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Question 1
A 68-year-old patient with metastatic prostate cancer receiving oral morphine 60 mg twice daily experiences worsening bone pain with a numerical rating score of 8/10. Pain control is inadequate, but renal function is normal. What is the most appropriate initial adjustment to the oral morphine regimen?
Correct Answer:
Increase oral morphine to 90 mg twice daily and add 15 mg oral morphine as needed every 4 hours for breakthrough pain
Question 2
A patient with advanced pancreatic cancer taking oral hydromorphone 12 mg every 4 hours requires conversion to a transdermal fentanyl patch due to severe dysphagia. What is the approximate equivalent transdermal fentanyl patch dose?
Correct Answer:
100 mcg/hr
Question 3
A 72-year-old female with stage IV non-small cell lung cancer develops severe neuropathic burning pain in an intercostal nerve distribution following thoracic radiation. Which medication is first-line adjuvant therapy for this neuropathic pain component?
Correct Answer:
Gabapentin or pregabalin
Question 4
A palliative patient with end-stage renal disease (eGFR 14 mL/min/1.73m²) requires opioid analgesia for severe nociceptive pain. Which opioid regimen is safest to avoid neurotoxic metabolite accumulation?
Correct Answer:
Hydromorphone or fentanyl at reduced doses with extended dosing intervals
Question 5
A patient with breast cancer and widespread osteolytic bone metastases experiences sharp, localized pain triggered by movement despite stable baseline opioid dosing. What is the most effective adjuvant therapy for somatic bone pain?
Correct Answer:
Bisphosphonates (e.g., intravenous zoledronic acid) or denosumab, combined with short-course corticosteroids
Question 1
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About this Exam

Prepare with the CFPC CAC Palliative Care Practice Questions - College of Family Physicians of Canada Certificate of Added Competence in Palliative Care Assessment Exam practice quiz. This question bank includes 100 questions covering patient, palliative, pain, cancer, and advanced. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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CFPC CAC Palliative Care Practice Questions - College of Family Physicians of Canada Certificate of Added Competence in Palliative Care Assessment Exam

This practice set contains 100 questions from the matching question bank and focuses on patient, palliative, pain, cancer, and advanced. 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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