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ABSITE Exam Newest Actual Questions and Correct Detailed Answers

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This document contains a comprehensive set of actual exam questions and detailed correct answers for the ABSITE (American Board of Surgery In-Training Examination). It covers a wide range of surgical topics including vascular surgery (endoleaks, Leriche syndrome, compartment syndrome), hepatobiliary surgery (liver segments, hepatic adenomas, choledochal cysts, Mirizzi syndrome), pancreatic surgery (pseudocysts, IPMN, MCN, pancreaticoduodenectomy, Frey procedure, Beger procedure), colorectal surgery (rectal cancer margins, splenic injury grading, hemorrhoid management, anal fissures), trauma (neck zone injuries, aortic injury, FAST exam, resuscitative thoracotomy), endocrine surgery (pheochromocytoma, adrenal masses, thyroid cancer, medullary thyroid cancer, hyperparathyroidism), surgical oncology (GISTs, neuroendocrine tumors, Wilms tumor, melanoma, sarcoma), thoracic surgery (esophageal achalasia types, hiatal hernias, chylothorax), pediatric surgery (jejunoileal atresia, pyloric stenosis, intussusception, Morgagni hernia, Bochdalek hernia), transplant surgery (immunosuppressants, BK viremia), nutrition (macronutrients, deficiencies, RQ, nitrogen balance), statistics (Cox regression, hazard ratio, bias), and surgical critical care (ARDS, ventilator management, vasopressors, TEG interpretation).

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Page 1 of 110




ABSITE EXAM NEWEST ACTUAL
QUESTIONS AND CORRECT DETAILED
ANSWERS GRADED A+ TESTED AND
APPROVED




Individuals who are heavy smokers tend to develop ____________
arterial disease, whereas those with diabetes and renal failure tend to
develop ________ arterial disease. - ✔✔✔ Correct Answer > SFA, infrapop



internal hemorrhoid management for patients on anticoagulation
- ✔✔✔ Correct Answer > sclerotherapy instead of rubber band ligation
intraparenchymal hematoma greater than 5 cm or expanding - what
grade splenic injury - ✔✔✔ Correct Answer > grade III



Ipilimumab works on what cell type - ✔✔✔ Correct Answer > CTLA-4

,Page 2 of 110




(melanoma)



is local recurrence higher for transabdominal or transanal resection for
rectal cancer - ✔✔✔ Correct Answer > transanal



laceration more than 3 cm in depth or involving trabecular vessels - what
grade splenic injury - ✔✔✔ Correct Answer > grade III



laterally located ulcers from venous reflux are related to what vein - ✔✔✔
Correct Answer > small saphenous



leakage at distal graft site due to inadequate seal - what type of endoleak
- ✔✔✔ Correct Answer > type 1b



leakage at proximal graft site due to inadequate seal - what type of
endoleak - ✔✔✔ Correct Answer > type 1a


left trisectionectomy of the liver includes what segments? - ✔✔✔ Correct
Answer > segments II, III, IV, V, VIII

,Page 3 of 110




(extended left hepatectomy)



Leriche syndrome (Vascular) what is the triad - ✔✔✔ Correct Answer >
buttock claudication, erectile dysfunction, absent femoral pulses



(seen in aortoiliac occlusive disease



li fraumeni syndrome mutation - ✔✔✔ Correct Answer > p53 or hCHK2



liver function: FLR% = FLR ÷ (____________) - ✔✔✔ Correct Answer >
total liver volume - tumor volume



liver lesion with peripheral puddling of contrast on arterial phase
followed by centripetal filling on subsequent phases on CT/MRI -
✔✔✔ Correct Answer > Hepatic hemangioma

, Page 4 of 110




liver mass that has enhancement of the lesion on arterial phase followed
by washout on delayed phases - ✔✔✔ Correct Answer > HCC liver mass with
central scar - ✔✔✔ Correct Answer > focal nodular hyperplasia



liver mass with peripheral nodular enhancement on arterial phase - ✔✔✔
Correct Answer > hepatic hemangioma



locations of hemorrhoidal columns - ✔✔✔ Correct Answer > right anterior
and right posterior



lower leg most common compartment for compartment syndrome - ✔✔✔
Correct Answer > anterior compartment



main mechanism of action for HTN in pheochromocytoma - ✔✔✔ Correct
Answer > increased afterload



management of hemodynamically stable grade III splenic injuries - ✔✔✔
Correct Answer > non op

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