ABSITE STUDY DECK EXAM NEWEST 2026 ACTUAL
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALL ANSWERED
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...(smooth muscle/fibroblast) provide wound contraction. contract
from center - ✔✔✔ Correct Answer > myofibroblasts
You are beginning a laparoscopic right colectomy in a 68-year-
old woman with chronic obstructive pulmonary disease and
diabetes mellitus. After you have obtained pneumoperitoneum,
you inspect the abdomen and are alerted by your anesthesia
colleagues that the patient is bradycardic to 38 beats/min and
hypotensive. What is the best first response to this situation? -
✔✔✔ Correct Answer > Desufflate the pneumoperitoneum and observe
for response.
Likely this initial bradycardia and hypotension following
insufflation is due to a vagal response from which the patient will
recover with desufflation of the abdomen.
In certain more debilitated patients, pneumoperitoneum is not
tolerated because of its cardiovascular and pulmonary effects,
and laparoscopic surgery cannot be safely performed.
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... is the rectosacral fascia in both males and females - ✔✔✔ Correct
Answer > Waldeyers fascia (posterior)
... is the point of the superior rectal and middle rectal artery
junction - ✔✔✔ Correct Answer > Sudeck's Point
... are the main nutrients of the colonoscytes - ✔✔✔ Correct Answer >
Short-Chain fatty acids (Butarate)
... are the transverse bands that form haustra - ✔✔✔ Correct Answer >
Plicae semilunares
■ Follows chemotherapy when WBCs are low
■ Can mimic surgical disease
■ Can often see pneumatosis on plane film
■ TX: antibiotics; patients will improve when WBCs ↑ - ✔✔✔ Correct
Answer > Neutropenic typhlitis (Enterocolitis)
... is a circular layer of muscle within the colon - ✔✔✔ Correct Answer
> Muscularis propria
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...is a small interwoven inner muscle layer just below mucosa but
above basement membrane in the colon - ✔✔✔ Correct Answer >
Muscularis mucosa
is the passage of black, tarry, and foul-smelling stools (need as
little as 50cc) - ✔✔✔ Correct Answer > Melena
... mark the transition between the anal canal and rectum - ✔✔✔
Correct Answer > Levator ani
... is the point of SMA and IMA junction - ✔✔✔ Correct Answer >
Griffith's point
... is seen in 5-15% of patients with IBD and usually coincides with
disease activity. The characteristic lesions are raised, red, and
predominantly on the lower extremities. - ✔✔✔ Correct Answer >
Erythema Nodosum
... is the result of mucosal perforations in the diverticulum with
adjacent fecal contamination - ✔✔✔ Correct Answer > Diverticulitis
... is a herniation of mucosa through the colon wall at sites where
arteries enter the muscular wall - ✔✔✔ Correct Answer > Diverticula
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... i s the rectovesicular and rectoprostatic fascia in men and the
rectovaginal fascia in women - ✔✔✔ Correct Answer > Denonvilliers
fascia (anterior)
... are mucin-secreting goblet cells - ✔✔✔ Correct Answer > Crypts of
lieberkuhn
meandering mesenteric, inconsistant, connects proximal SMA
and IMA, usually at middle colic and left colic. - ✔✔✔ Correct Answer >
Arc of Riolan
Removal of the distal colon, rectum, and anal sphincter through
both abdominal and perineal approaches. Results in a permanent
colostomy. - ✔✔✔ Correct Answer > Abdominoperineal resection (APR)
Why is the lower 2/3 of the rectum usually spared in ischemic
colitis? - ✔✔✔ Correct Answer > Supplied by middle and inferior rectal
arteries (off internal iliacs)
Which side of the colon is diverticulitis most likely to present on?
- ✔✔✔ Correct Answer > Left side