EFA onco and palliative

Question 1

Site of mets for vulval cancer

Answer 1

Superficial inguinal

Question 2

Cauda equina syndrome symptoms

Answer 2

Back pain, lower limb weakness, faecal incontinence, loss of sensation in saddle region

Question 3

Acute SE of external beam radiotherapy for lung cancer

Answer 3

Oesphagitis

Question 4

Radiotherapy side effects vs immunotherapy side effects

Answer 4

Radiotherapy SE - more local; whereas immunotherapy SE is more systemic

Question 5

Immunotherapy side effects

Question 5

Immunotherapy side effects

Question 6

Immunotherapy side effects

Answer 6

More generalised side effects

Question 6

What is the word for when you give chemotherapy after surgery?

Answer 6

Adjuvant (you’re adding chemo to the surgery)

Question 7

What is the word for when you give chemotherapy before surgery?

Answer 7

Neoadjuvant (before surgery)-> think NB as in note beforehand; aim is to reduce before

Question 8

Patient can’t swallow pain meds. What would you offer for palliative care?

Answer 8

Transcutaneous patch - too slow, you need levels to build up over time

IM injection - unfortunate to keep having injections when palliated

Therefore give SC instead

Question 9

Two meds given as palliative meds

Answer 9

Codeine and morhpine

Question 10

If someone has breathlessness and HF and has already been given fuorsemide but is hypotensive, what would you give?

Answer 10

You wouldn’t give GTN spray because he’s hypotensive.
You wouldn’t give positive pressure ventilation because it is quite difficult on the face. So you would give intravenous morphine.