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

Post-streptococcal glomerulonephritis typically follows which event?

  1. AA long course of antibiotics for pneumonia
  2. BA kidney stone passed the week before
  3. CA throat or skin infection a few weeks earlier
  4. DAn episode of bloody diarrhoea from food poisoning
2.Easy

What is spinal shock?

  1. AA permanent loss of feeling in both hands only, from nerve damage
  2. BA severe allergic reaction to spinal anaesthetic
  3. CA very low blood pressure caused by blood loss after trauma
  4. DA temporary loss of reflexes and tone below a spinal cord injury
3.Easy

What causes Graves' disease?

  1. AA viral infection of the parathyroid glands
  2. BA lack of iodine in the diet
  3. CAntibodies that stimulate the TSH receptor
  4. DToo much TSH from a pituitary tumour
4.Medium

Which side effects are common with oxybutynin for an overactive bladder?

  1. ADiarrhoea and heavy sweating
  2. BWeight loss and a fast tremor
  3. CDry mouth and constipation
  4. DA cough and a raised potassium
5.Medium

A patient's fistula starts to bleed at home after the needles were removed. What should they do first?

  1. AWait for the next dialysis session
  2. BPress firmly on the site with clean gauze
  3. CRaise the arm and let it bleed freely
  4. DApply a tight tourniquet above the fistula
6.Medium

A stroke patient speaks fluently, but the words make little sense, and they do not follow simple instructions. Which type of aphasia is this?

  1. AGlobal aphasia with no speech at all
  2. BDysarthria from facial weakness
  3. CReceptive (Wernicke's) aphasia
  4. DExpressive (Broca's) aphasia
7.Hard

A patient taking amiodarone has gained weight and feels tired and cold. Which blood test is most relevant?

  1. AThyroid function tests
  2. BSerum amylase and lipase levels
  3. CSerum ferritin
  4. DBlood alcohol level
8.Hard

A 22-year-old with type 1 diabetes has glucose 28 mmol/L, ketones 5.2 mmol/L, pH 7.10 and potassium 5.9 mmol/L. Which statement about potassium is correct?

  1. ATotal-body potassium is low, and the level will fall with treatment
  2. BThe insulin should be withheld to keep the potassium level stable
  3. CTotal-body potassium is high, so a potassium binder is needed now
  4. DPotassium need not be rechecked once insulin has been started

Answer key

  1. 1. C · A throat or skin infection a few weeks earlier
  2. 2. D · A temporary loss of reflexes and tone below a spinal cord injury
  3. 3. C · Antibodies that stimulate the TSH receptor
  4. 4. C · Dry mouth and constipation
  5. 5. B · Press firmly on the site with clean gauze
  6. 6. C · Receptive (Wernicke's) aphasia
  7. 7. A · Thyroid function tests
  8. 8. A · Total-body potassium is low, and the level will fall with treatment

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