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

A patient with Bell's palsy cannot close one eye fully. Which advice is most important?

  1. AMassage the closed eyeball firmly several times every day
  2. BUse lubricating eye drops and protect or tape the eye at night
  3. CLeave the eye uncovered so air can dry it out
  4. DWear contact lenses to keep the eye moist
2.Easy

What is acromegaly?

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

What is the most common cause of dementia?

  1. AMultiple sclerosis
  2. BAlzheimer's disease
  3. CParkinson's disease
  4. DHuntington's disease
4.Medium

Which Glasgow Coma Scale score usually suggests that a patient may not be able to protect their own airway?

  1. A13 or below
  2. B15
  3. C11 or above
  4. D8 or below
5.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. A6, obeys commands
  2. B4, withdraws from pain
  3. C5, localises to pain
  4. D3, abnormal flexion
6.Medium

Why might a patient bleed more from the needle sites straight after haemodialysis?

  1. AHeparin is often used to stop the circuit from clotting
  2. BDialysis raises the blood pressure sharply for several hours
  3. CDialysis removes all the platelets from the blood
  4. DThe fistula has been damaged and must be tied off
7.Hard

Which statement correctly distinguishes spinal shock from neurogenic shock?

  1. ANeurogenic shock is caused by blood loss; spinal shock is caused by infection
  2. BThey are two names for exactly the same condition
  3. CSpinal shock is lost reflexes; neurogenic shock is low BP and slow pulse
  4. DSpinal shock is low blood pressure; neurogenic shock is the loss of reflexes
8.Hard

Near the end of a haemodialysis session, a patient has painful leg cramps and a falling blood pressure. What is the most likely cause?

  1. AThe dialysate is too cold
  2. BFluid is being removed too quickly
  3. CAn allergic reaction to the needles
  4. DNot enough fluid is being removed

Answer key

  1. 1. B · Use lubricating eye drops and protect or tape the eye at night
  2. 2. A · Too much growth hormone in an adult
  3. 3. B · Alzheimer's disease
  4. 4. D · 8 or below
  5. 5. C · 5, localises to pain
  6. 6. A · Heparin is often used to stop the circuit from clotting
  7. 7. C · Spinal shock is lost reflexes; neurogenic shock is low BP and slow pulse
  8. 8. B · Fluid is being removed too quickly

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