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Exercise First-Line for Cancer-Related Fatigue — SCE Palliative Medicine MCQ

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HardPain ManagementExercise First-Line for Cancer-Related FatigueSCE Palliative Medicine

A patient with refractory breathlessness has predictable exertional episodes. When should a prescribed immediate-release opioid rescue dose be taken before activity?

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

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Correct answer: B — Take it 15–30 minutes before expected exertion

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

A is correct. Opioids can reduce exertional breathlessness when taken 15–30 minutes before anticipated activity, alongside non-drug measures. Review benefit, sedation and respiratory adverse effects after initiation.

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