ABIM Palliative Care Practice Questions - ABIM Hospice and Palliative Medicine Certification Exam - ABIM Palliative Care Practice Questions - ABIM Hospice and Palliative Medicine Certification Exam

Question 1

A hospitalist is called to the medical floor to see a 68-year-old man with metastatic pancreatic cancer admitted for pain crisis. He has been on morphine ER 60 mg PO BID (120 mg/day) with breakthrough morphine IR 20 mg PO Q2H PRN, using roughly 80 mg IR over the past 24 hours. What is the total daily oral morphine equivalent (MME) and an appropriate 24-hour IV morphine infusion rate after a 25% reduction for incomplete cross-tolerance when rotating to IV morphine?

MME 200 mg/day; IV morphine ~2 mg/h MME 120 mg/day; IV morphine ~1 mg/h MME 200 mg/day; IV morphine ~8 mg/h MME 80 mg/day; IV morphine ~3 mg/h

Correct Answer:

MME 200 mg/day; IV morphine ~2 mg/h

Question 2

A 71-year-old woman on the medicine service with advanced cancer is on scheduled oxycodone 15 mg PO Q4H (90 mg/day) with good pain control but intolerable nausea. You rotate to oral hydromorphone with a 25-50% reduction for incomplete cross-tolerance. Using standard equianalgesic dosing, what is the most appropriate starting daily dose of oral hydromorphone?

Hydromorphone 7.5 mg/day (1 mg Q4H) Hydromorphone 17-25 mg/day (~3-4 mg Q4H) Hydromorphone 45 mg/day (7.5 mg Q4H) Hydromorphone 3 mg/day (0.5 mg Q4H)

Correct Answer:

Hydromorphone 17-25 mg/day (~3-4 mg Q4H)

Question 3

According to the WHO analgesic ladder, which medication class is appropriate for Step 1 (mild pain)?

Strong opioids such as morphine or hydromorphone Weak opioids such as codeine or tramadol Non-opioid analgesics such as acetaminophen or NSAIDs, with or without adjuvants TCAs or gabapentinoids alone

Correct Answer:

Non-opioid analgesics such as acetaminophen or NSAIDs, with or without adjuvants

Question 4

An internal medicine hospitalist cares for a 63-year-old woman with advanced lung cancer on morphine ER 60 mg PO Q12H (total daily dose 120 mg PO). What is the appropriate morphine immediate-release (IR) breakthrough dose?

Morphine IR 5 mg PO Q4H PRN Morphine IR 60 mg PO Q4H PRN Morphine IR 12-24 mg PO Q1H PRN Morphine IR 1-2 mg PO Q1H PRN

Correct Answer:

Morphine IR 12-24 mg PO Q1H PRN

Question 5

A 79-year-old woman admitted to the hospital with advanced Alzheimer dementia is nonverbal and appears restless with grimacing during repositioning. Which pain assessment tool is most appropriate?

PAINAD (Pain Assessment in Advanced Dementia) Numeric Rating Scale Brief Pain Inventory McGill Pain Questionnaire

Correct Answer:

PAINAD (Pain Assessment in Advanced Dementia)

Question 1

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Prepare with the ABIM Palliative Care Practice Questions - ABIM Hospice and Palliative Medicine Certification 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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ABIM Palliative Care Practice Questions - ABIM Hospice and Palliative Medicine Certification 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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ABIM Palliative Care Practice Questions - ABIM Hospice and Palliative Medicine Certification Exam

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