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 symptoms are typical of diabetic peripheral neuropathy?

  1. AA painful red, hot swollen big toe at night
  2. BMorning stiffness of the small hand joints
  3. CPain in the calves that starts when walking
  4. DNumbness, tingling or burning in the feet
2.Easy

Which type of insulin is given intravenously, for example in an insulin infusion?

  1. ASoluble (regular) short-acting insulin
  2. BPremixed biphasic insulin
  3. CLong-acting insulin glargine
  4. DIntermediate-acting NPH (isophane) insulin
3.Easy

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

  1. AAirway: is the airway open and clear?
  2. BAlertness: is the person fully awake?
  3. CArms: can both arms be raised and held there?
  4. DAllergies: is the person allergic to anything?
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. CA cough and a raised potassium
  4. DDiarrhoea and heavy sweating
5.Medium

Which set of results best supports DKA rather than HHS?

  1. AHigh ketones, pH below 7.3 and low bicarbonate
  2. BGlucose above 30 mmol/L with a normal pH
  3. CVery high osmolality with only trace ketones in the blood
  4. DNormal ketones and a normal bicarbonate
6.Medium

Before checking a capillary glucose, why should the patient wash their hands with soap and water?

  1. ASoap makes the blood flow faster from the finger
  2. BWashing lowers the glucose in the blood
  3. CSugar on the skin can give a falsely high reading
  4. DWashing prevents all infection from the lancet
7.Hard

A patient with Addison's disease has been vomiting for a day. They are confused, with BP 78/40 mmHg, sodium 126 mmol/L and potassium 6.0 mmol/L. What is the priority?

  1. AA fluid restriction for the low sodium
  2. BIV potassium to correct the electrolytes
  3. CIV hydrocortisone straight away, plus IV fluids
  4. DOral hydrocortisone and an antiemetic by mouth
8.Hard

A patient with type 1 diabetes is nil by mouth before surgery tomorrow. Which plan is safest?

  1. AGive the usual meal-time insulin, even though no meals will be eaten
  2. BStop all insulin until the patient is eating and drinking normally again
  3. CGive insulin only if the urine ketones become strongly positive overnight
  4. DContinue some insulin (basal or a variable-rate IV infusion) with glucose checks

Answer key

  1. 1. D · Numbness, tingling or burning in the feet
  2. 2. A · Soluble (regular) short-acting insulin
  3. 3. C · Arms: can both arms be raised and held there?
  4. 4. B · Dry mouth and constipation
  5. 5. A · High ketones, pH below 7.3 and low bicarbonate
  6. 6. C · Sugar on the skin can give a falsely high reading
  7. 7. C · IV hydrocortisone straight away, plus IV fluids
  8. 8. D · Continue some insulin (basal or a variable-rate IV infusion) with glucose checks

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