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 description best fits type 2 diabetes?

  1. AToo much insulin released after meals
  2. BInsulin resistance with a relative lack of insulin
  3. CAutoimmune destruction of all beta cells in childhood
  4. DA total lack of insulin from birth
2.Easy

What is the usual first-line treatment for stress urinary incontinence in women?

  1. ASurgery straight away
  2. BA permanent urinary catheter
  3. CRestricting fluids to half a litre a day
  4. DPelvic floor muscle training
3.Easy

What does the HbA1c test show?

  1. AThe amount of insulin the pancreas is making
  2. BThe average blood glucose over about two to three months
  3. CThe blood glucose at the exact moment that the sample is taken
  4. DThe glucose level over the last 24 hours only
4.Medium

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

  1. AWeight loss and a fast tremor
  2. BDry mouth and constipation
  3. CDiarrhoea and heavy sweating
  4. DA cough and a raised potassium
5.Medium

How is cerebral perfusion pressure (CPP) calculated?

  1. AMean arterial pressure minus intracranial pressure
  2. BMean arterial pressure divided by heart rate
  3. CDiastolic pressure minus central venous pressure
  4. DSystolic arterial pressure plus intracranial pressure
6.Medium

A patient with a suspected basal skull fracture needs a gastric tube. Which route is preferred?

  1. AThrough the mouth (orogastric)
  2. BThrough the nose (nasogastric)
  3. CThrough the nose with a guidewire
  4. DThrough a fine-bore nasal tube
7.Hard

A patient's chronic hyponatraemia was corrected from 115 to 132 mmol/L in 24 hours. Two days later they develop slurred speech, difficulty swallowing and limb weakness. What is the most likely cause?

  1. ANormal recovery from hyponatraemia
  2. BHypoglycaemia from poor intake
  3. CA new stroke unrelated to the sodium
  4. DOsmotic demyelination syndrome
8.Hard

A patient with an insulin pump is admitted with nausea, a glucose of 19 mmol/L (342 mg/dL) and blood ketones of 3.1 mmol/L. What is the priority?

  1. AGive an antiemetic only, because nausea is causing the high glucose
  2. BIncrease the pump rate and recheck the ketones in 12 hours
  3. CDisconnect the pump and give no insulin until the ketones clear
  4. DSuspect failed insulin delivery and give insulin by another route

Answer key

  1. 1. B · Insulin resistance with a relative lack of insulin
  2. 2. D · Pelvic floor muscle training
  3. 3. B · The average blood glucose over about two to three months
  4. 4. B · Dry mouth and constipation
  5. 5. A · Mean arterial pressure minus intracranial pressure
  6. 6. A · Through the mouth (orogastric)
  7. 7. D · Osmotic demyelination syndrome
  8. 8. D · Suspect failed insulin delivery and give insulin by another route

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