Table 3 Knowledge level of the Medical students: part 2 (n=404)

1. Palliative care is different from traditional care because palliative care:

 g) I don't Know

 h) Is curative.

 i) Is equivalent to hospice care.

 j) Is focused on comfort, rather than cure.

 k) Is equivalent to end of life care

 l) Withdraws care.

 False

37 (9.2 %)

 True

367 (90.8 %)

2. Which of the following members of the healthcare team are important to the delivery of palliative care?

 g) I don't Know

 h) Physicians

 i) Nurses

 j) Dietitians

 k) Physical and occupational therapists

 l) All of the above

 False

0 (0 %)

 True

404 (100 %)

3. Which of the following drugs is considered weak opioids?

 g) I don't Know

 h) Morphine

 i) Codeine

 j) Hydromorphone

 k) Fentanyl

 l) Oxynorm

 False

291 (72 %)

 True

113 (28%)

4. Which is the most appropriate drug can be used in management of delirium in palliative care:

 a) I don't Know

 b) Fentanyl

 c) Haloperidol

 d) Midazolam

 e) Zofran

 f) Paroxetine

 False

318 (78.7 %)

 True

86 (21.3 %)

5. Dyspnea related to advanced lung cancer can be best treated by:

 g) I don't Know

 h) Morphine

 i) Midazolam

 j) Dexamethazone

 k) Oxygen mask and Ventolin

 l) 1 & 2

 False

315 (78 %)

 True

89 (22 %)

6. The second step in WHO ladder for treatment of chronic pain is:

 g) I don't Know

 h) Strong opioid ± adjuvant therapy

 i) Non-opioid ± adjuvant therapy

 j) Weak opioid ± adjuvant therapy

 k) Adjuvant therapy

 l) Strong opioid ± pain intervention modalities

 False

225 (55.7 %)

 True

179 (44.3 %)

7. Regarding Hypercalcemia in cancer patients, it:

 g) I don't Know

 h) Is the most common life threating metastatic disorder in cancer patients

 i) Needs to be corrected if adjusted serum calcium ≥3.5 mmol/l or the patient is symptomatic.

 j) Related to bone cancer only.

 k) Can cause severe diarrhea.

 l) All of the above

 False

374 (92.6 %)

 True

30 (7.4 %)

8. The hallmarks of opioid toxicity are all the following except:

 g) I don’t Know

 h) Oxygen saturation ≤ 90%

 i) Respiratory rate ≤ 10 /min

 j) Pinpoint pupils

 k) Sedation

 l) Jerky movement

 False

352 (87.1 %)

 True

52 (12.9 %)

9. Signs of superior vena-cava obstruction are all the following EXCEPT:

 g) I don't Know

 h) Cyanosis

 i) Pulsatile distended neck veins

 j) Edema in the hands

 k) Dilated veins over the chest wall

 l) Periorbital edema

 False

363 (89.9 %)

 True

41 (10.1 %)

10. Management of Catastrophic bleeding in palliative care includes

 g) I don't Know

 h) Midazolam

 i) Vitamin K

 j) Dark towel

 k) Tranexamic injection in large doses.

 l) b & d

 False

323 (82.2 %)

 True

72 (17.8 %)

11“Golden standard” treatment of metastatic spinal cord compression includes the following:

 g) I don't Know

 h) High dose dexamethasone

 i) Neurosurgical intervention

 j) Chemotherapy

 k) Radiotherapy

 l) All of the above

 False

360 (89.1 %)

 True

44 (10.9 %)

12. All of the following are characteristics of oral opioid analgesics except:

 g) I don't Know

 h) Effective for localized and generalized pain

 i) Easily administered

 j) Stigma and fears associated with use

 k) Ceiling effect to analgesia

 l) None of the above

 False

239 (59.2 %)

 True

165 (40.8 %)