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Finals - Systems Paper > Cancer/Palliative Care > Flashcards

Cancer/Palliative Care Flashcards

1
Q

Treatment agitation

A

1) Haloperidol

2) Chlorpromazine or levomepromazine

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2
Q

Treatment hiccups

A

1) Chlorpromazine

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3
Q

Treatment secretions

A

1) Hyoscine hydrobramide

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4
Q

Treatment nausea due to decreased gastric motility

A

1) Metoclopramide or domperidine - do not use meto in bowel obstruction

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5
Q

Treatment nausea due to chemicals

A

1) Correct disturbance

2) Ondensetron

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6
Q

Treatment nausea due to raised ICP

A

1) Cyclizine

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7
Q

Breakthrough dose morphine

A

1/6 24h dose

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8
Q

Analgesia choice in CKD

A

Moderate - oxycodone

Severe - buprenorphine or fentanyl

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9
Q

Treatment metastatic bone pain

A

Strong opiod, radiotherapy or bisphosphonate

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10
Q

Increased opiod dose

A

Increase 30-50%

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11
Q

Convert codeine to oral morphine

A

Divide by 10

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12
Q

Convert morphine to oral oxycodone

A

Divide by 1.5/2

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13
Q

Convert morphine to SC morphine

A

Divide by 2

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14
Q

Convert oral morphine to SC diamorphine

A

Divide by 3

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15
Q

Convert oral oxycodone to SC diamorphine

A

Divide by 1.5

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16
Q

What tumour causes hypercalcaemia

A

Squamous cell lung cancer

bone mets and myeloma also cause

17
Q

Identify neutropenic sepsis

A

Low neutrophil count and temp or signs sepsis

18
Q

Treatment neutropenic sepsis

A

1) Piperacillin with tazobactan (tazocin)

19
Q

Diagnose neoplastic spinal cord compression

A

MRI

20
Q

Treatment neoplastic spinal cord copmression

A

High dose oral dexamathasone

and urgent oncology assessment for radiotherapy or surgery

21
Q

Identify superior vena cava syndrome

A

Usually lung cancer (small cell)
SOB
Swelling face and arms
Visual disturbance

22
Q

Treatment superior vena cava syndrome

A

Endovascular stenting

Radical chemo or radiotherapy

23
Q

Alanie dye linked to

A

Bladder (transitional cell carcinoma)

24
Q

HPV for cancer and warts

A

HPV 16 and 18 - cervical cancer

HPV 6 and 11 - warts

25
Q

Treatment chemo related nausea

A

Low risk - metaclopramine

High risk - ondensetron

26
Q

Adverse cyclophosphamide

A

Myelosuppresion

Haemorrhagic cystitis

27
Q

Bleomycin adverse

A

Lung fibrosis

28
Q

Anthracyclidine adverse

A

Cardiomegaly

29
Q

Fluorouracil adverse

A

Myelosuppresion, mucositis

30
Q

Cisplatin adverse

A

Ototoxicity, peripheral neuropathy

31
Q

Thyroid cancer calcitonin used to monitor

A

Medullary thyroid cancer

32
Q

Vincristine adverse

A

Peripheral neuropathy

33
Q

CA 125

A

Ovarian

34
Q

CA19-9

A

Pancreas

35
Q

CA15-3

A

Breast

36
Q

PSA

A

Prostate

37
Q

AFP

A

Liver, testicular teratoma

38
Q

CEA

A

Colorectal

39
Q

Identify tumour lysis syndrome

A

Breakdown of cells:

  • high potasium and phosphate
  • low calcium
  • AKI

Finals - Systems Paper (20 decks)

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