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

What is urge incontinence?

  1. ALeaking only when laughing, coughing or lifting heavy objects
  2. BLeaking because the toilet is too far away
  3. CDribbling because the bladder never empties
  4. DA sudden, strong need to pass urine, followed by leaking
2.Easy

How should a patient with a suspected spinal injury be turned?

  1. ALifted by the arms and legs by one person
  2. BLog-rolled by a team keeping the spine aligned
  3. CTurned at the shoulders first, then at the hips
  4. DAsked to roll over slowly by themselves
3.Easy

Which symptoms are typical of a prolactinoma in a woman?

  1. AKidney stones, bone pain and constipation
  2. BVery dark skin creases and a craving for salt
  3. CWeight loss with heat intolerance and a fine tremor
  4. DMilky nipple discharge and irregular periods
4.Medium

A patient with a spinal cord injury can still feel a light touch around the anus. What does this show?

  1. AThe injury is incomplete, which suggests a better chance of recovery
  2. BThe sensation is only a spinal reflex and has no real meaning for recovery
  3. CThe injury is complete, and recovery is not possible
  4. DThe patient has an injury of the brain, not the cord
5.Medium

A conscious patient with a glucose of 3.1 mmol/L (56 mg/dL) can swallow safely. Which is the best first treatment?

  1. AA chocolate bar and a cup of tea with milk
  2. BA glass of milk and two plain biscuits
  3. CGlucose tablets or a small glass of fruit juice
  4. DA dose of rapid-acting insulin with a sandwich
6.Medium

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

  1. AVitamin C supplements and a high-meat diet
  2. BCalcium tablets and a low-fluid diet
  3. CRestricting fluids in the evening only
  4. DAllopurinol and making the urine less acidic
7.Hard

A patient has fever, confusion, odd behaviour and a new seizure. Herpes simplex encephalitis is suspected. Which drug is usually started straight away?

  1. AOral prednisolone
  2. BIV insulin
  3. COral amoxicillin
  4. DIV aciclovir
8.Hard

Why may nitrofurantoin be avoided in an older patient with significantly reduced kidney function?

  1. AIt works less well and is more likely to be toxic
  2. BIt cures kidney disease too quickly
  3. CIt turns the urine red in kidney disease
  4. DIt cannot be taken with food in kidney disease

Answer key

  1. 1. D · A sudden, strong need to pass urine, followed by leaking
  2. 2. B · Log-rolled by a team keeping the spine aligned
  3. 3. D · Milky nipple discharge and irregular periods
  4. 4. A · The injury is incomplete, which suggests a better chance of recovery
  5. 5. C · Glucose tablets or a small glass of fruit juice
  6. 6. D · Allopurinol and making the urine less acidic
  7. 7. D · IV aciclovir
  8. 8. A · It works less well and is more likely to be toxic

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