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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

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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.

Sample Questions

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?
Increase oral morphine to 90 mg twice daily and add 15 mg oral morphine as needed every 4 hours for breakthrough pain
Discontinue morphine and initiate transdermal fentanyl 50 mcg/hr patch immediately
Maintain morphine 60 mg twice daily and add oral meperidine 50 mg every 3 hours for breakthrough pain
Switch immediately to oral methadone 20 mg three times daily without dose reduction
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?
100 mcg/hr
25 mcg/hr
50 mcg/hr
200 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?
Gabapentin or pregabalin
Acetaminophen
High-dose ibuprofen
Subcutaneous fentanyl
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?
Hydromorphone or fentanyl at reduced doses with extended dosing intervals
Morphine sustained-release 30 mg twice daily
Codeine 60 mg every 4 hours
Meperidine 100 mg every 4 hours
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?
Bisphosphonates (e.g., intravenous zoledronic acid) or denosumab, combined with short-course corticosteroids
Oral baclofen
High-dose transdermal buprenorphine alone
Inhaled methoxyflurane

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Additional Information

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.

Frequently Asked Questions

This quiz contains a total of 100 practice questions carefully selected to test your knowledge on this subject.
Yes, you will have exactly 0 minutes to complete the exam. A countdown timer will be visible once you start.
Yes, you can retake this practice test as many times as you need. The questions and options may be randomized on subsequent attempts to ensure comprehensive learning.

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