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Non-Relative LPA Attorney — SCE Palliative Medicine MCQ

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HardLegal & Ethical FrameworkNon-Relative LPA AttorneySCE Palliative Medicine

A patient with partial malignant bowel obstruction is selected for a corticosteroid trial. Which parenteral dexamethasone range and duration are suggested?

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

Reveal the answer and explanation

Correct answer: D — Dexamethasone 6–16 mg daily for 4–7 days

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

C is correct. Partial obstruction may reverse with parenteral dexamethasone 6–16 mg daily for a four-to-seven-day trial. Stop the corticosteroid if no symptomatic benefit emerges.

Reference: Scottish Palliative Care Guidelines: bowel obstruction: https://www.rightdecisions.scot.nhs.uk/scottish-palliative-care-guidelines/symptom-control/bowel-obstruction/