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.

New worksheetPractise online with hints

For teachers: free to print, copy and use in class. Every new worksheet has new values and its own answer key. A link to ExamProblems on your course page is appreciated.

Name: ____________________   Date: ____________

1.Easy

What is the postictal phase?

  1. AA seizure that lasts more than five minutes
  2. BThe stiffening phase at the start of a tonic-clonic seizure
  3. CThe period of drowsiness and confusion after a seizure
  4. DThe warning sensation just before a seizure starts
2.Easy

Which finding is typical of diabetes insipidus?

  1. ALarge volumes of dilute urine and great thirst
  2. BSmall volumes of very concentrated urine
  3. CFluid retention with a low serum sodium
  4. DHigh blood glucose with large amounts of glucose in the urine
3.Easy

What is acromegaly?

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

Fifteen minutes after treatment with glucose tablets, a patient's glucose has risen from 3.2 to 5.1 mmol/L. Their next meal is in two hours. What should happen next?

  1. AGive a longer-acting carbohydrate snack, such as a sandwich
  2. BGive the usual dose of rapid-acting insulin straight away
  3. CNo further action is needed until the next meal is served later
  4. DGive another dose of glucose tablets to push it higher
5.Medium

Which complication is a particular risk in nephrotic syndrome?

  1. AVenous thrombosis
  2. BBleeding from low platelets
  3. CLow cholesterol
  4. DHypoglycaemia
6.Medium

What is the main purpose of continuous bladder irrigation after a transurethral resection of the prostate (TURP)?

  1. ATo stop blood clots from blocking the catheter
  2. BTo measure the size of the bladder
  3. CTo treat a urinary infection after the operation
  4. DTo give the patient extra fluids
7.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. AHeat stroke
  2. BMyxoedema coma
  3. CAdrenal crisis
  4. DThyroid storm
8.Hard

A man who takes tamsulosin for BPH is listed for cataract surgery. Which statement is correct?

  1. AThe eye surgeon must be told, as it can cause floppy iris during surgery
  2. BThe dose should be doubled before surgery to prevent urinary retention
  3. CTamsulosin has no effects outside the urinary tract, so nothing changes
  4. DIt should be swapped for oxybutynin the night before to protect the eye

Answer key

  1. 1. C · The period of drowsiness and confusion after a seizure
  2. 2. A · Large volumes of dilute urine and great thirst
  3. 3. D · Too much growth hormone in an adult
  4. 4. A · Give a longer-acting carbohydrate snack, such as a sandwich
  5. 5. A · Venous thrombosis
  6. 6. A · To stop blood clots from blocking the catheter
  7. 7. B · Myxoedema coma
  8. 8. A · The eye surgeon must be told, as it can cause floppy iris during surgery

Full step-by-step solutions: practise this topic on examproblems.com.