medical care.
      b. Sixty-five percent of patients participate in advance care planning.
      c. Advance care planning is an event that results in completion of a living will.
      d. Advance care planning does not require a system to be successful.
      e. There are not specific topics that need to be covered in advance care planning.

10.) Which one of the following is true with regard to the use of a living will compared to the use of a Physician Orders for Scope of Treatment (POST) form?
      a. Living wills have been shown to impact patient care more than POST forms.
      b. Living will forms and POST forms have comparable impact on patient care.
      c. The POST form is recommended for seriously ill patients.
      d. Neither form requires interpretation to become effective.
      e. Both forms provide immediately actionable medical orders.