NSG500 CERTIFICATION EVALUATION
TEST PAPER 2026 COMPLETE STUDY
QUESTIONS WITH CORRECT ANSWERS
◉ external hemorrhoids exam findings male. Answer: may cause
itching, bleeding, discomfort. varicose veins that originate below
anorectal line and covered by anal skin.
◉ causes of rectal bleeding. Answer: anal fissures
aspirin
bleeding disorders
intussusception
iron poisoning
meckel diverticulum
peptic ulcers
polyps
thrombocytopenia
volvulus
hemorrhoids
hiatal hernia
varices
,◉ Age related muskuloskeletal changes. Answer: a. Decreased
estrogen in womenainc. bone resorption and decreased calcium
deposition. Loss of bone mass
b. Cartilage around joints deteriorates
◉ sequence of musculoskeletal exam. Answer: Inspect, palpate,
ROM, muscle strength
◉ how to assess joint symmetry. Answer: inspect and palpate?.
bilateral symmetry should not be absolute because there is no
perfect symmetry
◉ Joint effusion tests.. Answer: Brush/Stroke/Wipe Test - aka minor
effusion test.
Fluctuation Test - moderate to significant swelling.
Patellar tap test - aka major effusion test, aka Ballotable Patella Test.
BALLOTTEMENT--knee extended downard presure on suprapatellar
pouch with web of thumb and forefinger then push patella down
against febur with finger of other hand. effusion-->clicking/tapping
sensed when patella pushed against femur
, Bulge test--fluid on knee. milk medal aspect up then lateral side of
patella, observe for bulge returning fluid to hollow area next to
patella.
◉ risk factors for osteoarthritis. Answer: obesity, femal, hx,
hypermobility syndromes, >40 g.i., injury or highly active, peripheral
neuropathy, occupational hazards
◉ risk factors for osteoporosis. Answer: white, NW european, low
body weight, age, family hx, monpause early, sedentary, poor ca and
D or excessive carbonated drinks, scoliosis, RA, ca, MS, illness, DM,
cortisol, malabsorption, hypogonadism, high thyroid, thyroxine,
corticosteroids, heparin, lithium, cigarettes, etoh
◉ Rheumatoid vs. Osteoarthritis. Answer: -Rheumatoid can affect all
joints pain esp. in morning or after periods of INACTIVITY. fatigue,
malaygias may be common.
-Osteoarthritis affects working joints--usually after age 40 and
develops slowly. Pain with motion, prolonged activiity, relieved with
rest.
◉ shoulder assessment to assess rotate cuff for impingement.
Answer: neer test (passive painful arc). forward flex arm 150
degrees while depressing scapula. increased pain=rotator cuff
inflam. or tear.
TEST PAPER 2026 COMPLETE STUDY
QUESTIONS WITH CORRECT ANSWERS
◉ external hemorrhoids exam findings male. Answer: may cause
itching, bleeding, discomfort. varicose veins that originate below
anorectal line and covered by anal skin.
◉ causes of rectal bleeding. Answer: anal fissures
aspirin
bleeding disorders
intussusception
iron poisoning
meckel diverticulum
peptic ulcers
polyps
thrombocytopenia
volvulus
hemorrhoids
hiatal hernia
varices
,◉ Age related muskuloskeletal changes. Answer: a. Decreased
estrogen in womenainc. bone resorption and decreased calcium
deposition. Loss of bone mass
b. Cartilage around joints deteriorates
◉ sequence of musculoskeletal exam. Answer: Inspect, palpate,
ROM, muscle strength
◉ how to assess joint symmetry. Answer: inspect and palpate?.
bilateral symmetry should not be absolute because there is no
perfect symmetry
◉ Joint effusion tests.. Answer: Brush/Stroke/Wipe Test - aka minor
effusion test.
Fluctuation Test - moderate to significant swelling.
Patellar tap test - aka major effusion test, aka Ballotable Patella Test.
BALLOTTEMENT--knee extended downard presure on suprapatellar
pouch with web of thumb and forefinger then push patella down
against febur with finger of other hand. effusion-->clicking/tapping
sensed when patella pushed against femur
, Bulge test--fluid on knee. milk medal aspect up then lateral side of
patella, observe for bulge returning fluid to hollow area next to
patella.
◉ risk factors for osteoarthritis. Answer: obesity, femal, hx,
hypermobility syndromes, >40 g.i., injury or highly active, peripheral
neuropathy, occupational hazards
◉ risk factors for osteoporosis. Answer: white, NW european, low
body weight, age, family hx, monpause early, sedentary, poor ca and
D or excessive carbonated drinks, scoliosis, RA, ca, MS, illness, DM,
cortisol, malabsorption, hypogonadism, high thyroid, thyroxine,
corticosteroids, heparin, lithium, cigarettes, etoh
◉ Rheumatoid vs. Osteoarthritis. Answer: -Rheumatoid can affect all
joints pain esp. in morning or after periods of INACTIVITY. fatigue,
malaygias may be common.
-Osteoarthritis affects working joints--usually after age 40 and
develops slowly. Pain with motion, prolonged activiity, relieved with
rest.
◉ shoulder assessment to assess rotate cuff for impingement.
Answer: neer test (passive painful arc). forward flex arm 150
degrees while depressing scapula. increased pain=rotator cuff
inflam. or tear.
