Oncology And Palliative

Question 1

What is gardners syndrome?

Answer 1

Autosomal dominant colorectal cancer
Multiple polyps
Skull osteoma, thyroid cancer
A variant of FAP

Question 2

AFP marker of what cancer?

Answer 2

Germ cell / testicular

Hepatobilliary

Question 3

Calcitonin cancer marker?

Answer 3

Medullary thyroid

Question 4

Cancer antigen 125 cancer marker?

Answer 4

Ovarian

Question 5

Ca19-9 and ca15-3 cancer markers?

Answer 5

19 - pancreatic

13 - breast

Question 6

CEA cancer marker?

Answer 6

Colorectal

Question 7

Spinal cord compression management

Answer 7

Admit, bed rest and MRI whole spine in 24h
Dexamethosone 
Thromboprophylaxis 
Radiotherapy 
Decompressivr surgery

Question 8

Superior vena cava obstruction management

Answer 8

Prop up 
O2
Dexamethasone 
CT scan 
Balloon venoplasty and stenting 
Chemo /radio

Question 9

Malignant hypercalcaemia management

Answer 9

Aggressive rehydration

Bisphosphanates

Question 10

Tumour lysis syndrome management

Answer 10

Prevent with hydration and allopurinol (in high risk patients)
Acute - allopurinol and fluids, consider sodium bicarbonate and dialysis

Question 11

Conversion ratio of oral codeine to oral morphine

Answer 11

/10

Question 12

Oral morphine to S/C morphine conversion

Answer 12

/2

Question 13

Agents used in chemotherapy induced nausea

Answer 13

5HT3 receptor antagonist

Ondanserton

Question 14

Anti-emetics used in GORD or gastric stasis

Answer 14

Metoclopramide

Question 15

Sickness related to pressure in brain treatment

Answer 15

Dexamethasone

Question 16

How to dose breakthrough morphine

Answer 16

A 6th of total daily morphine

Question 17

Conversion of morphine to diamorphine

Answer 17

/3

Question 18

Codeine to morphine conversion

Answer 18

/10

Question 19

Pain relief in impaired renal function

Answer 19

Fentanyl

Question 20

First line anti-emetic for intracranial causes of N+V

Answer 20

Cyclizine

Question 21

Good anti-emetic for gastric stasis

Answer 21

Metoclopramide

Question 22

Calcitonin is a marker for what?

Answer 22

Medullary thyroid cancer