ABSITE EXAM AND PRACTICE EXAM NEWEST ACTUAL
EXAM COMPLETE 500 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 -
CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT
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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT
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 - CORRECT 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
EXAM COMPLETE 500 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 -
CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT
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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT
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 - CORRECT 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
