CERTIFICATION TEST 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
● Mrs. Smith has severe dyspnea from metastatic lung cancer. Which of
the following is the BEST FIRST CHOICE to lessen her shortness of
breath. Answer: Morphine 5 mg PO every 3 hours PRN
● Topical application of any of the following agents will manage
bleeding of a fungating lesion arising from breast cancer growth
EXCEPT: Answer: Fluticasone (Flonase®) nasal spray
● Most cancer deaths are due to spread of cancer to adjacent or distant
organs. Answer: True
● Pruritus is a common symptom associated with liver metastasis which
may be managed by a number of therapies. Which of the following
therapies is BEST for a patient with cholestasis and severe pruritus?
Answer: Cholestyramine (Questran®)
● Mr. B is a 66 year old with end stage metastatic colorectal cancer.
Which of the following occurrences is considered a poor prognostic
indicator for Mr. B? Answer: Peritoneal metastasis