NSG 6020
NSG 6020 Gastroenterology Final
Revised Paper Exam 2026 Verified
Solutions
A 9 month old who has been a healthy, thriving infant presents with a poor appetite, two
episodes of vomiting, three bloody stools with mucus and knees drawn to the abdomen
with screaming. These are clinical manifestations of: - ANS-Intussusception
Abdominal percussion is performed to assess: - ANS-Density of tissues and organs
When performing a digital rectal exam, a soft, pedunculated lesion is palpated. This
finding is most likely: - ANS-A rectal polyp
Which type of hepatitis is most commonly transmitted from infected mothers to infants at
the time of birth? - ANS-Hepatitis B
A patient presents with complaints of bright red stool over the past week. This symptom
could be consistent with: - ANS-Cancer of the sigmoid colon
An infant weighed 8 pounds at birth. According to the principles of normal growth and
development, how much should he weigh at 12 month of age? - ANS-24 pounds
When examining the buttocks and rectum, a small tuft of hair surrounded by a halo of
erythema was observed at the sacral area. This finding is most likely: - ANS-A pilonidal
cyst
An enlarged liver with a firm, non-tender edge may be suggestive of - ANS-Cirrhosis
A 30 year old male presents with generalized abdominal pain. With flex ion of the legs
at the hip an increase in his abdominal pain is noted. This finding elicited a positive -
ANS-Psoas sign
Of the fiver percussion notes, which one produces a drum-like sound heard over air
filled structures during the abdominal examination? - ANS-Tympanic
A patient was instructed to point to the location of his pain. he pointed to just below the
sternoclavicular notch which likely indicates: - ANS-Esophageal dysphasia
Bowel sounds maybe decreased in the presence of: - ANS-Peritonitis
When performing a rectal exam, a purple tape bloody discharge mixed with fecal matter
is oozing from the recut,. This finding is most consistent with a: - ANS-Anorectal fistula
NSG 6020
, NSG 6020
A feeling of constantly needing to pass stool is termed: - ANS-tenesmus
Risk factors associated with Hepatitis A include all the following except: - ANS-
Exposure to needle sticks
When performing an examination of the rectal area, a linear tear at the anal opening as
observed. This could be indicative of: - ANS-An anal fissure
Ecchymosis of the abdominal wall is usually seen in persons with: - ANS-Intraperitoneal
Hemorrhage
Which of the following symptoms are indicators of dehydration in a four-year-old child? -
ANS-Thirst and urine specific gravity of 1.038
A patient presents with right upper quadrant and upper abdominal pain. Acute
cholecystitis is suspected because o=the pain radiates to the: - ANS-Right scapula area
A patient complains of severe epigastric pain that radiates to the posterior trunk and
entire abdomen. This type of pain can be suggestive of: - ANS-Acute pancreatitis
Peritoneal inflammation produces abdominal pain and tenderness. What technique can
be used to assess a tender abdomen suspected to be secondary to peritoneal
inflammation? - ANS-Ask the patient to cough prior to palpation
During palpation of the abdomen, right lower quadrant pain is elicited by applying
pressure to the left side of the abdomen. This technique elicited a positive: - ANS-
Rovsing's sign
A patient presents with complaints of burning sensation in the eternal area. He states it
is aggravated by alcohol, chocolate, and coffee. This finding is: - ANS-Heartburn
When there is a sudden obstruction caused by a gallstone in the common bile duct or
the cystic duct, the pain is usually felt in the: - ANS-Epigastric or right upper quadrant
with radiation to the right scapula and shoulder
Indicators of oropharyngeal dysphagia include all of the following symptoms except: -
ANS-Vomiting
A 30 year old patient complains of frequent belching, pain in the area below the sternum
mostly after eating, and increased salivation. These symptoms are often seen in
patients who have: - ANS-Gastroespohageal reflux
When examining the abdomen, which of the following symptoms would be suggestive
appendicitis? - ANS-Pain localized halfway between the umbilicus and the right iliac
crest
NSG 6020
NSG 6020 Gastroenterology Final
Revised Paper Exam 2026 Verified
Solutions
A 9 month old who has been a healthy, thriving infant presents with a poor appetite, two
episodes of vomiting, three bloody stools with mucus and knees drawn to the abdomen
with screaming. These are clinical manifestations of: - ANS-Intussusception
Abdominal percussion is performed to assess: - ANS-Density of tissues and organs
When performing a digital rectal exam, a soft, pedunculated lesion is palpated. This
finding is most likely: - ANS-A rectal polyp
Which type of hepatitis is most commonly transmitted from infected mothers to infants at
the time of birth? - ANS-Hepatitis B
A patient presents with complaints of bright red stool over the past week. This symptom
could be consistent with: - ANS-Cancer of the sigmoid colon
An infant weighed 8 pounds at birth. According to the principles of normal growth and
development, how much should he weigh at 12 month of age? - ANS-24 pounds
When examining the buttocks and rectum, a small tuft of hair surrounded by a halo of
erythema was observed at the sacral area. This finding is most likely: - ANS-A pilonidal
cyst
An enlarged liver with a firm, non-tender edge may be suggestive of - ANS-Cirrhosis
A 30 year old male presents with generalized abdominal pain. With flex ion of the legs
at the hip an increase in his abdominal pain is noted. This finding elicited a positive -
ANS-Psoas sign
Of the fiver percussion notes, which one produces a drum-like sound heard over air
filled structures during the abdominal examination? - ANS-Tympanic
A patient was instructed to point to the location of his pain. he pointed to just below the
sternoclavicular notch which likely indicates: - ANS-Esophageal dysphasia
Bowel sounds maybe decreased in the presence of: - ANS-Peritonitis
When performing a rectal exam, a purple tape bloody discharge mixed with fecal matter
is oozing from the recut,. This finding is most consistent with a: - ANS-Anorectal fistula
NSG 6020
, NSG 6020
A feeling of constantly needing to pass stool is termed: - ANS-tenesmus
Risk factors associated with Hepatitis A include all the following except: - ANS-
Exposure to needle sticks
When performing an examination of the rectal area, a linear tear at the anal opening as
observed. This could be indicative of: - ANS-An anal fissure
Ecchymosis of the abdominal wall is usually seen in persons with: - ANS-Intraperitoneal
Hemorrhage
Which of the following symptoms are indicators of dehydration in a four-year-old child? -
ANS-Thirst and urine specific gravity of 1.038
A patient presents with right upper quadrant and upper abdominal pain. Acute
cholecystitis is suspected because o=the pain radiates to the: - ANS-Right scapula area
A patient complains of severe epigastric pain that radiates to the posterior trunk and
entire abdomen. This type of pain can be suggestive of: - ANS-Acute pancreatitis
Peritoneal inflammation produces abdominal pain and tenderness. What technique can
be used to assess a tender abdomen suspected to be secondary to peritoneal
inflammation? - ANS-Ask the patient to cough prior to palpation
During palpation of the abdomen, right lower quadrant pain is elicited by applying
pressure to the left side of the abdomen. This technique elicited a positive: - ANS-
Rovsing's sign
A patient presents with complaints of burning sensation in the eternal area. He states it
is aggravated by alcohol, chocolate, and coffee. This finding is: - ANS-Heartburn
When there is a sudden obstruction caused by a gallstone in the common bile duct or
the cystic duct, the pain is usually felt in the: - ANS-Epigastric or right upper quadrant
with radiation to the right scapula and shoulder
Indicators of oropharyngeal dysphagia include all of the following symptoms except: -
ANS-Vomiting
A 30 year old patient complains of frequent belching, pain in the area below the sternum
mostly after eating, and increased salivation. These symptoms are often seen in
patients who have: - ANS-Gastroespohageal reflux
When examining the abdomen, which of the following symptoms would be suggestive
appendicitis? - ANS-Pain localized halfway between the umbilicus and the right iliac
crest
NSG 6020
