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

Which mineral is needed to make thyroid hormones?

  1. AIron
  2. BIodine
  3. CCalcium
  4. DZinc
2.Easy

Which simple test should be done early in every patient with suspected stroke, because an abnormal result can mimic a stroke?

  1. AVisual acuity chart
  2. BPeak expiratory flow rate
  3. CUrine dipstick
  4. DCapillary blood glucose
3.Easy

After a head injury, a patient has bruising behind the ear over the mastoid bone. What does this suggest?

  1. AA simple scalp laceration
  2. BAn injury to the outer ear only
  3. CA fracture of the base of the skull
  4. DA fractured jaw
4.Medium

Several hours after a carotid endarterectomy, which finding needs the most urgent action?

  1. AMild pain at the incision site
  2. BA blood pressure slightly above the baseline
  3. CA small amount of dried blood on the dressing
  4. DAn expanding neck swelling with noisy breathing
5.Medium

How should peritoneal dialysis fluid be warmed before use?

  1. AIn a bowl of hot tap water
  2. BIn a dedicated dry-heat warmer
  3. CIt should be used cold from the fridge
  4. DIn a microwave oven
6.Medium

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

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

During a TURP, a patient becomes confused and nauseated, with a slow pulse and a raised BP. The sodium is 121 mmol/L. What is most likely?

  1. AA normal reaction to the spinal anaesthetic
  2. BHypoglycaemia from fasting for many hours before surgery
  3. CAn allergic reaction to the catheter
  4. DTURP syndrome from absorbed irrigation fluid
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. AA large IV insulin bolus to bring glucose to normal within an hour
  2. BStrict fluid restriction to avoid cerebral oedema
  3. COral glucose to prevent hypoglycaemia during treatment
  4. DCareful IV fluids with close checks of osmolality, sodium and glucose

Answer key

  1. 1. B · Iodine
  2. 2. D · Capillary blood glucose
  3. 3. C · A fracture of the base of the skull
  4. 4. D · An expanding neck swelling with noisy breathing
  5. 5. B · In a dedicated dry-heat warmer
  6. 6. B · It can accumulate and raise the risk of lactic acidosis
  7. 7. D · TURP syndrome from absorbed irrigation fluid
  8. 8. D · Careful IV fluids with close checks of osmolality, sodium and glucose

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