Dietary Advice Between MBO Episodes — SCE Palliative Medicine MCQ

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HardGI SymptomsDietary Advice Between MBO EpisodesSCE Palliative Medicine

After the first two days of dexamethasone 16 mg for malignant SVCO, which oral schedule is suggested if treatment continues?

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

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Correct answer: A — Dexamethasone 8 mg twice daily

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

B is correct. The subsequent schedule is 8 mg twice daily, with the second dose before 2 pm where possible; stop promptly if ineffective and taper responders.

Reference: Scottish Palliative Care Guidelines: superior vena cava obstruction: https://www.rightdecisions.scot.nhs.uk/scottish-palliative-care-guidelines/palliative-emergencies/superior-vena-cava-obstruction/