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

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

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

What is automated peritoneal dialysis?

  1. ADialysis that needs no fluid at all
  2. BA single exchange done once a week
  3. CExchanges done overnight by a machine
  4. DDialysis in hospital through an arm fistula
3.Easy

What is an arteriovenous fistula?

  1. AA plastic tube placed in a large neck vein
  2. BA blood clot that blocks an artery in the arm
  3. CA catheter placed into the abdominal cavity
  4. DA surgical join between an artery and a vein
4.Medium

Why can a patient with an insulin pump develop DKA within hours if the pump stops working?

  1. AThe pump gives long-acting insulin, which builds up and stops working all at once
  2. BThe pump gives only rapid-acting insulin, so there is no long-acting reserve
  3. CThe battery in the pump releases chemicals into the blood
  4. DThe body becomes allergic to insulin when the pump stops
5.Medium

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

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

Which criterion for acute kidney injury (KDIGO) relates to urine output?

  1. AAny change in the colour of the urine
  2. BBelow 1 L in 24 hours whatever the intake
  3. CBelow 2 mL/kg/h for 1 hour
  4. DBelow 0.5 mL/kg/h for 6 hours or more
7.Hard

A patient with type 1 diabetes is vomiting at home. Their glucose is 12 mmol/L (216 mg/dL), and blood ketones are 3.5 mmol/L. What advice is correct?

  1. ASeek urgent hospital assessment for possible DKA
  2. BDrink less fluid to stop the vomiting
  3. CStop insulin until the vomiting has settled
  4. DWait until the glucose is above 20 mmol/L (360 mg/dL)
8.Hard

A patient's corrected calcium is 1.7 mmol/L (about 6.8 mg/dL). Which ECG change is most typical?

  1. AA shortened QT interval
  2. BTall, peaked T waves
  3. CST elevation in all leads
  4. DA prolonged QT interval

Answer key

  1. 1. A · Autoimmune thyroiditis (Hashimoto's)
  2. 2. C · Exchanges done overnight by a machine
  3. 3. D · A surgical join between an artery and a vein
  4. 4. B · The pump gives only rapid-acting insulin, so there is no long-acting reserve
  5. 5. A · To replace the missing aldosterone
  6. 6. D · Below 0.5 mL/kg/h for 6 hours or more
  7. 7. A · Seek urgent hospital assessment for possible DKA
  8. 8. D · A prolonged QT interval

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