Self-assessment questionnaire for CME Palliative Medicine, Exercises of Medicine

Download Self-assessment questionnaire for CME Palliative Medicine and more Exercises Medicine in PDF only on Docsity! CME Palliative Medicine (126358): self-assessment questionnaire Carrying out this activity allows you to claim two external CPD credits. These will be automatically transferred to your CPD diary, where you can review the activity and claim your points. 1. An 81-year-old woman with metastatic lung cancer is referred to a specialist palliative care team for advice regarding symptom management. She is no longer receiving active oncology treatment. Which would be the most appropriate deprescribing tool to inform a review of her medications? Beers criteria Edmonton symptom assessment scale Memorial symptom assessment scale OncPal STOPP/START 2. A 72-year-old man with advanced pancreatic cancer and a prognosis of 3 months is struggling with tablet burden. Which of the following medications could you consider stopping? Atorvastatin Creon Laxido Morphine sulphate (MST) PRN sublingual lorazepam 3. Which following statements about clinical predictions of survival is correct? All of the below Doctors’ predictions of survival are usually overly optimistic The horizon effect describes the phenomenon whereby it is easier to predict outcomes in the short term rather than the long term There is evidence that probabilistic estimates may be more accurate than temporal estimates There is no consistent evidence that one group of professionals is more accurate at predicting imminent death than any other group 4. Which of the following statements is correct? Patients with an estimated prognosis of 3–6 months are suitable for continuing inpatient care in a hospice The Palliative Performance Scale (PPS) takes account of clinicians’ own predictions of survival The Palliative Prognostic Score (PaP) estimates the probability of surviving 90 days The PiPS-B prognostic score is suitable to use in patients who do not want, or are unable to provide a blood test The surprise question in the Gold Standards Framework is designed to be used along with other prognostic factors to identify patients who may benefit from a palliative care approach to their care 5. Which of the following statements about communicating prognosis is correct?