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

Why do many patients with chronic kidney disease develop anaemia?

  1. AThe kidneys break down red blood cells
  2. BThe kidneys make less erythropoietin
  3. CDialysis removes iron from the blood
  4. DBlood is lost in the urine every day
2.Easy

What is the most common cause of a high sodium in a frail older adult?

  1. ANot drinking enough water
  2. BTaking too much insulin
  3. CDrinking too much water
  4. DEating too much fruit
3.Easy

How is the headache of a subarachnoid haemorrhage typically described?

  1. AOne-sided and throbbing, with an aura beforehand
  2. BSlowly worsening over several weeks, worst in the morning
  3. CSudden and severe, reaching its peak within about a minute
  4. DA tight band around the head that comes and goes
4.Medium

A seizure has lasted five minutes and is continuing. What is the usual first-line drug treatment?

  1. AIM adrenaline into the outer thigh
  2. BIV glucose 50% in every patient, then reassess
  3. CA benzodiazepine such as IV lorazepam or buccal midazolam
  4. DAn IV loading dose of phenytoin before anything else
5.Medium

A patient has taken metformin for many years and now has tingling feet and a low haemoglobin. Which blood test is most relevant?

  1. ASerum amylase
  2. BBlood alcohol level
  3. CThyroid antibodies
  4. DVitamin B12 level
6.Medium

Why may a person with long-standing diabetes have a heart attack without typical chest pain?

  1. AInsulin acts as a strong painkiller
  2. BPeople with diabetes do not have heart attacks
  3. CNerve damage can blunt the pain signals
  4. DHigh glucose protects the heart from pain
7.Hard

A patient with SIADH is taught about a fluid restriction. Which statement shows a need for further teaching?

  1. A"I will weigh myself every morning."
  2. B"I will count all drinks, including soup, in my daily total."
  3. C"I will report any headaches or confusion."
  4. D"If I feel thirsty, I can drink as much water as I like."
8.Hard

A patient with renal colic has normal kidney function and no other contraindications. Which drug is usually the first choice for pain?

  1. AAn oral antihistamine such as cetirizine
  2. BOral paracetamol (acetaminophen) alone
  3. CA benzodiazepine such as diazepam
  4. DAn NSAID such as diclofenac

Answer key

  1. 1. B · The kidneys make less erythropoietin
  2. 2. A · Not drinking enough water
  3. 3. C · Sudden and severe, reaching its peak within about a minute
  4. 4. C · A benzodiazepine such as IV lorazepam or buccal midazolam
  5. 5. D · Vitamin B12 level
  6. 6. C · Nerve damage can blunt the pain signals
  7. 7. D · "If I feel thirsty, I can drink as much water as I like."
  8. 8. D · An NSAID such as diclofenac

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