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

Why do patients with chronic kidney disease often develop bone disease?

  1. APatients usually drink too much milk
  2. BThe kidneys cannot activate vitamin D or clear phosphate
  3. CThe bones are attacked by antibodies made in the kidneys
  4. DThe kidneys release too much calcium into the bones
2.Easy

Which finding is a common reason for urgent dialysis?

  1. AHyperkalaemia that does not respond to treatment
  2. BA single episode of itching
  3. CA haemoglobin of 105 g/L (10.5 g/dL) with mild tiredness
  4. DA mildly raised creatinine with no symptoms
3.Easy

Which HbA1c result is commonly used as the threshold for diagnosing diabetes?

  1. A48 mmol/mol (6.5%) or higher
  2. B75 mmol/mol (9.0%) or higher
  3. C30 mmol/mol (4.9%) or higher
  4. D38 mmol/mol (5.6%) or higher
4.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. AVitamin B12 level
  2. BBlood alcohol level
  3. CThyroid antibodies
  4. DSerum amylase
5.Medium

A patient with gout has recurrent uric acid kidney stones. Which treatment helps prevent them?

  1. ACalcium tablets and a low-fluid diet
  2. BAllopurinol and making the urine less acidic
  3. CVitamin C supplements and a high-meat diet
  4. DRestricting fluids in the evening only
6.Medium

Which statement about long-acting basal insulin such as glargine is correct?

  1. AIt has a sharp peak in action about 30 minutes after injection
  2. BIn type 1 diabetes it is continued even when the patient is not eating
  3. CIt is given only after large meals to cover the carbohydrate
  4. DIt is mixed with rapid-acting insulin in the same syringe
7.Hard

After surgery, a patient's urine output is 15 mL/h for 3 hours, with a pulse of 110/min, BP 96/58 mmHg and dry mucous membranes. What is the most likely cause of the low urine output?

  1. APre-renal AKI from hypovolaemia
  2. BFluid overload from IV fluids
  3. CSIADH caused by the surgery
  4. DDiabetes insipidus after anaesthesia
8.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 low blood pressure; neurogenic shock is the loss of reflexes
  4. DSpinal shock is lost reflexes; neurogenic shock is low BP and slow pulse

Answer key

  1. 1. B · The kidneys cannot activate vitamin D or clear phosphate
  2. 2. A · Hyperkalaemia that does not respond to treatment
  3. 3. A · 48 mmol/mol (6.5%) or higher
  4. 4. A · Vitamin B12 level
  5. 5. B · Allopurinol and making the urine less acidic
  6. 6. B · In type 1 diabetes it is continued even when the patient is not eating
  7. 7. A · Pre-renal AKI from hypovolaemia
  8. 8. D · Spinal shock is lost reflexes; neurogenic shock is low BP and slow pulse

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