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 acromegaly?

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

In primary hypothyroidism, what is the usual TSH result?

  1. AUndetectable
  2. BNormal
  3. CHigh
  4. DLow
3.Easy

Which hormones does the adrenal medulla release?

  1. AThyroxine and calcitonin
  2. BCortisol and aldosterone
  3. CAdrenaline and noradrenaline
  4. DInsulin and glucagon
4.Medium

During DKA treatment, glucose falls below about 14 mmol/L (around 250 mg/dL) but ketones are still raised. What usually happens?

  1. AAll IV fluids are stopped to avoid fluid overload
  2. BThe insulin infusion is stopped straight away
  3. CThe patient eats a meal and IV treatment stops
  4. DGlucose is added to the fluids; insulin continues
5.Medium

A patient with gout has recurrent uric acid kidney stones. Which treatment helps prevent them?

  1. AAllopurinol and making the urine less acidic
  2. BRestricting fluids in the evening only
  3. CVitamin C supplements and a high-meat diet
  4. DCalcium tablets and a low-fluid diet
6.Medium

A patient with type 1 diabetes has gastroenteritis and cannot eat. Which sick-day advice is correct?

  1. ACheck glucose once a day only and rest in bed until better
  2. BKeep taking basal insulin and check glucose and ketones more often
  3. CAvoid drinking fluids to reduce the vomiting
  4. DStop all insulin until normal eating restarts
7.Hard

A kidney transplant recipient has had vomiting and diarrhoea for two days. Why should the transplant team be contacted?

  1. AThe tablets will make the vomiting stop
  2. BThe kidney will start to produce far too much urine
  3. CThe patient may not be absorbing their immunosuppressants
  4. DVomiting proves that rejection has already happened
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. AThe insulin should be withheld to keep the potassium level stable
  2. BPotassium need not be rechecked once insulin has been started
  3. CTotal-body potassium is high, so a potassium binder is needed now
  4. DTotal-body potassium is low, and the level will fall with treatment

Answer key

  1. 1. A · Too much growth hormone in an adult
  2. 2. C · High
  3. 3. C · Adrenaline and noradrenaline
  4. 4. D · Glucose is added to the fluids; insulin continues
  5. 5. A · Allopurinol and making the urine less acidic
  6. 6. B · Keep taking basal insulin and check glucose and ketones more often
  7. 7. C · The patient may not be absorbing their immunosuppressants
  8. 8. D · Total-body potassium is low, and the level will fall with treatment

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