Pass medicine - Oncology And Palliative Care Flashcards

1
Q

Metastatic bone pain may respond to

A

Analgesia
Bisphosphonates
Radiotherapy

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2
Q

How can you provide pain relief for metastatic spinal cord compression

A

Dexamethasone

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3
Q

Which chemo agent is associated with hypomagnasaemia

A

Cisplatin

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4
Q

Which chemo agent can cause cardiomyopathy

A

Doxorubicin

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5
Q

Oral to subcut morphine conversion

A

Divide total daily dose by 2

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6
Q

How to calculate breakthrough dose

A

1/6 th of daily dose

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7
Q

How to convert oral morphine to diamorphine

A

Divide the total daily morphine dose by 3

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8
Q

What should be the starting treatment for oncology pain

A

20-30mg MR a day (in total) with 5mg for breakthrough (so 15mg bd plus breakthrough)

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9
Q

Cancer patient with CKD what pain relief should be used

A

Alfentanil
Buprenorphine
Fentanyl

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10
Q

When increasing the dose of opioids the next dose should be increased by

A

30-50%

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11
Q

What are the two main transient opioid side effects

A

Nausea and drowsiness

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12
Q

How do you convert from oral codeine to oral morphine

A

Divide by 10

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13
Q

How do you convert from oral tramadol to oral morphine

A

Divide by 10

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14
Q

Compare side effects of oxycodone to morphine

A

Oxy causes less sedation vomiting and pruritus than morphine but more constipation

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15
Q

How to you convert from oral morphine to oral oxycodone

A

Divide by 1.5-2 (currently 1.5 recommended as used to be 2)

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16
Q

How to convert from oral morphine to subcut morphine

A

Divide by 2

17
Q

How to convert from oral morphine to subcut diamorphine

A

Divide by 3

18
Q

How to convert from oral oxycodone to subcut diamorphine

A

Divide by 1.5

19
Q

Ca125

A

Ovarian cancer

20
Q

Ca19-9

A

Pancreatic cancer

21
Q

Ca15-3

A

Breast cancer

22
Q

AFP

A

Hepatocellular carcinoma or teratoma

23
Q

CEA

A

Colorectal

24
Q

S-100

A

Melanoma Schwannoma

25
Q

Bombesin

A

SCLC
Gastric cancer
Neuroblastoma

26
Q

Treat hiccups in palliative care

A

Chlorpromazine

Haloperidol

27
Q

First line pain relief in patients where oral treatment is not suitable

A

Opioid patch

28
Q

Which types of job increase the risk of cervical cancer

A

16, 18 and 33

29
Q

What does PET scan stand for and what does it measure?

A

Position emission tomography

Measures glucose uptake

30
Q

ABVD is a chemo treatment for

A

Hodgkin’s lymphoma

31
Q

Folfox is a chemo treatment for

A

Colorectal cancer

32
Q

RCHOP is a chemo treatment for

A

Non Hodgkin’s lymphoma

33
Q

FEC is a chemo treatment for

A

Breast cancer