Med-surg: neuro, endocrine & renal worksheet with answers

Free printable Med-surg: neuro, endocrine & renal worksheet: 8 problems from easy to exam level, with an answer key. Print it or save it as a PDF.

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Name: ____________________   Date: ____________

1.Easy

What is the lowest possible score on the Glasgow Coma Scale?

  1. A1
  2. B3
  3. C0
  4. D5
2.Easy

Which isolation precautions are used for a patient with suspected meningococcal meningitis?

  1. ADroplet precautions until about 24 hours of effective antibiotics
  2. BAirborne precautions in a negative pressure room for 2 weeks
  3. CNo extra precautions, because it is not infectious
  4. DContact precautions only, with gloves for skin contact
3.Easy

Which cranial nerve makes the pupil constrict in response to light?

  1. AAbducens nerve (VI)
  2. BTrochlear nerve (IV)
  3. COptic nerve (II) alone
  4. DOculomotor nerve (III)
4.Medium

Why is metformin usually withheld during acute kidney injury or around iodinated contrast in at-risk patients?

  1. AIt blocks the contrast so the scan cannot be read
  2. BIt can accumulate and raise the risk of lactic acidosis
  3. CIt causes severe hypoglycaemia when given together with contrast
  4. DIt causes hyperkalaemia when the kidneys are injured
5.Medium

A patient with type 1 diabetes plans a long cycle ride. Which advice is most appropriate?

  1. ACheck glucose before and after, and carry fast-acting carbohydrate
  2. BSkip breakfast so the exercise burns body fat
  3. CTake an extra dose of rapid-acting insulin before setting off
  4. DAvoid checking glucose until the ride is over
6.Medium

A patient on ciclosporin or tacrolimus asks about grapefruit juice. Which advice is correct?

  1. ADrink it with each dose to improve the absorption
  2. BIt has no effect on these drugs
  3. CAvoid it, because it can raise the drug levels
  4. DDrink it daily to protect the kidney
7.Hard

A patient with SIADH needs IV fluid. Which fluid is most likely to worsen the hyponatraemia?

  1. A20% human albumin
  2. B5% glucose (dextrose, D5W)
  3. C8.4% sodium bicarbonate
  4. D3% saline
8.Hard

An older patient with type 2 diabetes has glucose 48 mmol/L, osmolality 365 mOsm/kg, no significant ketones and confusion. What is the first priority?

  1. AOral glucose to prevent hypoglycaemia during treatment
  2. BCareful IV fluids with close checks of osmolality, sodium and glucose
  3. CStrict fluid restriction to avoid cerebral oedema
  4. DA large IV insulin bolus to bring glucose to normal within an hour

Answer key

  1. 1. B · 3
  2. 2. A · Droplet precautions until about 24 hours of effective antibiotics
  3. 3. D · Oculomotor nerve (III)
  4. 4. B · It can accumulate and raise the risk of lactic acidosis
  5. 5. A · Check glucose before and after, and carry fast-acting carbohydrate
  6. 6. C · Avoid it, because it can raise the drug levels
  7. 7. B · 5% glucose (dextrose, D5W)
  8. 8. B · Careful IV fluids with close checks of osmolality, sodium and glucose

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