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Question 1
A family physician sees a 71-year-old woman with metastatic colon cancer in clinic. She is taking morphine sustained-release 30 mg PO every 12 hours (60 mg/day) with good pain control but persistent, refractory nausea attributed to morphine. You rotate to oral hydromorphone. Using standard equianalgesic dosing and accounting for incomplete cross-tolerance, what is the most appropriate starting daily dose of oral hydromorphone?
Correct Answer:
Hydromorphone 7.5-11 mg/day (divided Q4H)
Question 2
A 4-year-old child with neuroblastoma and intact cognition reports pain in your FM clinic. Which pain assessment tool is most appropriate?
Correct Answer:
Wong-Baker FACES Pain Rating Scale
Question 3
According to the WHO analgesic ladder, which medication class is appropriate for Step 1 (mild pain)?
Correct Answer:
Non-opioid analgesics such as acetaminophen or NSAIDs
Question 4
A 63-year-old patient with advanced lung cancer cared for in a community-hospice home setting is on morphine ER 60 mg PO every 12 hours (total daily dose 120 mg). What is the appropriate morphine immediate-release breakthrough dose?
Correct Answer:
Morphine IR 12-24 mg PO Q1H PRN
Question 5
A 79-year-old nursing-home resident with advanced Alzheimer dementia is nonverbal. She appears restless and grimaces with repositioning. Which tool is most appropriate to assess her pain?
Correct Answer:
PAINAD (Pain Assessment in Advanced Dementia)
Question 1
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About this Exam

Prepare with the ABFM Palliative Care Practice Questions - ABFM Hospice and Palliative Medicine Certificate of Added Qualifications (CAQ) Exam practice quiz. This question bank includes 100 questions covering patient, advanced, hospice, care, and year-old. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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ABFM Palliative Care Practice Questions - ABFM Hospice and Palliative Medicine Certificate of Added Qualifications (CAQ) Exam

This practice set contains 100 questions from the matching question bank and focuses on patient, advanced, hospice, care, and year-old. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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