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

What is an aura before a seizure?

  1. AA lasting change in vision that is caused by long-term epilepsy
  2. BThe confusion and sleepiness after a seizure ends
  3. CA rash that appears after some antiepileptic drugs
  4. DA warning sensation, which is itself a small focal seizure
2.Easy

Which symptoms are typical of benign prostatic hyperplasia?

  1. ALeaking urine only when coughing or laughing
  2. BPainless red urine with clots and weight loss
  3. CBurning pain on passing urine with a high fever
  4. DA weak stream, hesitancy and passing urine at night
3.Easy

What is an arteriovenous fistula?

  1. AA catheter placed into the abdominal cavity
  2. BA surgical join between an artery and a vein
  3. CA plastic tube placed in a large neck vein
  4. DA blood clot that blocks an artery in the arm
4.Medium

A stroke patient speaks fluently, but the words make little sense, and they do not follow simple instructions. Which type of aphasia is this?

  1. AReceptive (Wernicke's) aphasia
  2. BExpressive (Broca's) aphasia
  3. CGlobal aphasia with no speech at all
  4. DDysarthria from facial weakness
5.Medium

How do DPP-4 inhibitors such as sitagliptin work?

  1. AThey block glucose reabsorption in the kidney
  2. BThey replace insulin that the pancreas cannot make
  3. CThey prolong the action of gut incretin hormones
  4. DThey stop the gut from absorbing fat
6.Medium

Which CSF result is most typical of bacterial meningitis?

  1. AClear fluid, many lymphocytes, normal glucose and slightly raised protein
  2. BCloudy fluid, many neutrophils, low glucose and high protein
  3. CBlood-stained fluid that clears in later tubes
  4. DClear fluid with normal cells, glucose and protein
7.Hard

A 74-year-old falls forward and hits their chin. Their arms are much weaker than their legs, and they have burning pain in the hands. Which injury is most likely?

  1. ACentral cord syndrome
  2. BBrown-Séquard syndrome
  3. CCauda equina syndrome
  4. DA complete lumbar cord injury
8.Hard

After a total thyroidectomy, a patient becomes anxious with stridor and a tense swelling in the neck. What should the nurse do first?

  1. AApply an ice pack to the neck and lie the patient flat
  2. BGive analgesia and reassess the swelling again in an hour
  3. CAsk the patient to talk as much as possible to test the voice
  4. DCall for emergency help: a haematoma may compress the airway

Answer key

  1. 1. D · A warning sensation, which is itself a small focal seizure
  2. 2. D · A weak stream, hesitancy and passing urine at night
  3. 3. B · A surgical join between an artery and a vein
  4. 4. A · Receptive (Wernicke's) aphasia
  5. 5. C · They prolong the action of gut incretin hormones
  6. 6. B · Cloudy fluid, many neutrophils, low glucose and high protein
  7. 7. A · Central cord syndrome
  8. 8. D · Call for emergency help: a haematoma may compress the airway

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