Med-surg: neuro, endocrine & renal worksheet with answers

Which statement about Huntington's disease is correct?

1. AIt is inherited and causes involuntary jerky movements
2. BIt is cured by levodopa
3. CIt mainly affects children under the age of five years
4. DIt is caused by a bacterial infection of the brain

What is diabetic gastroparesis?

1. ASlow emptying of the stomach due to nerve damage
2. BInflammation of the pancreas from high glucose
3. CA stomach ulcer caused by long-term metformin use
4. DA blockage of the small bowel by scar tissue

How is the headache of a subarachnoid haemorrhage typically described?

1. AOne-sided and throbbing, with an aura beforehand
2. BSlowly worsening over several weeks, worst in the morning
3. CSudden and severe, reaching its peak within about a minute
4. DA tight band around the head that comes and goes

Why should antiepileptic drugs not be stopped suddenly?

1. AStopping them suddenly causes permanent damage to the liver and kidneys
2. BStopping them suddenly causes a dangerous rise in blood pressure
3. CThe drugs build up in the body and become toxic after stopping
4. DSudden withdrawal can trigger seizures, including status epilepticus

A patient has acute low back pain with no red flags. Which advice is most appropriate?

1. AStay as active as possible and use simple pain relief
2. BWear a rigid back brace all day and night for at least three months
3. CAvoid all movement until an MRI scan has been done
4. DStay in bed for two weeks until the pain is gone

Which nursing care is most important for a patient with diabetes insipidus?

1. AStrict fluid balance, daily weight and free access to water
2. BWeighing the patient once a month
3. CGiving a loop diuretic to clear extra fluid
4. DA strict fluid restriction to reduce the amount of urine passed

A patient has frothy urine and marked leg swelling. Serum albumin is 18 g/L (1.8 g/dL), and BP is normal. The urine shows heavy protein but little blood. What is most likely?

1. AA urethral stricture
2. BNephrotic syndrome
3. CNephritic syndrome
4. DAcute pyelonephritis

Why may HbA1c be unreliable in a patient with haemolytic anaemia or a recent large blood transfusion?

1. ABlood transfusions contain large amounts of glucose
2. BThe test only measures the glucose in the plasma, not in the cells
3. CIt depends on how long red blood cells survive in the blood
4. DAnaemia always makes the HbA1c very high