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 symptom is the classic warning sign of bladder cancer?

  1. ALeaking urine when coughing
  2. BSevere loin pain that comes in waves
  3. CPainless visible blood in the urine
  4. DBurning pain on passing urine
2.Easy

Why does a patient with a kidney transplant need lifelong medicines?

  1. ATo prevent kidney stones in the new kidney
  2. BTo keep the blood pressure low enough
  3. CTo help the new kidney make more urine each day
  4. DTo stop the immune system rejecting the new kidney
3.Easy

During a seizure, what is the most useful thing to record?

  1. AWhen the patient last had something to eat
  2. BThe patient's blood pressure every minute throughout
  3. CWhen it started and stopped, and how it looked
  4. DThe patient's temperature at the end only
4.Medium

After transsphenoidal pituitary surgery, which advice should the patient follow?

  1. ALie completely flat for at least a week after surgery
  2. BDrink through a straw to keep the nose clean
  3. CBlow the nose often to clear any clots
  4. DAvoid blowing the nose, straining and bending forward
5.Medium

How is cerebral perfusion pressure (CPP) calculated?

  1. ADiastolic pressure minus central venous pressure
  2. BSystolic arterial pressure plus intracranial pressure
  3. CMean arterial pressure divided by heart rate
  4. DMean arterial pressure minus intracranial pressure
6.Medium

A patient with advanced CKD asks how to manage indigestion. Which option should they avoid?

  1. AEating smaller, more frequent meals
  2. BAvoiding large meals late in the evening
  3. CMagnesium-containing antacids
  4. DRaising the head of the bed at night
7.Hard

A patient has had a high sodium of 160 mmol/L for several days. Why must it be corrected slowly?

  1. AThe sodium will rise again if corrected quickly
  2. BRapid correction causes kidney stones
  3. CRapid correction raises the blood glucose
  4. DRapid correction can cause brain swelling
8.Hard

A patient arrives five hours after the onset of a stroke. A CT angiogram shows a blockage of a large artery in the brain. What is the most appropriate next step?

  1. ANo treatment, because the time for any reperfusion has passed
  2. BStart IV alteplase immediately without further imaging
  3. CGive aspirin and plan a review on the ward tomorrow
  4. DUrgent referral for assessment for mechanical thrombectomy

Answer key

  1. 1. C · Painless visible blood in the urine
  2. 2. D · To stop the immune system rejecting the new kidney
  3. 3. C · When it started and stopped, and how it looked
  4. 4. D · Avoid blowing the nose, straining and bending forward
  5. 5. D · Mean arterial pressure minus intracranial pressure
  6. 6. C · Magnesium-containing antacids
  7. 7. D · Rapid correction can cause brain swelling
  8. 8. D · Urgent referral for assessment for mechanical thrombectomy

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