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ABSITE STUDY DECK EXAM NEWEST
ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED SOLUTIONS
LATEST UPDATE
When do polyps tend to appear in patients with FAP? - ✔✔✔ Correct
Answer > Present in puberty (are not present at birth)
What will pathology show for Actinomyces in the colon? - ✔✔✔ Correct
Answer > Yellow-white sulfur granules
What will be seen on abdominal x-ray in a patient with sigmoid
volvulus? - ✔✔✔ Correct Answer > Bent inner tube sign (kidney bean sign;
Gastrografin enema may show bird's beak sign (tapered colon)
What will be seen on abdominal x-ray in a patient with a cecal volvulus?
- ✔✔✔ Correct Answer > Arises in the RLQ and extends towards epigastrium
or LUQ with colonic haustal pattern maintained and one-air fluid level
may be seen (sigmoid volvulus has few air fluid levels seen and a
haustral appearance)
What vein is associated with colorectal cancer and mets to the lung? -
✔✔✔ Correct Answer > Iliac vein
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What vein is associated with colorectal cancer and mets to the liver? -
✔✔✔ Correct Answer > Portal Vein
What type of polyp is the most likely to produce symptoms? - ✔✔✔
Correct Answer > Villous adenoma (Generally sessile and larger than
tubular adenomas , 50% of villous adenomas have cancer)
What type of margins are required for LAR; otherwise the patient will
need APR? - ✔✔✔ Correct Answer > 2 cm margins (2cm from levator ani
muscles)
What type of diet are sigmoid volvulus more common with? - ✔✔✔
Correct Answer > High fiber
What type of cancers are lynch II patients at risk for? - ✔✔✔ Correct Answer
> Patients also have increased risk for ovarian,
endometrial, bladder, and stomach in addition to colon cancers
(mismatch repair gene defect, PMS2, MSH6)
What type of cancers are lynch I patients at risk for? - ✔✔✔ Correct
Answer > Colon cancer only
What type of bleeding is caused by angiodysplasia? - ✔✔✔ Correct
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,Page 3 of 332
Answer > Venous bleeding
What two layers of the colon receive 80% of blood flow? - ✔✔✔
Correct Answer > Mucosa and submucosa
What side of the colon is angiodysplasia bleeding increased on? -
✔✔✔ Correct Answer > Right side (Bleeds usually less severe than
diverticular bleeds but are more likely to recur-80%)
What side of the colon does lynch syndrome have a predilection for? -
✔✔✔ Correct Answer > Right side (also for multiple cancers)
What side of the colon do polyps tend to occupy? - ✔✔✔ Correct
Answer > Left side
What side of the colon do diverticula most commonly occur on? -
✔✔✔ Correct Answer > Left side (Sigmoid colon, not rectum)
What side are diverticula more likely to bleed on? - ✔✔✔ Correct
Answer > Right sided (50% of bleeds occur on right)
What should be the first diagnostic test if diverticulosis leads to massive
bleeding (hypotension, tachycardia)? - ✔✔✔ Correct Answer > Angio to
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localize are for surger; may be able to treat at angio with highly selective
coil embolization (Go to OR if hypotensive and not responding to fluids)
What should be avoided in patients with toxic colitis or toxic megacolon?
- ✔✔✔ Correct Answer > Barium enemas, Narcotics, Antidiarrheal agents and
anti-cholinergics
What should be added for acute flares of Ulcerative Colitis with possible
infection or Toxic Megacolon? - ✔✔✔ Correct Answer > Ciprofloxacin and
flagyl
What portions of the colonic layers does ulcerative colitis involve? - ✔✔✔
Correct Answer > Mucosa and Submucosa (UC)
...(smooth muscle/fibroblast) provide wound contraction. contract from
center - ✔✔✔ Correct Answer > myofibroblasts
You are beginning a laparoscopic right colectomy in a 68-yearold
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.
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ABSITE STUDY DECK EXAM NEWEST
ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED SOLUTIONS
LATEST UPDATE
When do polyps tend to appear in patients with FAP? - ✔✔✔ Correct
Answer > Present in puberty (are not present at birth)
What will pathology show for Actinomyces in the colon? - ✔✔✔ Correct
Answer > Yellow-white sulfur granules
What will be seen on abdominal x-ray in a patient with sigmoid
volvulus? - ✔✔✔ Correct Answer > Bent inner tube sign (kidney bean sign;
Gastrografin enema may show bird's beak sign (tapered colon)
What will be seen on abdominal x-ray in a patient with a cecal volvulus?
- ✔✔✔ Correct Answer > Arises in the RLQ and extends towards epigastrium
or LUQ with colonic haustal pattern maintained and one-air fluid level
may be seen (sigmoid volvulus has few air fluid levels seen and a
haustral appearance)
What vein is associated with colorectal cancer and mets to the lung? -
✔✔✔ Correct Answer > Iliac vein
Page | 1
,Page 2 of 332
What vein is associated with colorectal cancer and mets to the liver? -
✔✔✔ Correct Answer > Portal Vein
What type of polyp is the most likely to produce symptoms? - ✔✔✔
Correct Answer > Villous adenoma (Generally sessile and larger than
tubular adenomas , 50% of villous adenomas have cancer)
What type of margins are required for LAR; otherwise the patient will
need APR? - ✔✔✔ Correct Answer > 2 cm margins (2cm from levator ani
muscles)
What type of diet are sigmoid volvulus more common with? - ✔✔✔
Correct Answer > High fiber
What type of cancers are lynch II patients at risk for? - ✔✔✔ Correct Answer
> Patients also have increased risk for ovarian,
endometrial, bladder, and stomach in addition to colon cancers
(mismatch repair gene defect, PMS2, MSH6)
What type of cancers are lynch I patients at risk for? - ✔✔✔ Correct
Answer > Colon cancer only
What type of bleeding is caused by angiodysplasia? - ✔✔✔ Correct
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,Page 3 of 332
Answer > Venous bleeding
What two layers of the colon receive 80% of blood flow? - ✔✔✔
Correct Answer > Mucosa and submucosa
What side of the colon is angiodysplasia bleeding increased on? -
✔✔✔ Correct Answer > Right side (Bleeds usually less severe than
diverticular bleeds but are more likely to recur-80%)
What side of the colon does lynch syndrome have a predilection for? -
✔✔✔ Correct Answer > Right side (also for multiple cancers)
What side of the colon do polyps tend to occupy? - ✔✔✔ Correct
Answer > Left side
What side of the colon do diverticula most commonly occur on? -
✔✔✔ Correct Answer > Left side (Sigmoid colon, not rectum)
What side are diverticula more likely to bleed on? - ✔✔✔ Correct
Answer > Right sided (50% of bleeds occur on right)
What should be the first diagnostic test if diverticulosis leads to massive
bleeding (hypotension, tachycardia)? - ✔✔✔ Correct Answer > Angio to
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, Page 4 of 332
localize are for surger; may be able to treat at angio with highly selective
coil embolization (Go to OR if hypotensive and not responding to fluids)
What should be avoided in patients with toxic colitis or toxic megacolon?
- ✔✔✔ Correct Answer > Barium enemas, Narcotics, Antidiarrheal agents and
anti-cholinergics
What should be added for acute flares of Ulcerative Colitis with possible
infection or Toxic Megacolon? - ✔✔✔ Correct Answer > Ciprofloxacin and
flagyl
What portions of the colonic layers does ulcerative colitis involve? - ✔✔✔
Correct Answer > Mucosa and Submucosa (UC)
...(smooth muscle/fibroblast) provide wound contraction. contract from
center - ✔✔✔ Correct Answer > myofibroblasts
You are beginning a laparoscopic right colectomy in a 68-yearold
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.
Page | 4
