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

What is overflow incontinence?

  1. ALeaking after a sudden strong urge
  2. BWetting caused by not being able to undress quickly
  3. CDribbling from a bladder that does not empty properly
  4. DLeaking when sneezing or jumping
2.Easy

How is chronic kidney disease defined?

  1. AAny single raised creatinine result
  2. BA sudden rise in creatinine over 48 hours after surgery
  3. CAbnormal kidney function or structure for over 3 months
  4. DKidney pain lasting more than a week
3.Easy

Which is a common effect of long-term corticosteroid treatment?

  1. AA lower risk of infections
  2. BLow blood glucose
  3. CThinning of the bones
  4. DWeight loss and a slim face
4.Medium

A patient has a nephrostomy tube. Which finding needs urgent action?

  1. ALight pink urine on the first day after insertion
  2. BDrainage that stops suddenly with new loin pain
  3. CSteady urine drainage into the bag
  4. DA dry, intact dressing at the site
5.Medium

A patient who has had type 1 diabetes for 30 years says they no longer feel the warning signs of a hypo. What is this called?

  1. AThe dawn phenomenon
  2. BInsulin resistance
  3. CHypoglycaemia unawareness
  4. DDiabetic ketoacidosis
6.Medium

A patient with Addison's disease takes fludrocortisone as well as hydrocortisone. Why?

  1. ATo replace the missing adrenaline
  2. BTo lower the blood pressure
  3. CTo treat a low thyroid hormone level
  4. DTo replace the missing aldosterone
7.Hard

Near the end of a haemodialysis session, a patient has painful leg cramps and a falling blood pressure. What is the most likely cause?

  1. ANot enough fluid is being removed
  2. BAn allergic reaction to the needles
  3. CThe dialysate is too cold
  4. DFluid is being removed too quickly
8.Hard

Why might a frail 88-year-old with type 2 diabetes have a less strict HbA1c target?

  1. ABecause older people cannot use any glucose medicines
  2. BTo reduce the risk of hypos, falls and confusion
  3. CBecause diabetes cannot damage older people
  4. DTo save money on blood tests and drugs

Answer key

  1. 1. C · Dribbling from a bladder that does not empty properly
  2. 2. C · Abnormal kidney function or structure for over 3 months
  3. 3. C · Thinning of the bones
  4. 4. B · Drainage that stops suddenly with new loin pain
  5. 5. C · Hypoglycaemia unawareness
  6. 6. D · To replace the missing aldosterone
  7. 7. D · Fluid is being removed too quickly
  8. 8. B · To reduce the risk of hypos, falls and confusion

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