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 head injury is classically linked to a lucid interval after a blow to the side of the head?

  1. AChronic subdural haematoma
  2. BConcussion
  3. CExtradural haematoma
  4. DDiffuse axonal injury
2.Easy

In countries with enough iodine in the diet, what is the most common cause of hypothyroidism?

  1. AToo much iodine in salt
  2. BAutoimmune thyroiditis (Hashimoto's)
  3. CThyroid cancer
  4. DA pituitary tumour pressing on the gland
3.Easy

What is the most common type of kidney stone?

  1. AStruvite
  2. BCalcium oxalate
  3. CCystine
  4. DUric acid
4.Medium

In the first trimester of pregnancy, why is propylthiouracil often preferred to carbimazole for hyperthyroidism?

  1. APropylthiouracil has no side effects at all
  2. BCarbimazole cannot cross into the mother's blood
  3. CPropylthiouracil works faster than any other drug
  4. DCarbimazole has a higher risk of birth defects early on
5.Medium

Which complication is a particular risk in nephrotic syndrome?

  1. AVenous thrombosis
  2. BHypoglycaemia
  3. CBleeding from low platelets
  4. DLow cholesterol
6.Medium

A bladder scan straight after voiding shows 450 mL of urine still in the bladder. What does this show?

  1. AThe patient has drunk too little fluid
  2. BThe kidneys are making too little urine
  3. CThe bladder is not emptying properly
  4. DThe patient is passing urine normally
7.Hard

A patient with a brain tumour on high-dose dexamethasone has a capillary glucose of 16 mmol/L (288 mg/dL). They have no history of diabetes. What is the best explanation?

  1. ANormal for this patient, so no action is needed
  2. BSteroid-induced hyperglycaemia, which needs monitoring and treatment
  3. CA lab error, because steroids lower blood glucose
  4. DA sign that the brain tumour has now spread to the pancreas
8.Hard

After surgery, a patient with Graves' disease has a temperature of 39.8 °C, a heart rate of 160/min, agitation and vomiting. Which treatment set is most appropriate?

  1. ALevothyroxine and warm blankets to settle the shivering
  2. BFluid restriction and a loop diuretic to treat the tachycardia
  3. CCooling, a beta-blocker, an antithyroid drug, then iodine and steroids
  4. DAspirin for the fever and a review by the GP within a week

Answer key

  1. 1. C · Extradural haematoma
  2. 2. B · Autoimmune thyroiditis (Hashimoto's)
  3. 3. B · Calcium oxalate
  4. 4. D · Carbimazole has a higher risk of birth defects early on
  5. 5. A · Venous thrombosis
  6. 6. C · The bladder is not emptying properly
  7. 7. B · Steroid-induced hyperglycaemia, which needs monitoring and treatment
  8. 8. C · Cooling, a beta-blocker, an antithyroid drug, then iodine and steroids

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