Phys Vivas · oncological
Pain Management IN Cancer AND Chronic Disease — Viva Defence
DCE viva defence for Pain Management IN Cancer AND Chronic Disease.
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Target exams
Pain Management IN Cancer AND Chronic Disease Viva
Long Case Viva Defence
Opening statement
"This patient presents with a problem best framed as Pain Management IN Cancer AND Chronic Disease. My priorities are to identify red flags, confirm the mechanism with purposeful investigations, start a sequenced management plan, and integrate multimorbidity and follow-up." [1] [2]
Examiner questions
Q1: "What makes this urgent?" [1]
"I look for threats to airway, perfusion, neurology, metabolism, infection or bleeding, and I escalate those before elective work-up." [1] [2]
Q2: "What is your first investigation package?" [2]
"I order tests that change management now, not a scattergun panel." [1] [2]
Q3: "Walk me through treatment." [1]
"Stabilise, treat the mechanism, prevent complications, and plan monitoring." [1] [2] [3]
Q4: "What is the classic trap?" [2]
"Treating a label without confirming the discriminating mechanism, or delaying escalation." [1] [2]
Short case
Counsel the patient on the plan, risks and warning symptoms in plain language. [1] [2]
References
- [1]Woldesenbet DA, Atalay AA, Worku AB, Dejen GH, et al. Signet ring cell carcinoma of colonic origin in a 13-year-old child from remote setting: a case report J Med Case Rep, 2026.PMID 42464375
- [2]Bai H, Wang C, Shi W, E S, et al. A case of lung cancer-associated pulmonary embolism mimicking Kimura disease: a case report J Med Case Rep, 2026.PMID 42400093
- [3]Martin OY, Darbari DS Pain in SCD-Many mechanisms and mysteries Semin Hematol, 2026.PMID 42392892
- [4]Nowak M, Piechota D, Barańska-Rybak W Malignancy in Chronic Leg Wounds: Diagnostic Delay and Clinical Implications in a Tertiary Wound-Care Cohort Int Wound J, 2026.PMID 42389969
- [5]Edel Y, Stein PE, Kawtharany H, Aarsand AK, et al. Guidelines for the management of acute porphyria: recommendations from the International Porphyria Network Lancet Haematol, 2026.PMID 42069412
- [6]Schrader NF, Niemann A, Weitzel M, Abels C, et al. A Large Retrospective Observational Study of Nonpharmacologic Treatment Use Among German Patients Receiving Long-Term Opioid Therapy for Chronic Noncancer Pain Pain Res Manag, 2026.PMID 42053031
- [7]Doan HN, Chang MC Comparative Effectiveness of Unstable Versus Stable Resistance Training on Lower Limb Strength, Mobility, and Fear of Falling in Older Adults: A Systematic Review and Meta-analysis of Randomized Controlled Trials Am J Phys Med Rehabil, 2026.PMID 42468010
- [8]Liu HW, Tsai TL Virtual Reality-assisted Physiotherapeutic Training for Patients With Knee Osteoarthritis: A Systematic Review and Meta-analysis Am J Phys Med Rehabil, 2026.PMID 42468005