Psychosocial Aspects of Palliative Care — MCQs

For medical termination of pregnancy, consent is given by-

The BEINGS Model of disease causation does not include which of the following factors?

A 67-year-old lady is brought in by her six children, who say that she has become senile. Six months after her husband's death, she has become more religious and spiritual, and gives a lot of money in donation. She is occupied with too many activities and sleeps less. She now believes that she has a goal to change society. She does not like being brought to the hospital and is argumentative when questioned about her actions. The diagnosis is:

All are true about dying declaration except

Dying declaration comes under?

A 65-year-old patient presents with obstructive jaundice and 15 kg weight loss. An ultrasound shows a 4 cm mass in the head of the pancreas with dilated bile ducts. Further work up includes a helical CT scan. The study shows several lesions consistent with metastasis in the right and left lobes of the liver and encasement of gastroduodenal artery. The most appropriate treatment would be:

The following procedures are recommended for palliation in a patient with obstructive jaundice due to unresectable carcinoma of head of pancreas except:

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 58-year-old woman with terminal breast cancer presents with severe nausea and vomiting due to hypercalcemia and gastroparesis. Which antiemetic would be most appropriate?

A 65-year-old man with metastatic lung cancer is receiving oral morphine 30 mg every 4 hours for pain control. He develops severe dysphagia and cannot take oral medications. What is the appropriate 24-hour subcutaneous morphine dose?