Death Anxiety Thanatophobia — SCE Palliative Medicine MCQ

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HardPsychological & PsychiatricDeath Anxiety ThanatophobiaSCE Palliative Medicine

A dying patient has episodic panic accompanying severe breathlessness. Which midazolam rescue dose range is recommended SC, SL or buccally?

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Correct answer: A — Midazolam 2–5 mg as required

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

B is correct. Anxiety or panic in severe breathlessness uses midazolam 2–5 mg SC, sublingual or buccal, titrated cautiously. Frailty and prior sedative exposure should inform subsequent dosing.

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