ABSITE EXAM 2024 – 2025 ACTUAL EXAM 2 VERSIONS
(VERSION A AND B) COMPLETE 500 QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT
ANSWERS) /ALREADY GRADED A+
A 76 yo HD dependant woan with a h/o mult abd surgeries presents to the ED with
worsening abd pain. W/U raises your suspicion for ischemic bowel. She last
underwent HD three days prior and is currently uremic. How will you best prepare
the patient for emergent celiotomy? A. Arrange for HD B. Transfuse the patient with
PRBCs C. Administer cryoprecipitate D. Administer desmopressin (DDAVP) E.
Administer conjugated estrogens - ANSWER: D. Administer desmopressin (DDAVP)
A 76 yo man with aortoiliac occlusive dz undergoes percutaneious transluminal
angioplasty of his left common iliac artery. What is the patency rate for patients who
undergo angioplasty for Iliac occlusive disease? A. 20% at 5 yrs B. 30% at 5 yrs C. 60%
at 5 yrs D. 80% at 5 yrs - ANSWER: C. 60% at 5 yrs
A 39 yo woman presents to the ED after experiencing watery diarrhea and upper abd
pain for 2 wks. On w/u and CT can, she is found to have a small mass in the body of
the pancreas. Lab abnormalitites include a hemoglobin of 8.7, WBC of 10,
hypokalemia, and metabolic acidosis. She is subsequently scheduled to have an
exploratory laparotomy. Intraoperatively, the mass is removed from her pancreas
and multiple small nodules are found in her liver. Considering the most likely
diagnosis what are her best treatment options? A. 5-fluorouracil and interferon
alpha B. Octreodtide and glucocorticoids C. Intravenous steroids alone D. No further
treatment is indicated E. Repetitive embolization of the hepatic artery - ANSWER: A.
5-fluorouracil and interferon alpha
A 46-year-old woman comes to the emergency department describing acute right
lower quadrant pain. How could appendicitis be differentiated from acute ileitis? A.
Elevated WBC count B. Presence of diarrhea C. Development of acute or subacute
pain in the right lower quadrant D. Thickened mesenteric lymph nodes on
radiographic imaging E. Colonoscopic biopsy - ANSWER: D. Thickened mesenteric
lymph nodes on radiographic imaging
A 27-year-old man with idiopathic renal failure on hemodialysis is awaiting a kidney
transplant. Multiple family members and friends have been evaluated for possible
live donor transplantation. A sibling to the recipient is found to have a favorable
human leukocyte antigen match. Which of the following conditions is acceptable for
live-donor nephrectomy?
A. Uncontrollable hypertension
B. Human immunodeficiency virus (HIV) infection
C. Type II diabetes mellitus D. Unilateral duplicated collecting system
E. Current cocaine usage - ANSWER: D. Unilateral duplicated collecting system
,A 39-year-old man is referred to your clinic for treatment of a cecal mass diagnosed
by surveillance colonoscopy. His father, paternal grandmother, and paternal uncle all
developed colon cancer by their fifth decade. Mutation of which of the following
genes is associated with this man's disease? A. K-Ras B. hMSH2
D. APC E. BRCA2 - ANSWER: B. hMSH2
A 68-year-old man presents with pain In his left leg. Exanimation and workup
confirms diagnosis of a popliteal aneurysm. What is the most common complication
that would result in the patient's leg pain? A. Popliteal aneurysm rupture B. Nerve
impingement by the popliteal aneurysm C. Venous obstruction by the popliteal
aneurysm D. Thromboembolic events associated with the popliteal aneurysm -
ANSWER: D. Thromboembolic events associated with the popliteal aneurysm
A 52-year-old woman presents to your clinic with a palpable thyroid nodule.
Ultrasonography shows a 3-cm lesion in the right thyroid lobe with solid and cystic
components. Ultrasonography -guided fine needle aspiration (FNA) reveals a thyroid
cancer. Which of the following is the most likely diagnosis?
A. Papillary carcinoma
B. Anaplastic carcinoma
C. Follicular carcinoma
D. Medullary carcinoma - ANSWER: A. Papillary carcinoma
A 60-year-old man who suffers from chronic alcoholism was admitted to the hospital
with a bout of acute pancreatitis. He has suffered similar episodes in the past, all of
which have resolved without complications. On laboratory studies, he is found to
have an elevated serum amylase level. A 4-cm pancreatic pseudocyst is found on CT
scan. What would be the best treatment?
A. Percutaneous drainage B. Simple aspiration C. observation and serial CT scans D.
Surgical intervention - ANSWER: C. observation and serial CT scans
Which of the following is a characteristic of Merkel cell carcinoma?
A. Slow-growing, well-defined cutaneous lesion
B. Early distant metastases
C. Locally aggressive tumor with low chance of distant spread
D. FrequentIy cured with wide local excision alone
E. Histologically similar to squamous cell carcinoma - ANSWER: B. Early distant
metastases
A 70-year-old man with ascites secondary to cirrhosis presents for elective umbilical
hernia repair. Should he be offered repair of his hernia?
A. Yes, if it is significantly affecting lib lifestyle.
B. Yes, If he Is leaking ascites from the hernia
C. Yes, If he Is on the liver transplant list
D. No, he should not be offered repair - ANSWER: B. Yes, If he Is leaking ascites from
the hernia
,A 68-year-old man with atrial fibrillation presents to the emergency department with
a cool, pulseless right foot Sensation Is Intact Duplex ultrasonography of the right leg
reveals multiple femoral stenoses and tibioperoneal thrombosis with poor tibial
flow, What Is the most appropriate management?
A. Amputation
B. Systemic anticoagulation only
C. Percutaneous embolectomy under Local anesthesia
D. Intraarterial site-directed thrombolysis - ANSWER: D. Intraarterial site-directed
thrombolysis
A 55-year-old woman presents to your clinic with the new diagnosis of tertiary
hyperparathyroidism. Which of the following operations has she most likely
previ¬ously undergone?
A. Colectomy with resection of terminal ileum
B. Parathyroidectomy
C. Renal transplantation
D. Right middle lobectomy - ANSWER: C. Renal transplantation
A 63-year-old man presents with a "gnawing" upper ab¬dominal pain. He reports
that he was diagnosed with a gastric ulcer years ago. Which of the following tests is
most helpful In diagnosing the patient with Infection with Helicobacter pylori
A. Urease test of endoscopic antral biopsies
B. Urea breath test
C. Upper gastrointestinal (Gl) radiographic series
D. Histologic examination of endoscopic antral biopsies - ANSWER: D. Histologic
examination of endoscopic antral biopsies
Which of the following is a characteristic of cutaneous lymphatic malformation ?
A. Bluish mass with overlying telangiectasias B. Pulsatile ballottable mass C. Cystic
mass with overlying vesicles D. Firm, nodular mass E. Irregular mass fixed to the
underlying tissues - ANSWER: C. Cystic mass with overlying vesicles
The fundamental goal of the American College of Surgeons National Surgical Quality
Improvement Program (NSQIP) is which of the following?
A. To monitor surgical costs in order to allocate health care
B. To improve health care in underserved US populations
C. To collect outcomes data to measure and improve surgical care outcomes
D. To Identify those surgeons who deliver excellent surgical care
E. To model systems for improved used of healthcare resources - ANSWER: C. To
collect outcomes data to measure and improve surgical care outcomes
A 73-year-old man has developed a pulseless left lower leg 8 days after experiencing
a myocardial infarction (Ml) requiring cardiopulmonary resuscitation. On
examination, he has diminished sensation in his left foot. What is the most
appropriate definitive treatment?
A. Amputation
B. Anticoagulation using IV heparin
, C. Percutaneous embolectomy under local anesthesia
D. Intra-arterial site-directed thrombolysis - ANSWER: C. Percutaneous embolectomy
under local anesthesia
A 47-year-old woman presents with a rapidly enlarging 5-cm right breast mass
without palpable axillary nodes. FNA is nondiagnostic. A core biopsy Is performed
and results are equivocal but suggestive of a phyllodes neoplasm. The appropriate
next step In management is A. tumor enucleation
B. tumor excision with a 2-cm margin and sentinel
node biopsy C. tumor excision with a 1-cm margin D. simple mastectomy E. close
follow up - ANSWER: C. tumor excision with a 1-cm margin
A 72-year-old man undergoes percutaneous transhepatic cholangiography and
percutaneous biliary drainage for obstructive jaundice secondary to pancreatic
cancer, Following the percutaneous transhepatic cholangiography and percutaneous
biliary drainage, he develops melena and blood is seen in the biliary drain.
Laboratory work reveals a drop in hematocrit and an increase in his liver function
tests. What is the definitive treatment for this change in his condition?
A. Catheter embolization
B. Hepatic resection
C. Endoscopic epinephrine injection at the site of the bleeding vessel
D. Biliary stent placement
E. Whipple procedure - ANSWER: A. Catheter embolization
During resection of a pelvic tumor, the left ureter is
inadvertently transected below the level of the pelvic
brim. Which of the following do you choose for immediate treatment of this
problem?
A. Primary repair
B. Primary repair with ureteral stent
C. Diversion with ureteroentereostomy
D. Ureterocystostomy
E. Delayed repair and percutaneous drainage of urinoma - ANSWER: D.
Ureterocystostomy
Four weeks after a cadaveric renal transplant, the recipient returns to the emergency
department with bilateral lower extremity edema. In spite of normal fluid intake, he
reports that he has had minimal urine output over the past 18 hours. Serum
creatinine is now elevated to 1.4 mg per deciliter from the postoperative 1.0 mg per
deciliter. After failure to respond to a fluid challenge, an ultrasound is obtained. This
reveals good perfusion, minimal hydronephrosis and a 3x4x6-cm hypoechoic mass
adjacent to the renal pelvis of the allograft. What is the most likely cause of the
patient's oliguria?
A. lymphocele formation
B. Ureteroneocystostomy stenosis
C. Renal artery thrombosis
D. Renal artery stenosis
(VERSION A AND B) COMPLETE 500 QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT
ANSWERS) /ALREADY GRADED A+
A 76 yo HD dependant woan with a h/o mult abd surgeries presents to the ED with
worsening abd pain. W/U raises your suspicion for ischemic bowel. She last
underwent HD three days prior and is currently uremic. How will you best prepare
the patient for emergent celiotomy? A. Arrange for HD B. Transfuse the patient with
PRBCs C. Administer cryoprecipitate D. Administer desmopressin (DDAVP) E.
Administer conjugated estrogens - ANSWER: D. Administer desmopressin (DDAVP)
A 76 yo man with aortoiliac occlusive dz undergoes percutaneious transluminal
angioplasty of his left common iliac artery. What is the patency rate for patients who
undergo angioplasty for Iliac occlusive disease? A. 20% at 5 yrs B. 30% at 5 yrs C. 60%
at 5 yrs D. 80% at 5 yrs - ANSWER: C. 60% at 5 yrs
A 39 yo woman presents to the ED after experiencing watery diarrhea and upper abd
pain for 2 wks. On w/u and CT can, she is found to have a small mass in the body of
the pancreas. Lab abnormalitites include a hemoglobin of 8.7, WBC of 10,
hypokalemia, and metabolic acidosis. She is subsequently scheduled to have an
exploratory laparotomy. Intraoperatively, the mass is removed from her pancreas
and multiple small nodules are found in her liver. Considering the most likely
diagnosis what are her best treatment options? A. 5-fluorouracil and interferon
alpha B. Octreodtide and glucocorticoids C. Intravenous steroids alone D. No further
treatment is indicated E. Repetitive embolization of the hepatic artery - ANSWER: A.
5-fluorouracil and interferon alpha
A 46-year-old woman comes to the emergency department describing acute right
lower quadrant pain. How could appendicitis be differentiated from acute ileitis? A.
Elevated WBC count B. Presence of diarrhea C. Development of acute or subacute
pain in the right lower quadrant D. Thickened mesenteric lymph nodes on
radiographic imaging E. Colonoscopic biopsy - ANSWER: D. Thickened mesenteric
lymph nodes on radiographic imaging
A 27-year-old man with idiopathic renal failure on hemodialysis is awaiting a kidney
transplant. Multiple family members and friends have been evaluated for possible
live donor transplantation. A sibling to the recipient is found to have a favorable
human leukocyte antigen match. Which of the following conditions is acceptable for
live-donor nephrectomy?
A. Uncontrollable hypertension
B. Human immunodeficiency virus (HIV) infection
C. Type II diabetes mellitus D. Unilateral duplicated collecting system
E. Current cocaine usage - ANSWER: D. Unilateral duplicated collecting system
,A 39-year-old man is referred to your clinic for treatment of a cecal mass diagnosed
by surveillance colonoscopy. His father, paternal grandmother, and paternal uncle all
developed colon cancer by their fifth decade. Mutation of which of the following
genes is associated with this man's disease? A. K-Ras B. hMSH2
D. APC E. BRCA2 - ANSWER: B. hMSH2
A 68-year-old man presents with pain In his left leg. Exanimation and workup
confirms diagnosis of a popliteal aneurysm. What is the most common complication
that would result in the patient's leg pain? A. Popliteal aneurysm rupture B. Nerve
impingement by the popliteal aneurysm C. Venous obstruction by the popliteal
aneurysm D. Thromboembolic events associated with the popliteal aneurysm -
ANSWER: D. Thromboembolic events associated with the popliteal aneurysm
A 52-year-old woman presents to your clinic with a palpable thyroid nodule.
Ultrasonography shows a 3-cm lesion in the right thyroid lobe with solid and cystic
components. Ultrasonography -guided fine needle aspiration (FNA) reveals a thyroid
cancer. Which of the following is the most likely diagnosis?
A. Papillary carcinoma
B. Anaplastic carcinoma
C. Follicular carcinoma
D. Medullary carcinoma - ANSWER: A. Papillary carcinoma
A 60-year-old man who suffers from chronic alcoholism was admitted to the hospital
with a bout of acute pancreatitis. He has suffered similar episodes in the past, all of
which have resolved without complications. On laboratory studies, he is found to
have an elevated serum amylase level. A 4-cm pancreatic pseudocyst is found on CT
scan. What would be the best treatment?
A. Percutaneous drainage B. Simple aspiration C. observation and serial CT scans D.
Surgical intervention - ANSWER: C. observation and serial CT scans
Which of the following is a characteristic of Merkel cell carcinoma?
A. Slow-growing, well-defined cutaneous lesion
B. Early distant metastases
C. Locally aggressive tumor with low chance of distant spread
D. FrequentIy cured with wide local excision alone
E. Histologically similar to squamous cell carcinoma - ANSWER: B. Early distant
metastases
A 70-year-old man with ascites secondary to cirrhosis presents for elective umbilical
hernia repair. Should he be offered repair of his hernia?
A. Yes, if it is significantly affecting lib lifestyle.
B. Yes, If he Is leaking ascites from the hernia
C. Yes, If he Is on the liver transplant list
D. No, he should not be offered repair - ANSWER: B. Yes, If he Is leaking ascites from
the hernia
,A 68-year-old man with atrial fibrillation presents to the emergency department with
a cool, pulseless right foot Sensation Is Intact Duplex ultrasonography of the right leg
reveals multiple femoral stenoses and tibioperoneal thrombosis with poor tibial
flow, What Is the most appropriate management?
A. Amputation
B. Systemic anticoagulation only
C. Percutaneous embolectomy under Local anesthesia
D. Intraarterial site-directed thrombolysis - ANSWER: D. Intraarterial site-directed
thrombolysis
A 55-year-old woman presents to your clinic with the new diagnosis of tertiary
hyperparathyroidism. Which of the following operations has she most likely
previ¬ously undergone?
A. Colectomy with resection of terminal ileum
B. Parathyroidectomy
C. Renal transplantation
D. Right middle lobectomy - ANSWER: C. Renal transplantation
A 63-year-old man presents with a "gnawing" upper ab¬dominal pain. He reports
that he was diagnosed with a gastric ulcer years ago. Which of the following tests is
most helpful In diagnosing the patient with Infection with Helicobacter pylori
A. Urease test of endoscopic antral biopsies
B. Urea breath test
C. Upper gastrointestinal (Gl) radiographic series
D. Histologic examination of endoscopic antral biopsies - ANSWER: D. Histologic
examination of endoscopic antral biopsies
Which of the following is a characteristic of cutaneous lymphatic malformation ?
A. Bluish mass with overlying telangiectasias B. Pulsatile ballottable mass C. Cystic
mass with overlying vesicles D. Firm, nodular mass E. Irregular mass fixed to the
underlying tissues - ANSWER: C. Cystic mass with overlying vesicles
The fundamental goal of the American College of Surgeons National Surgical Quality
Improvement Program (NSQIP) is which of the following?
A. To monitor surgical costs in order to allocate health care
B. To improve health care in underserved US populations
C. To collect outcomes data to measure and improve surgical care outcomes
D. To Identify those surgeons who deliver excellent surgical care
E. To model systems for improved used of healthcare resources - ANSWER: C. To
collect outcomes data to measure and improve surgical care outcomes
A 73-year-old man has developed a pulseless left lower leg 8 days after experiencing
a myocardial infarction (Ml) requiring cardiopulmonary resuscitation. On
examination, he has diminished sensation in his left foot. What is the most
appropriate definitive treatment?
A. Amputation
B. Anticoagulation using IV heparin
, C. Percutaneous embolectomy under local anesthesia
D. Intra-arterial site-directed thrombolysis - ANSWER: C. Percutaneous embolectomy
under local anesthesia
A 47-year-old woman presents with a rapidly enlarging 5-cm right breast mass
without palpable axillary nodes. FNA is nondiagnostic. A core biopsy Is performed
and results are equivocal but suggestive of a phyllodes neoplasm. The appropriate
next step In management is A. tumor enucleation
B. tumor excision with a 2-cm margin and sentinel
node biopsy C. tumor excision with a 1-cm margin D. simple mastectomy E. close
follow up - ANSWER: C. tumor excision with a 1-cm margin
A 72-year-old man undergoes percutaneous transhepatic cholangiography and
percutaneous biliary drainage for obstructive jaundice secondary to pancreatic
cancer, Following the percutaneous transhepatic cholangiography and percutaneous
biliary drainage, he develops melena and blood is seen in the biliary drain.
Laboratory work reveals a drop in hematocrit and an increase in his liver function
tests. What is the definitive treatment for this change in his condition?
A. Catheter embolization
B. Hepatic resection
C. Endoscopic epinephrine injection at the site of the bleeding vessel
D. Biliary stent placement
E. Whipple procedure - ANSWER: A. Catheter embolization
During resection of a pelvic tumor, the left ureter is
inadvertently transected below the level of the pelvic
brim. Which of the following do you choose for immediate treatment of this
problem?
A. Primary repair
B. Primary repair with ureteral stent
C. Diversion with ureteroentereostomy
D. Ureterocystostomy
E. Delayed repair and percutaneous drainage of urinoma - ANSWER: D.
Ureterocystostomy
Four weeks after a cadaveric renal transplant, the recipient returns to the emergency
department with bilateral lower extremity edema. In spite of normal fluid intake, he
reports that he has had minimal urine output over the past 18 hours. Serum
creatinine is now elevated to 1.4 mg per deciliter from the postoperative 1.0 mg per
deciliter. After failure to respond to a fluid challenge, an ultrasound is obtained. This
reveals good perfusion, minimal hydronephrosis and a 3x4x6-cm hypoechoic mass
adjacent to the renal pelvis of the allograft. What is the most likely cause of the
patient's oliguria?
A. lymphocele formation
B. Ureteroneocystostomy stenosis
C. Renal artery thrombosis
D. Renal artery stenosis
