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.

New worksheetPractise online with hints

For teachers: free to print, copy and use in class. Every new worksheet has new values and its own answer key. A link to ExamProblems on your course page is appreciated.

Name: ____________________   Date: ____________

1.Easy

Which symptoms are typical early warning signs of hypoglycaemia?

  1. ADeep, rapid breathing with a fruity breath smell
  2. BShaking, sweating, hunger and a fast heartbeat
  3. CSlow pulse, constipation and feeling cold
  4. DThirst, dry skin and passing a lot of urine
2.Easy

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

  1. A1
  2. B5
  3. C3
  4. D0
3.Easy

Which spinal cord injury level is most likely to stop the diaphragm from working?

  1. AA complete injury at L3 or below
  2. BA complete injury at T10 or below
  3. CA complete injury at C3 or above
  4. DA complete injury at S2 or below
4.Medium

Why is good blood pressure control important in chronic kidney disease?

  1. AIt lowers the blood glucose
  2. BIt slows the decline in kidney function
  3. CIt cures chronic kidney disease
  4. DIt raises the haemoglobin level in the blood
5.Medium

A patient is starting lamotrigine. Which teaching point is most important?

  1. AReport any skin rash promptly, especially in the first weeks
  2. BExpect an orange tint to tears and urine
  3. CDouble the dose if a seizure happens
  4. DTake it with a glass of grapefruit juice to improve its absorption
6.Medium

Which group of problems is typical of primary hyperparathyroidism?

  1. AHair loss, weight gain and feeling cold
  2. BHeat intolerance, tremor, weight loss and diarrhoea
  3. CMuscle cramps, tingling lips and seizures
  4. DKidney stones, bone pain, abdominal pain and low mood
7.Hard

A haemodialysis patient missed their last two sessions. They are breathless, with crackles, and the potassium is 6.9 mmol/L. What is the priority?

  1. AUrgent dialysis, with cardiac monitoring meanwhile
  2. BOral potassium supplements and rest
  3. CLarge IV fluid boluses to improve the circulation
  4. DA routine dialysis session at the next planned slot
8.Hard

A patient with a T4 spinal cord injury has a pounding headache, BP 210/110 mmHg, flushed sweaty skin above the injury and a pulse of 50/min. After sitting the patient up, what is the next priority?

  1. ALie the patient flat again and raise the legs on pillows
  2. BFind and remove the trigger, starting with the bladder
  3. CGive a rapid IV fluid bolus to support the circulation
  4. DGive a sedative and recheck the blood pressure in an hour

Answer key

  1. 1. B · Shaking, sweating, hunger and a fast heartbeat
  2. 2. C · 3
  3. 3. C · A complete injury at C3 or above
  4. 4. B · It slows the decline in kidney function
  5. 5. A · Report any skin rash promptly, especially in the first weeks
  6. 6. D · Kidney stones, bone pain, abdominal pain and low mood
  7. 7. A · Urgent dialysis, with cardiac monitoring meanwhile
  8. 8. B · Find and remove the trigger, starting with the bladder

Full step-by-step solutions: practise this topic on examproblems.com.