RACP Divisional Written Exam · FRACP

Palliative Medicine for the written exam

Everything Physify has for Palliative Medicine: short lessons written to Australian guidance, exam-style questions with a worked explanation for each, and Bedside, our AI tutor, under every one. Try a question below, no sign-up.

courses
8courses
lessons
38lessons
exam-style questions
214exam-style questions
figures in the lessons
3figures in the lessons

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Palliative Medicine

A 76 year old man with metastatic bladder cancer takes paracetamol-codeine 500/30 mg, two tablets four times daily (codeine 240 mg a day), with poor pain control. He has normal renal function and is changing to oral morphine. Using the ANZCA conversion factor, what is his current oral morphine equivalent daily dose?

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What's covered

8 courses, each a set of lessons with a quiz after them. The bar shows how many questions each has. Open a course to see its lesson outline.

From the lessons

3 figures sit in the Palliative Medicine lessons: ECGs, diagrams, films and clinical images, each with what to look for. Here are 3. Tap one to enlarge it.

Coronal contrast CT of the abdomen and pelvis: many dilated, fluid-filled small bowel loops, yellow arrows on two of them and an arrowhead on fluid beside the liver.
Malignant small bowel obstruction from peritoneal spread: dilated small bowel loops throughout the abdomen (arrows) and ascites (arrowhead); diffuse peritoneal disease with ascites predicts a poor result from surgery, so care is usually medical. Image: Iida, Hongo, Onoda and others, Medicine 2021 (figure 1), CC BY 4.0, via PubMed Central; cropped. Original. Tap the image to zoom.

From the lesson “Malignant Bowel Obstruction” in Non-Pain Symptom Management

A small square transparent patch printed 'fentanyl 12 micrograms per hour' on the skin of an upper arm.
A transdermal fentanyl patch on the upper arm. Apply to clean, dry, intact, non-irritated, non-irradiated skin on a flat area of the upper arm or trunk (chest or back; the upper back in a confused patient who may remove it), clip hair rather than shave, clean with water only, and press for about 30 seconds; rotate sites. Keep heat off it: fever, heat packs, electric blankets, saunas and hot baths increase absorption, so watch for opioid toxicity. A used patch still holds drug, so fold it sticky sides together and dispose of it safely (return to pharmacy or the facility's Schedule 8 process), and write the time of each change on the chart. Image: DanielTahar, CC BY-SA 4.0, via Wikimedia Commons; cropped and resized. Original. Tap the image to zoom.

From the lesson “Opioids” in Pain Management in Palliative Care

The lower back and buttocks of a person lying on their side: a large open wound over the sacrum, its base covered with yellow slough, with a raised red rim.
A large sacral pressure injury covered by slough: when slough hides the base the injury is classed as unstageable; in advanced dementia, care aims at comfort, odour and exudate control as much as at healing. Image: Tuma, Marte de Arruda Sampaio and Tuma, Cureus 2025 (figure 1), CC BY 4.0, via PubMed Central; cropped. Original. Tap the image to zoom.

From the lesson “Dementia, Frailty, Neurodegenerative Disease and Stroke” in Palliative Care in Non-Cancer Illness

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