Interdisciplinary Team Approach — MCQs

GATHER approach of counselling is used for

A patient with schizophrenia demonstrates significant difficulty in maintaining meaningful social interactions. The most appropriate initial management approach is:

You are working in a primary health center (PHC) situated in a high seismic zone. Which of the following actions should you take as part of preparedness for an emergency?

In medical jurisprudence, what term best describes the death of a patient resulting from an unintentional mistake or oversight by a doctor, staff, or hospital during treatment?

All are true about dying declaration except

A moribund patient who has little chance of survival but is submitted to surgery as a last resort belongs to ASA class-

A 68-year-old man with terminal lung cancer develops confusion, myoclonus, and hallucinations after being on high-dose morphine (240 mg/day oral) for 2 weeks. His renal function shows creatinine 2.8 mg/dL. What is the most appropriate management considering the pathophysiology?

A 62-year-old woman with advanced ovarian cancer has been on oral morphine 90 mg BD for 3 months. She now reports reduced pain relief despite increasing doses, but experiences severe pain at specific sites of bone metastases. What is the best management strategy?

A 55-year-old man with terminal esophageal cancer develops respiratory secretions causing death rattle. Despite positioning and suctioning, the symptom persists. Which medication would be most appropriate and why?

A 70-year-old man with advanced pancreatic cancer on sustained-release morphine 60 mg BD develops breakthrough pain 3-4 times daily. His pain is otherwise well controlled. What should be the dose of immediate-release morphine for breakthrough pain?