Aged and Palliative Care
Pain Management
Musculoskeletal Medicine
100
Which 3 vaccinations are recommended in older age
Influenza, Pneumococcal and Herpes Zoster
100
Pain around the big toe is likely due to nerve impingement of which nerve root
L5
100
Biggest risk factor for Osteoarthritis
Obesity
200
What is the minimum visual acuity for retaining a car driving licence in Queensland?
6/12 in better eye
200
First line management for neuropathic pain
Low dose amitriptyline, duloxetine, gabapentin and pregabalin
200
Which spinal pathology presents with chronic back pain, improvement with exercise, psoriasis and good response to NSAIDs
Axial spondyloarthritis 
300
What is the hierarchy of the following for decision making for palliative patients
- ADH
- Tribunal appointed guardian
- Statutory health attorney
- EPoA
ADH
Tribunal appointed guardian
EPoA
Statutory health attorney
None of the above
Emergency - good medical practice
Urgent decision - public guardian of last resort
Long term decisions - state appoints guardian
300
Please provide at least 2 reasons not to prescribe opioids
1. increased risk of adverse events with long term use
2. Insufficient evidence of opioid efficacy in the longer term
3. Central sensitisation and tolerance can occur within four weeks
4. Risk of abuse, misuse and addiction
5. Comorbid conditions complicate management with opioids
300
What is a common cause of shoulder pain in 40-60 yos
Impingement, adhesive capsulitis
400
What are some common causes of decline in cognitive function other than dementia in the elderly population? (minimum 2)
Depression
Delirium
Medication side effects
400
What are the 4As of monitoring opioid therapy
Analgesia
Activities of daily living
Adverse reactions
Aberrant behaviours
400
What does a positive squeeze test indicate on examination
Syndesmosis injury
500
Second line therapy options for osteoporosis (1 miminum)
Raloxifene, teriparatide, strontium renalate
500
In the patient resource for understanding persistent pain (Tame The Beast) YouTube video, which animal is pain embodied as initially
Beaver or Possum NOT dog or wolf
500
Inversion and plantar flexion injury of the ankle may result in damage to these 3 ligaments
Anterior talofibular ligament, calcaneofibular ligament and the anterior tibiofibular ligament