skip to main content

Syringe driver indication — DGM MCQ

Instant feedback + full explanation. One question, done properly.

ModerateEnd-of-life careSyringe driver indicationDGM

An 89-year-old woman with ovarian cancer is vomiting repeatedly and cannot keep oral medicines down. She has continuous pain previously controlled by oral morphine. She wishes to remain at home. Current medicines include oral morphine, metoclopramide and senna. What is the most appropriate management?

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

Reveal the answer and explanation

Correct answer: D — Convert essential symptom medicines to continuous subcutaneous infusion

A continuous subcutaneous infusion can maintain symptom control when the oral route is lost. Stopping analgesia, hospital transfer solely for tablets, routine intramuscular injections and higher oral doses are not appropriate. Route failure is a common reason to use a syringe driver.

Reference: NICE NG31; palliative care guidance