NSG6020- Gastrointestinal Final Exam
Questions/Answers 2025/2026Graded A+
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 - ✔✔✔Psoas sign
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: - ✔✔✔Gastroespohageal reflux
A 35 year old male visits the nurse practitioner for complaints of a fullness in his lower abdomen. He states that he
noticed it a hew days ago when he was working out at the gym. At times it feels like a round lump in his groin.
Examination reveals a protrusion under the skin near the right groin area. This finding could be suggestive of an: -
✔✔✔Inguinal hernia
A 40 year old female presents with generalized abdominal pain and nausea. during the abdominal exam she
exhibits inspiration arrest with deep palpation of the upper right quadrant of the abdomen. This maneuver exhibits
a positive: - ✔✔✔Murphy's sign
A 55 year old patient visits the nurse practitioner for an annual exam. Stool sample revealed hematochezia. The
patient is otherwise asymptomatic. This finding could be associated with: - ✔✔✔Adenomatous polyps
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: - ✔✔✔Intussusception
A feeling of constantly needing to pass stool is termed: - ✔✔✔tenesmus
A patient complains of an unpleasant abdominal fullness after a light meal. This complaint may be consistent with:
- ✔✔✔Diabetic gastroparesis
A patient complains of severe epigastric pain that radiates to the posterior trunk and entire abdomen. This type of
pain can be suggestive of: - ✔✔✔Acute pancreatitis
, A patient is experiencing a dull achy pain in the epigastric area with eating. This type pain is consistent with: -
✔✔✔A gastric ulcer
A patient presents with chest pain and moves his hand from the neck to the epigastric. This gesture could be
suggestive of: - ✔✔✔GERD
A patient presents with complaints of bloating tarry stools for the last week. This symptom is seen in conditions
related to the - ✔✔✔Ascending colon
A patient presents with complaints of bright red stool over the past week. This symptom could be consistent with:
- ✔✔✔Cancer of the sigmoid colon
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: - ✔✔✔Heartburn
A patient presents with right upper quadrant and upper abdominal pain. Acute cholecystitis is suspected because
o=the pain radiates to the: - ✔✔✔Right scapula area
A patient visits the nurse practitioner for complaints of passing bloody stools over the past few weeks. He denies
abdominal pain or fever. Further questioning reveals that when he passes stool, he notices blood dripping in the
toilet. These symptoms could be consistent with: - ✔✔✔Hemorrhoids
A patient was instructed to point to the location of his pain. he pointed to just below the sternoclavicular notch
which likely indicates: - ✔✔✔Esophageal dysphasia
A positive obturator sign would elicit pain in the: - ✔✔✔Right hypogastric area
Abdominal percussion is performed to assess: - ✔✔✔Density of tissues and organs
An enlarged liver with a firm, non-tender edge may be suggestive of - ✔✔✔Cirrhosis
An enlarged liver with a smooth tender edge may suggest: - ✔✔✔Right-sided heart failure
Questions/Answers 2025/2026Graded A+
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 - ✔✔✔Psoas sign
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: - ✔✔✔Gastroespohageal reflux
A 35 year old male visits the nurse practitioner for complaints of a fullness in his lower abdomen. He states that he
noticed it a hew days ago when he was working out at the gym. At times it feels like a round lump in his groin.
Examination reveals a protrusion under the skin near the right groin area. This finding could be suggestive of an: -
✔✔✔Inguinal hernia
A 40 year old female presents with generalized abdominal pain and nausea. during the abdominal exam she
exhibits inspiration arrest with deep palpation of the upper right quadrant of the abdomen. This maneuver exhibits
a positive: - ✔✔✔Murphy's sign
A 55 year old patient visits the nurse practitioner for an annual exam. Stool sample revealed hematochezia. The
patient is otherwise asymptomatic. This finding could be associated with: - ✔✔✔Adenomatous polyps
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: - ✔✔✔Intussusception
A feeling of constantly needing to pass stool is termed: - ✔✔✔tenesmus
A patient complains of an unpleasant abdominal fullness after a light meal. This complaint may be consistent with:
- ✔✔✔Diabetic gastroparesis
A patient complains of severe epigastric pain that radiates to the posterior trunk and entire abdomen. This type of
pain can be suggestive of: - ✔✔✔Acute pancreatitis
, A patient is experiencing a dull achy pain in the epigastric area with eating. This type pain is consistent with: -
✔✔✔A gastric ulcer
A patient presents with chest pain and moves his hand from the neck to the epigastric. This gesture could be
suggestive of: - ✔✔✔GERD
A patient presents with complaints of bloating tarry stools for the last week. This symptom is seen in conditions
related to the - ✔✔✔Ascending colon
A patient presents with complaints of bright red stool over the past week. This symptom could be consistent with:
- ✔✔✔Cancer of the sigmoid colon
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: - ✔✔✔Heartburn
A patient presents with right upper quadrant and upper abdominal pain. Acute cholecystitis is suspected because
o=the pain radiates to the: - ✔✔✔Right scapula area
A patient visits the nurse practitioner for complaints of passing bloody stools over the past few weeks. He denies
abdominal pain or fever. Further questioning reveals that when he passes stool, he notices blood dripping in the
toilet. These symptoms could be consistent with: - ✔✔✔Hemorrhoids
A patient was instructed to point to the location of his pain. he pointed to just below the sternoclavicular notch
which likely indicates: - ✔✔✔Esophageal dysphasia
A positive obturator sign would elicit pain in the: - ✔✔✔Right hypogastric area
Abdominal percussion is performed to assess: - ✔✔✔Density of tissues and organs
An enlarged liver with a firm, non-tender edge may be suggestive of - ✔✔✔Cirrhosis
An enlarged liver with a smooth tender edge may suggest: - ✔✔✔Right-sided heart failure
