Pericardial Window for Recurrent Effusion — SCE Palliative Medicine MCQ

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HardRespiratory SymptomsPericardial Window for Recurrent EffusionSCE Palliative Medicine

A patient develops suspected malignant spinal cord compression. Which initial total daily dexamethasone dose is listed in Scottish palliative guidance?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Dexamethasone 16 mg/day

Explanation lettering: D = shown as A · A = shown as B · E = shown as D · B = shown as E

E is correct. Spinal cord or cauda-equina compression uses dexamethasone 16 mg/day while urgent definitive assessment and treatment proceed. This is an oncological emergency rather than routine analgesic titration.

Reference: Scottish Palliative Care Guidelines: dexamethasone: https://www.rightdecisions.scot.nhs.uk/scottish-palliative-care-guidelines/medicines-information/dexamethasone/