E02_10 Cancer Pain

Question 1

2017, 2018_Cancer Pain

Which of the following drugs can be used for moderate to severe cancer pain?

A. Paracetamol
B. Morphine
C. Ibuprofen
D. Diazepam

Answer 1

B. Morphine

The opioid of first choice for moderate to severe cancer pain is oral morphine.

Mild Pain: Paracetamol or NSAIDs
Mild to Moderate Pain: Weak Opioids +/- Paracetamol or NSAIDs
Moderate to Severe Pain: Strong Opioids +/- Paracetamol NSAIDs

Weak opioids - codeine, dihydrocodeine.

Question 2

2017, 2018_Cancer Pain

Which of the following statements is/are correct?

A. Assessment of pain should always be objectively quantified by the patient.
B. Biofeedback is not an acceptable mode of treatment for cancer pain
C. All of the Above
D. None of the Above

Answer 2

A. Assessment of pain should always be objectively quantified by the patient.

Question 3

2017, 2018_Cancer Pain

Which of the following drugs will not cause respiratory depression?

A. Morphine
B. Oxycodone
C. Tramadol
D. Methadone

Answer 3

C. Tramadol

T/N: Naloxone is the antidote for morphine toxicity

Question 4

2017, 2018_Cancer Pain

Neuropathic pain as can be seen in metastatic cancer can be managed with?

A. Amitryptiline
B. Lidocaine
C. Gabapentin
D. All of the Above

Answer 4

D. All of the Above

Tricyclic antidepressants and anticonvulsant drugs are effective in the management of neuropathic pain.

A. Amitryptiline - Anti-depressant (Clomipramine, Nortriptyline, Fluoxetine, Duloxetine)

B. Lidocaine - in selected patients

C. Gabapentin - Antiepileptic (Carbamezapine, Pregabaline)

Question 5

2017, 2018_Cancer Pain

Opioid analgesics may cause

A. Diarrhea
B. Nausea and vomiting
C. Pupillary dilation
D. All of the Above

Answer 5

B. Nausea and vomiting

Opioid Adverse effects:
  > N/V
  > Constipation (not diarrhea!)
  > Urinary Retention
  > Pruritus
  > CNS Toxicity (drowsiness, cognitive impairment, confusion, hallucinations, myoclonic jerks, hyperalgesia/allodynia)

Question 6

2017, 2018_Cancer Pain

Which of the following drugs is used as an intravenous general anaesthetic?

A. Pentazocine
B. Fentanyl
C. Hydroxymorphine
D. Any of the Above

Answer 6

B. Fentanyl