Liver Failure
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Questions and Answers

Which of the following is a symptom of Cushing's syndrome?

  • Pain or tenderness and swelling
  • Stupor and coma (correct)
  • Muscle weakness
  • Memory impairment

    • Which syndrome is associated with small-cell lung cancer?

  • Lambert-Eaton myasthenic syndrome (correct)
  • Limbic encephalitis
  • Motor neuropathy
  • Polymyositis

    • What is the most common symptom of venous thromboembolism (VTE)?

  • Confusion
  • Increased warmth
  • Breathlessness (correct)
  • Pain or tenderness

    • What is the recommended treatment for VTE?

    <p>Low molecular weight (LMW) heparin</p> Signup and view all the answers

    Which of the following is a paraneoplastic syndrome associated with lung cancer?

    <p>Dermatomyositis</p> Signup and view all the answers

    What percentage of people with cancer are thought to be affected by paraneoplastic syndromes?

    <p>Less than 1%</p> Signup and view all the answers

    Which of the following skin disorders may require treatment by a specialist dermatologist to manage symptoms?

    <p>Dermatomyositis</p> Signup and view all the answers

    What is the recommended treatment for paraneoplastic pemphigus?

    <p>Ciclosporin</p> Signup and view all the answers

    Which of the following is a contributing factor to weakness in individuals approaching death?

    <p>Cachexia</p> Signup and view all the answers

    What is the definition of cachexia?

    <p>A state of involuntary weight loss</p> Signup and view all the answers

    Which of the following is NOT a potential cause of weakness in individuals approaching death?

    <p>Age-related loss of muscle mass</p> Signup and view all the answers

    Which of the following drug therapies may be effective in managing weakness in individuals approaching death?

    <p>Steroids</p> Signup and view all the answers

    Which of the following is a symptom of hypercalcaemia of malignant disease?

    <p>Increased urinary output</p> Signup and view all the answers

    Which of the following is a cause of anaemia in patients with advanced or chronic disease?

    <p>Chronic renal failure</p> Signup and view all the answers

    Which of the following is a treatment option for cachexia?

    <p>Favourite foods</p> Signup and view all the answers

    Which of the following is a poor prognostic sign in patients with dementia?

    <p>Declining oral intake leading to significant weight loss</p> Signup and view all the answers

    Which of the following is NOT a recommended strategy for improving nutrition in palliative care?

    <p>Maintaining comfort and providing weight gain throughout the terminal phase</p> Signup and view all the answers

    What is the recommended initial hydration method for a patient with renal failure?

    <p>Intravenous rehydration with normal saline</p> Signup and view all the answers

    Which drug is NOT recommended for pain management in patients with renal failure?

    <p>Morphine</p> Signup and view all the answers

    How can creatinine clearance be calculated using the Cockcroft and Gault equation?

    <p>CrCl (mLs/min) = (140-age) x ideal body weight (kg) / (plasma creatinine (umol/L) x 0.8)</p> Signup and view all the answers

    Which of the following is NOT a common deprescribing anti-hypertensive medication mentioned in the text?

    <p>ACE inhibitors</p> Signup and view all the answers

    What is the recommended approach for deprescribing medications?

    <p>Deprescribe one or two medications at a time</p> Signup and view all the answers

    Which medication is NOT recommended to be deprescribed in patients with heart failure?

    <p>Beta-blockers</p> Signup and view all the answers

    What is the recommended approach for managing haemorrhage in palliative care?

    <p>Treat with urgency and consider appropriate interventions</p> Signup and view all the answers

    Which medication is NOT recommended for oral bleeding in palliative care?

    <p>Midazolam</p> Signup and view all the answers

    What is the recommended approach for upper gastrointestinal bleeding in palliative care?

    <p>Discontinue NSAIDs</p> Signup and view all the answers

    Which of the following is a measure of how well the liver can clear drugs?

    <p>INR levels</p> Signup and view all the answers

    What is deprescribing in palliative care?

    <p>The process of ceasing inappropriate medications safely and effectively</p> Signup and view all the answers

    What is one of the enablers for deprescribing?

    <p>Inconvenience of medication taking</p> Signup and view all the answers

    What should be considered when deprescribing a medication?

    <p>Pharmacodynamics and pharmacokinetics of other medications</p> Signup and view all the answers

    Which medication is NOT recommended to be deprescribed in patients with heart failure?

    <p>Beta-blockers</p> Signup and view all the answers

    What is the recommended approach for deprescribing medications?

    <p>Deprescribe one or two medications at a time</p> Signup and view all the answers

    Which of the following is a symptom of hypercalcaemia of malignant disease?

    <p>Bone pain</p> Signup and view all the answers

    What is the recommended approach for managing haemorrhage in palliative care?

    <p>Use red towels</p> Signup and view all the answers

    Which of the following is a paraneoplastic syndrome associated with lung cancer?

    <p>Paraneoplastic pemphigus</p> Signup and view all the answers

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