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Palliative Care > Lesson 1 > Flashcards

Lesson 1 Flashcards

1
Q

Bad news best provided by

A

primary care doctor

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2
Q

citalopram side effect

A

QTc prolongation

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3
Q

NSAID with longest half life

A

oxaprozin

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4
Q

emancipated minor

A

married
pregnant
self-supporting not living in parents home
military

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5
Q

first line narcolepsy drug

A

modafinil

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6
Q

most common cause of pericardial effusion

A

lung carcinoma

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7
Q

most common mets to heart

A

melanoma

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8
Q

Law that made physician self-referrals illegal

A

Stark Law

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9
Q

Melanoma lab for prognosis

A

LDH

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10
Q

medication to treat vasomotor symptoms like hot flashes

A

clonidine

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11
Q

GBM poor prognosis finding

A

thrombocytopenia
anemia

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12
Q

complicated grief

A

grief disabling
present for at least six months after loss

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13
Q

stage 3 adenoCa

A

can be cured w/ surgery

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14
Q

St. John’s wort affects what meds

A

SSRIs
MAOis

can cause serotonin syndrome

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15
Q

QI

A

aimed at physicians early in training
in palliative care and end-of-life care, QI has failed to show consistent improvement in outcomes

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16
Q

most common cause of incontinence in elderly

A

urge incontinence

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17
Q

ECOG

A

a. 0: fully active
b. 1: participate in moderate physical activity, but strenuous physical activity is restricted
c. 2: capable of self-care, unable to carry out work activities
d. 3: limited self-care; confined to bed >50% of waking hours
e. 4: completely disabled

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18
Q

bupropion side effect

A

decreases seizure threshold

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19
Q

intercostal nerve blocks

A

at least two levels blocked
insert at inferior border of rib

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20
Q

grief most intense reaction in

A

parents experiencing loss of child

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21
Q

Krabbe disease prognosis

A

death by age two

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22
Q

panic attack, benzodiazepines preferred

A

alprazolam

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23
Q

confidential patient information

A

must be provided to law enforcement when warrant present

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24
Q

phenelzine

A

risk for HTN emergency

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25
Q

alcoholic hepatitis
model that predicts which patients will benefit from therapy

A

Maddrey discriminant function

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26
Q

superior hypogastric block given for

A

uterine cancer

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27
Q

only Benzo available for rectal administration

A

diazepam

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28
Q

frontotemporal dementia presentation

A

insidious

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29
Q

vascular dementia presentation

A

abrupt onset of symptoms

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30
Q

palonsetron

A

longer half life than ondansetron

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31
Q

unique metabolite of heroin

A

6-MAM

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32
Q

quantitative futility

A

<1% chance of success

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33
Q

OSA questionnaire

A

STOP BANG

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34
Q

pain scale for patient with dementia

A

PAIN AD

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35
Q

glycopyrrolate

A

terminal secretion management
does not cross BBB
terminal secretions prognosis: 16 hours

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36
Q

Heimlich valve

A

pneumothorax treatment at home

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37
Q

organ donation contraindication

A

severe sepsis
extra cranial malignancy
active HCV, HBV
active TB, AIDS

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38
Q

most reliable predictor of patient outcomes after cardiac arrest

A

bilateral loss of cortical SSEPs (N20)

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39
Q

neuroleptic malignant syndrome meds

A

anti-psychotics

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40
Q

Muslim beliefs about death

A

death can be painless if follower led a religious life

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41
Q

most common screening tool for complicated grief

A

Inventory of Complicated Grief

42
Q

gabapentin peak plasma concentration time

A

2-3 hours

43
Q

octreotide treatment

A

secretory diarreha

44
Q

bismuth

A

antimicrobial properties

45
Q

amphetamine withdrawal

A

dental caries
increased hunger
vivid dreams
sleeplessness

46
Q

most common cause of death in CREST syndrome

A

pulmonary disease

47
Q

buprenorphine initiation

A

patients ins täte of mild to moderate withdrawal

48
Q

complicated grief first-line rx

A

CBT

49
Q

SSRIs in complicated grief

A

not effective in absence of pre-existing illness

50
Q

patient dissatisfaction by race

A

hispanics>Asian Americans>blacks

51
Q

Palliative Prognostic Index symptoms (four)

A

oral intake
edema
dyspnea at rest
delirium

52
Q

definition of adulthood

A

different cutoffs for states across the country

53
Q

dialysis in HRS in patients not candidates for liver transplant

A

futile

54
Q

stage three pressure ulcer treatment

A

management: foam dressing

55
Q

stage two ulcer treatment

A

tegaderm

56
Q

celiac plexus block

A

targets nerves of upper abdomen
pancreas

57
Q

grief counseling online therapy

A

no data

58
Q

brain death criteria

A

core temp>36F
SBP>100
coma, no brainstem reflexes
apnea testing

59
Q

globally, most common diagnosis necessitating palliative cares

A

cardiovascular disease

60
Q

multi organ dysfunction score

A

mortality predictor among ICU patients

61
Q

most common cause of death in those with complicated grief

A

cancer
CV disease

62
Q

breast cancer tumor markers

A

Ca 15-3
Ca 27.29

63
Q

pancreatic cancer tumor marker

A

CA 19-9

64
Q

ovarian cancer tumor marker

A

Ca-125

65
Q

specific finding for impending death

A

drooping of nasolabial fold

66
Q

specific end of life exam findings

A

drooping of nasolabial fold
respiration with mandibular involvement
Cheyne stokes breathing
death rattle

67
Q

serotonin syndrome vs. NMS

A

serotonin syndrome: clonus present

68
Q

hypercalcemia treatment

A

IVF
zolendronic acid
calcitonin

consider denosumab for refractory

69
Q

consideration in chemo initiation

A

performance status

70
Q

co-management can reduce

A

burnout

71
Q

L-tryptophan

A

can cause serotonin syndrome in use w/ SSRIs

72
Q

CBT

A

effective in those w/ COPD and mild/moderate sx

73
Q

suicide risk among those who have lost child

A

remains elevated for ten years

74
Q

dying at home risk for caregivers

A

heart attack and death

75
Q

markers for renal function progression in CKD

A

GFR
proteinuria

76
Q

continuous home care hospice

A

requires eight or more hours daily

77
Q

pain crisis in those on methadone

A

continue methadone, divide to q8
add sort-acting prn

78
Q

mild OUD first-line treatment

A

naltrexone

79
Q

patient autonomy, parents

A

parents cannot withhold treatment to save life or limb of child

80
Q

SPIKES

A

set up interview
perception assessment
invitation of patient
knowledge of info to patient
emotional address
strategy and summary

81
Q

NURSE protocol

A

for giving bad news

Name emotion
understand emotion
respect emotional reaction
Support pt/family
Explore further

82
Q

behavioral pain scale for

A

patientson ventilator

83
Q

pain scale for neonates

A

NIPS
CRIES

84
Q

pain scale in patients w/ dementia

A

PAINAD

85
Q

pain scale in non-verbal children

A

FLACC

86
Q

STEMI 30 day mortality

A

2.5 to 10%

87
Q

long term outcomes NSTEMI vs. STEMI

A

NSTEMI worse than STEMI

88
Q

advance directive in minorities

A

lower rate of completion

89
Q

meds to consider for constipation after miralax

A

lubiprostone
linaclotide

90
Q

serotonin syndrome rx

A

diazepam

91
Q

CCB side effect

A

peripheral edema

92
Q

transference

A

patient directs feelings about others to doctor

93
Q

counter-transference

A

doctor transfers feelings to patient

94
Q

prostate cancer poor prognosis

A

anemia
poor performance status
spinal cord compression w/ decreased ambulation

95
Q

increased risk of death from which conditions for bereaved people

A

cancer
CV disease

96
Q

nausea management in bowel obstruction

A

haloperidol

97
Q

acupuncture effective for

A

migraines

98
Q

most significant mortality risk factor in patients with cirrhosis

A

fibrosis

99
Q

etoH cessation

A

potential reversal of hepatic changes

100
Q

suicide risk higher in

A

non-Caucasians

Palliative Care (4 decks)

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