Palliative care in cancer — branching viva

Outpatient clinic: an eight-year-old girl with relapsed medulloblastoma is admitted with a severe pain flare and exhausted parents, while the oncology team weighs another line of treatment. The examiner asks for the World Health Organization definition of palliative care and the concurrent model, then branches to the symptom assessment and the analgesic ladder, to the goals-of-care conversation, to the anticipatory medicines for the last days of life, and finally to a sixteen-year-old with refractory leukaemia at home that opens the place-of-care decision and the bereavement and sibling support.