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 a positive Kernig's sign?

  1. APain and resistance when the knee is straightened with the hip flexed
  2. BTwitching of the facial muscles when the cheek is tapped in front of the ear
  3. CBending of the hips and knees when the neck is flexed
  4. DBruising behind the ear after a head injury
2.Easy

What is the main effect of parathyroid hormone (PTH)?

  1. AIt lowers blood potassium
  2. BIt lowers blood glucose
  3. CIt raises blood calcium
  4. DIt raises blood sodium
3.Easy

Which group of features defines nephrotic syndrome?

  1. AHeavy proteinuria, low albumin and oedema
  2. BSevere loin pain that spreads to the groin
  3. CBlood in the urine, high BP and low urine output
  4. DPainful urination, fever and frequency
4.Medium

Before surgery for a phaeochromocytoma, why is an alpha-blocker started before any beta-blocker?

  1. AAlpha-blockers lower the blood glucose before surgery
  2. BA beta-blocker alone can cause a dangerous rise in BP
  3. CBeta-blockers given first would make the tumour grow faster
  4. DThe order of the two drugs makes no difference
5.Medium

A seizure has lasted five minutes and is continuing. What is the usual first-line drug treatment?

  1. AIV glucose 50% in every patient, then reassess
  2. BAn IV loading dose of phenytoin before anything else
  3. CIM adrenaline into the outer thigh
  4. DA benzodiazepine such as IV lorazepam or buccal midazolam
6.Medium

During continuous bladder irrigation, 3200 mL drains out in a shift. 2500 mL of irrigation fluid was put in. What is the true urine output?

  1. A700 mL
  2. B3200 mL
  3. C5700 mL
  4. D2500 mL
7.Hard

A day after a total thyroidectomy, a patient has tingling lips, a positive Chvostek's sign and a corrected calcium of 1.85 mmol/L (about 7.4 mg/dL). What does the nurse expect?

  1. AA loop diuretic to remove the extra calcium
  2. BIV calcium gluconate and monitoring for laryngospasm
  3. COral levothyroxine, with a recheck of the calcium in a month
  4. DIV potassium chloride and a fluid restriction
8.Hard

An adult stares blankly for about a minute, smacks their lips and fumbles with their clothes. Afterwards they are confused for ten minutes and remember nothing. Which seizure type fits best?

  1. AFocal impaired awareness seizure
  2. BMyoclonic seizure
  3. CAtonic (drop) seizure with a fall
  4. DAbsence seizure

Answer key

  1. 1. A · Pain and resistance when the knee is straightened with the hip flexed
  2. 2. C · It raises blood calcium
  3. 3. A · Heavy proteinuria, low albumin and oedema
  4. 4. B · A beta-blocker alone can cause a dangerous rise in BP
  5. 5. D · A benzodiazepine such as IV lorazepam or buccal midazolam
  6. 6. A · 700 mL
  7. 7. B · IV calcium gluconate and monitoring for laryngospasm
  8. 8. A · Focal impaired awareness seizure

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