High-Yield and Frequently Missed ABSITE
Questions Practice Exam 2025 UPDATE/PRACTICE
QUESTIONS AND CORRECT VERIFIED
ANSWERS (complete solutions) ASSURED SUCCESS/GRADED A+!!
T1)
Colorectal: how many levels mucosa/submuco
in colon CA T staging, and sa T2) into
what is each? muscularis propria
T3) through
muscularis propria T4)
into other
organs/structures
stage - polyp or
Colorectal: when is transanal
T1 circumference -
excision OK (T stage,
<40%
circumference, location, 2
location - within 8-10cm of anal verge
criteria if invasive)?
if invasive must be: 1) no lymphovascular invasion; 2) not poorly
differentiated
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Colorectal: what is Nigro -- chemo (5-FU/mitomycin) + radiation; surgery reserved for
treatment for anal failures
squamous carcinoma?
Colorectal: coloncyte fuel, butyric acid, from bacterial fermentation
and derived from where?
Colorectal: carcinoid tumor transanal excision typically, unless factors for transanal
rectum - what is excision not met (see other question)
treatment?
Colorectal: what is 1) total colectomy; 2) mucosal proctectomy; 3) pouch
treatment for familial
adenomatous polyposis
(3)?
Colorectal: MALT tumor gastric outlet obstruction
(lymphoma) - when is
surgery first line
treatment?
upper GI - MALT tumor eradicate H. pylori, chemo/xrt, surgery
(lymphoma) - in typical
presentation, what is first,
second, and third line
treatment?
If T1a (confined only to lamina propria)
Biliary: what is treatment for
cholecystecotmy; anything else, then skeletonize area,
gallbladder CA based on
plus wedge segment 4/5 liver and regional nodes,
presentation (2 major
consider CBD if cystic duct involved
options)?
Biliary: what is treatment for all need resection with CCY / CBD removal, RNY
types of choledochal cyst hepaticojejunostomy, 4+5 need hepatectomy vs.
(1-5)? transplant if diffuse
Biliary: lap chole injury recognized intra-op, repair primarily +/- stent
to CBD - what
characterizes minor
injury and what is
treatment?
Biliary: what is needed need RNY hepaticojejunostomy, not hepatico or
normally for major CBD choledochoduodenostomy (never feasible)
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injury, and what is not
needed?
Small Bowel - what is gastrojejunostomy -- stricturoplasty is difficult, and
general treatment (after resection needs Whipple; may do duodenojejunostopy
failed medical if distal stricture
management) for
duodenal obstruction on
Crohn's, and why?
Spleen: what are varices pancreatitis (acute)
with splenic vein
thrombosis usually
associated with?
Spleen: what is the splenectomy
treatment for varices with
splenic vein thrombosis?
Spleen: if there is a very low when splenic artery is ligated, except if there is preop
platelet count and there is bleeding, then at time of incision
ITP, and splenectomy is
needed, when should
platelets be transfused,
what is one exception?
Spleen: what myelofibrosis -- extramedullary hematopoeisis in spleen
myeloproliferative disorder
benefits from splenectomy,
what problem solved?
Spleen: when do sickle cell they don't -- most auto-splenectomize by early age
need splenectomy?
Spleen: who thallassemia -- kids <4 also extremely high risk, FYI
(splenectomy for which
disease) is at highest risk for
overwhelming post-
splenectomy infection
(OPSI)?
Esophagus: what should never biopsy (can form scar/difficult resection later);
never be done,for surgery if >5cm or symptomatic; excise (enucleate) via
esophageal leiomyoma, thoracotomy
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when is surgery done, and
what type/approach?
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