Practitionersl inl Primaryl Carel IIl Guide|l
Wilkesl (Latestl 2026/l 2027l Update)l 100%l
Verifiedl Questionsl &l Answersl |l Gradel A
Q:l Palliativel care
Answer:
medicall carel focusedl onl improvingl qualityl ofl lifel forl peoplel livingl withl seriousl illnessl
(carriesl al highl riskl ofl mortality,l negativelyl impactsl QOLl andl dailyl function,l and/orl isl
burdensomel inl sx,l tx,l orl caregiverl stress.
Q:l Palliativel carel canl bel provided
Answer:
alongsidel life-prolongingl tx
-nearl thel endl ofl lifel -l mayl becomel thel solel focusl ofl care
Q:l Palliativel carel basics
Answer:
1-routinelyl identifyl andl takel initiall stepsl tol managel sx
2-communicatel aboutl prognosisl andl elicitl ptl preferencesl forl care
3-helpl identifyl andl addressl sourcesl ofl distress
Q:l Discussingl prognostics
Answer:
-askl forl permissionl beforel discussingl prognosis
,-askl howl theyl wantl tol receivel information:l direct,l throughl others,l orl notl alll information
Q:l Communicationl aboutl seriousl illness
Answer:
1-obtainl consent
2-assessl whatl ptl andl familyl alreadyl knows
3-providel clinicall information,l bel briefl andl directl andl avoidl jargon
4-allowl timel forl processingl andl emotions
5-collabarativel decision-making
6-brieflyl summarizel conversationl andl nextl steps
Q:l Advancedl carel planning
Answer:
al processl thatl supportsl adultsl atl anyl agel orl stagel ofl healthl inl understandingl andl
sharingl theirl personall values,l lifel goals,l andl preferencesl regardingl futurel medicall care.
Q:l Advancedl carel planningl goal
Answer:
helpl ensurel thatl peoplel receivel medicall carel thatl isl consistentl withl theirl values,l goals,l
andl preferencesl duringl seriousl andl chronicl illness
Q:l Advancedl carel planningl considerations
Answer:
-appointl al surrogatel decision-maker
-talkl tol thatl personl aboutl theirl preferencesl forl futurel care
-documentl theirl wishes
Q:l Advancedl directives
,Answer:
writtenl orl orall statementsl madel byl ptsl whenl theyl arel competentl whichl arel intendedl tol
guidel carel shouldl theyl losel thel capacityl tol makel andl communicatel theirl decisions
Q:l Whenl discussingl CPRl withl someonel withl shortl prognosis,l helpl theml understand
Answer:
itl isl notl aboutl whetherl theyl willl live,l butl aboutl howl theyl willl die
Q:l Advancedl directives
Answer:
alsol focusl onl whichl interventionsl willl bel continuedl andl startedl tol promotel comfort,l
ratherl thanl focusingl onlyl onl whichl interventionsl willl bel stoppedl orl withheld
Q:l Durablel Powerl ofl Attorneyl forl Healthl Care
Answer:
al surrogatel decision-makerl whol isl tol usel "substitutedl judgment"l tol decidel whatl thel
patientl wouldl havel wantedl whenl thel patientl hasl becomel unablel tol makel andl
communicatel theirl ownl decisions
Q:l Physicianl Ordersl forl Life-Sustainingl Treatmentl (POLST)
Answer:
activel orders,l includingl forl resuscitation,l thatl complementl advancel directivesl andl canl
guidel carel forl ptsl especiallyl inl thel settingl ofl anl emergency
Q:l Chronicl cough
Answer:
lastsl 8l orl morel weeks
, Q:l Causesl ofl chronicl cough
Answer:
Upperl airwayl coughl syndrome
Asthma
GERD
Nonasthmaticl eosinophilicl bronchitis
Q:l Chronicl coughl symptoms
Answer:
Persistent
Usuallyl dry
Q:l UACSl sx
Answer:
Usuallyl havel nasall congestionl andl throatl clearing
Q:l Asthmal chronicl coughl sx
Answer:
Usuallyl havel wheezing,l dyspnea,l coughl atl night
Q:l GERDl chronicl coughl sx
Answer:
Usuallyl havel heartburnl andl regurgitation
Q:l PEl ofl chronicl cough