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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1.Easy

In the FAST stroke test, what does the letter A stand for?

  1. AArms: can both arms be raised and held there?
  2. BAirway: is the airway open and clear?
  3. CAlertness: is the person fully awake?
  4. DAllergies: is the person allergic to anything?
2.Easy

Which symptom is the classic warning sign of bladder cancer?

  1. APainless visible blood in the urine
  2. BLeaking urine when coughing
  3. CSevere loin pain that comes in waves
  4. DBurning pain on passing urine
3.Easy

Which type of stroke is the most common?

  1. AIschaemic stroke from a blocked artery
  2. BHaemorrhagic stroke from a burst artery
  3. CSubarachnoid haemorrhage from an aneurysm
  4. DVenous sinus thrombosis in the brain
4.Medium

When the nurse squeezes the trapezius muscle, the patient brings a hand up above the collarbone towards the stimulus. Which GCS motor score is this?

  1. A4, withdraws from pain
  2. B5, localises to pain
  3. C6, obeys commands
  4. D3, abnormal flexion
5.Medium

A patient wakes up with stroke symptoms. They went to bed well at 23:00 and woke at 06:30. Which time is used as the time of onset?

  1. A23:00, when they were last known to be well
  2. B06:30, when the symptoms were first noticed
  3. CThe time of arrival at the hospital
  4. DThe time the CT scan was performed
6.Medium

A woman who takes the combined contraceptive pill is starting carbamazepine. What should she be taught?

  1. AThere is no interaction between these two medicines
  2. BCarbamazepine can make the pill less effective, so other contraception is needed
  3. CShe should take both at the same time so they are absorbed together
  4. DThe pill makes carbamazepine toxic, so she must stop the pill
7.Hard

A patient with SIADH needs IV fluid. Which fluid is most likely to worsen the hyponatraemia?

  1. A20% human albumin
  2. B8.4% sodium bicarbonate
  3. C3% saline
  4. D5% glucose (dextrose, D5W)
8.Hard

A patient with hypothyroidism who has missed medication for weeks is admitted hypothermic and drowsy, with a pulse of 46/min, low sodium and a raised PaCO₂. Which condition is most likely?

  1. AThyroid storm
  2. BHeat stroke
  3. CMyxoedema coma
  4. DAdrenal crisis

Answer key

  1. 1. A · Arms: can both arms be raised and held there?
  2. 2. A · Painless visible blood in the urine
  3. 3. A · Ischaemic stroke from a blocked artery
  4. 4. B · 5, localises to pain
  5. 5. A · 23:00, when they were last known to be well
  6. 6. B · Carbamazepine can make the pill less effective, so other contraception is needed
  7. 7. D · 5% glucose (dextrose, D5W)
  8. 8. C · Myxoedema coma

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