Absite Actual Exam
ABSITE ACTUAL EXAM NEWEST 2025/2026 WITH COMPLETE
200 QUESTIONS AND CORRECT ANSWERS |ALREADY GRADED
A+||BRAND NEW VERSION!
A 72 yo diabetic man is admitted for an infected left second toe. He has been
previously treated with oral antibiotics for several weeks, with little benefit. On
physical examination, he has a nonhealing infected ulcer on the volar aspect of his
left second distal phalanx. The ulcer is purulent at the base and cultures reveal
polymicrobial infection. What is the most appropriate next step in the
management of this patient?
A. IV antibiotics
B. Single toe amputation
C. IV antibiotics and tight glucose control
D. Single toe amputation and IV antibiotics - ANSWER-D. Single toe amputation
and IV antibiotics
An opera singer who recently underwent total thyroidectomy returns for her
postoperative visit report¬ing voice fatigue and an inability to sing high notes. Her
total calcium level is 9.1 mg per deciliter (normal, 9 to 10.5 mg per deciliter). This
complication could have been prevented by:
A. the use of an intra-operative functional nerve stimulator to localize the
recurrent laryngeal
B. ligating individual branches of the superior thyroid artery at the level of the
thyroid capsule
C. performing a careful dissection to avoid injury to the parathyroid glands
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, Absite Actual Exam
D. nothing; it is unavoidable; symptoms are due to transient postoperative
hypocalcemia and will resolve - ANSWER-B. ligating individual branches of the
superior thyroid artery at the level of the thyroid capsule
While eating breakfast on the morning after undergoing resection of the right
middle lobe of her lung, a 65-year-old woman has acute abdominal pain. Her
stomach is distended and tympanitic; she is bradycardic, hypotensive, tachypneic,
and sweating profusely. What is the most appropriate course of action?
A. Emergency exploratory surgery
B. Obtain supine and erect abdominal x-rays
C. Place a nasogastric tube
D. Increase the patient's pain medication - ANSWER-C. Place a nasogastric tube
A 24yo man is brought to the ED after being stabbed it the right flank. Urine is
grossly positive for blood and CT shows contrast extravasation from the superior
pole of the right kidney. Operative exploration confirms cortical injury, but no
injury is noted to the hilum or pelvis. How should this kidney be managed?
A. Debride devitalized tissue and repair it primarily
B. divert the right ureter to the left ureter
C. Perform a partial right nephrectomy
D. Wash out and pack the right kidney
E. Perform a right nephrectomy - ANSWER-A. Debride devitalized tissue and repair
it primarily
A 24-year-old man who tests positive for HIV presents to the emergency
department with acute-onset pain and redness in his scrotum, penis, and
2|Page
, Absite Actual Exam
perineum. Upon examination, you feel crepitance over the erythematous area
described, which emits a foul-smelling gray dis¬charge. What is the most
appropriate management for this patient's illness?
A. Initiate highly active antiretroviral treatment
B. Initiate penicillin G Infusion
C. Perform surgical debridement of affected tissue
D. Apply topical polymycin ointment
E. Give hydrocortisone Infusion - ANSWER-C. Perform surgical debridement of
affected tissue
A 27-year-old construction worker is brought to the emergency department after
suffering a fall from 15 ft On arrival, he is tachypenic with rapid shallow breaths
and considerable pain on chest wall palpation. A CT scan of the chest, abdomen,
and pelvis reveals fractures of ribs 6 through 10 on the left side and a left lower
lung lobe contusion. He is gradually becoming hypoxic What is the most effective
method of treatment for this patient?
A. endotracheal Intubation and mechanical ventilation
B. Fentanyl patient control analgesia
C. Fentanyl plus morphine thoracic epidural
E. Bupjvacaine thoracic paravertebral block - ANSWER-E. Bupjvacaine thoracic
paravertebral block
A 38-year-old woman undergoes left-side thyroid lobectomy for a palpable nodule
with indeterminate pathology on preoperative FNA. The specimen is sent to
pathology for examination. Which of the following factors paired with the
appropriate diagnosis is associ¬ated with the poorest prognosis for this patient?
A. Psammoma bodies with anaplastic carcinoma
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, Absite Actual Exam
B. MEN-2b with medullary carcinoma
C. Encapsulated, noncystic follicles with follicular carcinoma
D. presence of lymph node disease with papillary carcinoma.
E. 1.7-cm solitary nodule with medullary carcinoma - ANSWER-B. MEN-2b with
medullary carcinoma
You are consulted by an emergency medicine physi¬cian who is treating a 48-year-
old alcoholic man with painless jaundice. She says that the man has appeared
drunk in the emergency department on numerous other occasions and was
admitted to the medical serv¬ice for pancreatitis. She calls you now because he
ap¬pears to have intrahepatic biliary ductal deilation on CT scan. The bilirubin
level is 12.6 mg per deciliter with other liver function tests normal. Upon careful
review of the CT scan with the radiologist, you can detect no obstructing mass.
Magnetic resonance cholangiopan¬creatography demonstrates no stones in his
biliary tree and dilation extending to the pancreas. The most likely cause of his
ductal dilation is:
A. gallbladder carcinoma
B. pancreatic pseudocyst
C. pancreatic cancer
D. benign common bile duct stricture - ANSWER-D. benign common bile duct
stricture
A 24-yr-old African-American woman presents to your clinic for excision of a
suspicious skin lesion on her chest. She reports a history of keloid formation, as
evidenced by a hypertrophic midline incision for a cesarean delivery from 6
months prior. Which of the
following techniques has the most favorable results for
4|Page
ABSITE ACTUAL EXAM NEWEST 2025/2026 WITH COMPLETE
200 QUESTIONS AND CORRECT ANSWERS |ALREADY GRADED
A+||BRAND NEW VERSION!
A 72 yo diabetic man is admitted for an infected left second toe. He has been
previously treated with oral antibiotics for several weeks, with little benefit. On
physical examination, he has a nonhealing infected ulcer on the volar aspect of his
left second distal phalanx. The ulcer is purulent at the base and cultures reveal
polymicrobial infection. What is the most appropriate next step in the
management of this patient?
A. IV antibiotics
B. Single toe amputation
C. IV antibiotics and tight glucose control
D. Single toe amputation and IV antibiotics - ANSWER-D. Single toe amputation
and IV antibiotics
An opera singer who recently underwent total thyroidectomy returns for her
postoperative visit report¬ing voice fatigue and an inability to sing high notes. Her
total calcium level is 9.1 mg per deciliter (normal, 9 to 10.5 mg per deciliter). This
complication could have been prevented by:
A. the use of an intra-operative functional nerve stimulator to localize the
recurrent laryngeal
B. ligating individual branches of the superior thyroid artery at the level of the
thyroid capsule
C. performing a careful dissection to avoid injury to the parathyroid glands
1|Page
, Absite Actual Exam
D. nothing; it is unavoidable; symptoms are due to transient postoperative
hypocalcemia and will resolve - ANSWER-B. ligating individual branches of the
superior thyroid artery at the level of the thyroid capsule
While eating breakfast on the morning after undergoing resection of the right
middle lobe of her lung, a 65-year-old woman has acute abdominal pain. Her
stomach is distended and tympanitic; she is bradycardic, hypotensive, tachypneic,
and sweating profusely. What is the most appropriate course of action?
A. Emergency exploratory surgery
B. Obtain supine and erect abdominal x-rays
C. Place a nasogastric tube
D. Increase the patient's pain medication - ANSWER-C. Place a nasogastric tube
A 24yo man is brought to the ED after being stabbed it the right flank. Urine is
grossly positive for blood and CT shows contrast extravasation from the superior
pole of the right kidney. Operative exploration confirms cortical injury, but no
injury is noted to the hilum or pelvis. How should this kidney be managed?
A. Debride devitalized tissue and repair it primarily
B. divert the right ureter to the left ureter
C. Perform a partial right nephrectomy
D. Wash out and pack the right kidney
E. Perform a right nephrectomy - ANSWER-A. Debride devitalized tissue and repair
it primarily
A 24-year-old man who tests positive for HIV presents to the emergency
department with acute-onset pain and redness in his scrotum, penis, and
2|Page
, Absite Actual Exam
perineum. Upon examination, you feel crepitance over the erythematous area
described, which emits a foul-smelling gray dis¬charge. What is the most
appropriate management for this patient's illness?
A. Initiate highly active antiretroviral treatment
B. Initiate penicillin G Infusion
C. Perform surgical debridement of affected tissue
D. Apply topical polymycin ointment
E. Give hydrocortisone Infusion - ANSWER-C. Perform surgical debridement of
affected tissue
A 27-year-old construction worker is brought to the emergency department after
suffering a fall from 15 ft On arrival, he is tachypenic with rapid shallow breaths
and considerable pain on chest wall palpation. A CT scan of the chest, abdomen,
and pelvis reveals fractures of ribs 6 through 10 on the left side and a left lower
lung lobe contusion. He is gradually becoming hypoxic What is the most effective
method of treatment for this patient?
A. endotracheal Intubation and mechanical ventilation
B. Fentanyl patient control analgesia
C. Fentanyl plus morphine thoracic epidural
E. Bupjvacaine thoracic paravertebral block - ANSWER-E. Bupjvacaine thoracic
paravertebral block
A 38-year-old woman undergoes left-side thyroid lobectomy for a palpable nodule
with indeterminate pathology on preoperative FNA. The specimen is sent to
pathology for examination. Which of the following factors paired with the
appropriate diagnosis is associ¬ated with the poorest prognosis for this patient?
A. Psammoma bodies with anaplastic carcinoma
3|Page
, Absite Actual Exam
B. MEN-2b with medullary carcinoma
C. Encapsulated, noncystic follicles with follicular carcinoma
D. presence of lymph node disease with papillary carcinoma.
E. 1.7-cm solitary nodule with medullary carcinoma - ANSWER-B. MEN-2b with
medullary carcinoma
You are consulted by an emergency medicine physi¬cian who is treating a 48-year-
old alcoholic man with painless jaundice. She says that the man has appeared
drunk in the emergency department on numerous other occasions and was
admitted to the medical serv¬ice for pancreatitis. She calls you now because he
ap¬pears to have intrahepatic biliary ductal deilation on CT scan. The bilirubin
level is 12.6 mg per deciliter with other liver function tests normal. Upon careful
review of the CT scan with the radiologist, you can detect no obstructing mass.
Magnetic resonance cholangiopan¬creatography demonstrates no stones in his
biliary tree and dilation extending to the pancreas. The most likely cause of his
ductal dilation is:
A. gallbladder carcinoma
B. pancreatic pseudocyst
C. pancreatic cancer
D. benign common bile duct stricture - ANSWER-D. benign common bile duct
stricture
A 24-yr-old African-American woman presents to your clinic for excision of a
suspicious skin lesion on her chest. She reports a history of keloid formation, as
evidenced by a hypertrophic midline incision for a cesarean delivery from 6
months prior. Which of the
following techniques has the most favorable results for
4|Page
