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

In primary hypothyroidism, what is the usual TSH result?

  1. AHigh
  2. BUndetectable
  3. CLow
  4. DNormal
2.Easy

Which fluid is usually given first in diabetic ketoacidosis?

  1. AIV 50% glucose solution
  2. BIV 0.9% sodium chloride
  3. CIV sterile water for injection
  4. DOral sugary drinks and water
3.Easy

What is acromegaly?

  1. AToo little growth hormone in a child
  2. BToo little thyroid hormone in an adult
  3. CToo much cortisol from the adrenal glands
  4. DToo much growth hormone in an adult
4.Medium

A patient taking dapagliflozin (an SGLT2 inhibitor) is vomiting, with blood ketones of 4.5 mmol/L but a glucose of only 11 mmol/L. What should be suspected?

  1. AHypoglycaemia caused by the vomiting
  2. BEuglycaemic diabetic ketoacidosis
  3. CHyperosmolar hyperglycaemic state
  4. DA normal side effect needing no action
5.Medium

Which group of drugs is a well-known cause of SIADH and hyponatraemia, especially in older people?

  1. ASSRI antidepressants
  2. BProton pump inhibitors
  3. CPenicillin antibiotics
  4. DBulk-forming laxatives
6.Medium

A patient has just started haemodialysis. What usually happens to their protein needs?

  1. AThey increase, because dialysis removes amino acids
  2. BThey fall to almost zero to rest the kidneys
  3. CThey stay exactly the same as they were before dialysis
  4. DProtein must be replaced only by IV infusion
7.Hard

A patient with gastroparesis has hypos soon after their meal-time insulin, then high glucose several hours later. What is the best explanation?

  1. AThe patient is secretly eating sweets between meals
  2. BThe insulin has gone off and needs replacing
  3. CFood is absorbed slowly, so the insulin peaks before the glucose rises
  4. DThe meter gives false results for several hours after every meal
8.Hard

A patient with a severe head injury does not open the eyes, and in response to pain the arms extend and rotate inwards with the legs extended. What does this indicate?

  1. AFlexor (decorticate) posturing, a sign of mild cortical injury
  2. BA normal withdrawal response to a painful stimulus
  3. CExtensor (decerebrate) posturing: severe brainstem injury
  4. DA focal seizure that will stop without any treatment

Answer key

  1. 1. A · High
  2. 2. B · IV 0.9% sodium chloride
  3. 3. D · Too much growth hormone in an adult
  4. 4. B · Euglycaemic diabetic ketoacidosis
  5. 5. A · SSRI antidepressants
  6. 6. A · They increase, because dialysis removes amino acids
  7. 7. C · Food is absorbed slowly, so the insulin peaks before the glucose rises
  8. 8. C · Extensor (decerebrate) posturing: severe brainstem injury

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