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 common complication after a lumbar puncture?

  1. ALoss of hearing in one ear
  2. BA headache that is worse when sitting or standing
  3. CA rapid rise in blood glucose
  4. DPermanent paralysis of both legs from nerve damage
2.Easy

What is a positive Kernig's sign?

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

Which symptom is the classic warning sign of bladder cancer?

  1. ABurning pain on passing urine
  2. BLeaking urine when coughing
  3. CPainless visible blood in the urine
  4. DSevere loin pain that comes in waves
4.Medium

A patient with type 1 diabetes plans a long cycle ride. Which advice is most appropriate?

  1. ATake an extra dose of rapid-acting insulin before setting off
  2. BSkip breakfast so the exercise burns body fat
  3. CAvoid checking glucose until the ride is over
  4. DCheck glucose before and after, and carry fast-acting carbohydrate
5.Medium

When the nurse squeezes the trapezius muscle, the patient brings a hand up above the collarbone towards the stimulus. Which GCS motor score is this?

  1. A3, abnormal flexion
  2. B4, withdraws from pain
  3. C5, localises to pain
  4. D6, obeys commands
6.Medium

After a thyroidectomy, why are suture or clip removers often kept at the bedside?

  1. AThey are used to adjust the drain when it stops working
  2. BThey are needed to take blood from the neck veins
  3. CA neck haematoma can compress the airway and may need release
  4. DThe sutures must be removed on the first evening after surgery
7.Hard

A patient is being assessed for brain death (brainstem death). Which condition must be excluded before testing?

  1. AEffects of sedative drugs or severe hypothermia
  2. BA previous episode of migraine
  3. CA history of high blood pressure
  4. DA haemoglobin of 110 g/L (11 g/dL)
8.Hard

A patient taking an SGLT2 inhibitor is booked for major surgery. Which statement is correct?

  1. ASurgery is not possible in patients taking this drug
  2. BThe dose is usually doubled on the morning of surgery
  3. CThe drug must be taken right up until the operation starts
  4. DIt is usually paused in the days before surgery

Answer key

  1. 1. B · A headache that is worse when sitting or standing
  2. 2. D · Pain and resistance when the knee is straightened with the hip flexed
  3. 3. C · Painless visible blood in the urine
  4. 4. D · Check glucose before and after, and carry fast-acting carbohydrate
  5. 5. C · 5, localises to pain
  6. 6. C · A neck haematoma can compress the airway and may need release
  7. 7. A · Effects of sedative drugs or severe hypothermia
  8. 8. D · It is usually paused in the days before surgery

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