Absite Exam Test Bank
ABSITE EXAM TEST BANK NEWEST 2025/2026 WITH COMPLETE
500 QUESTIONS AND CORRECT ANSWERS |ALREADY GRADED
A+||BRAND NEW VERSION!
At an operation for small bowel obstruction, a cecal volvulus is also found. The
cecum appears viable. The procedure of choice is which of the following?
a.) Cecopexy
b.) Tube cecostomy
c.) Right hemicolectomy
d.) Resection, ileostomy and mucus fistula - ANSWER-(c)
Cecal volvulus is unlikely to decompress so they must be taken to the OR. Most
recommend R hemicolectomy with ileo-transverse anastomosis if cecum is viable.
Cecopexy is alternative with tube, but both are likely to fail.
What is appropriate management of a 1cm mid-appendiceal carcinoid?
a.) Observation
b.) No further surgery after appendectomy
c.) Right hemicolectomy
d.) Chemotherapy - ANSWER-(b)
Carcinoid of appendix: 2 cm or larger or if involving base = do R hemicolectomy,
otherwise appendectomy only
1|Page
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In a patient with Crohn's disease who presents with intractable small bowel
obstruction and is found to have strictures during ex-lap, stricturoplasty should
NOT be considered when?
a.) Several semi-evenly spaced strictures are present in a 10cm segment
b.) Diffuse small disease with a short fibrotic stricture is found
c.) The patient has rapid symptomatic recurrence within 12 months of a previous
resection
d.) A > 100cm resection was performed
e.) There is evidence of short gut already - ANSWER-(a)
This should only be considered if there is not much gut left or there is a short
segment of fibrotic stirctures present.
According to Goodsall's rule the site of the internal opening of a fistula in ano can
be predicted by
a.) The position of the external opening
b.) The distance of the external opening from the anal verge
c.) The absence of in-duration
d.) None of the above - ANSWER-(a)
Goodsall's rule relates the external opening of an anal fistula to its internal
opening. It states that the external opening situated behind the transverse anal
2|Page
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line will open into the anal canal in the midline posteriorly. An anterior opening is
usually associated with a radial tract
The extraintestinal manifestation LEAST likely to improve after total
proctocolectomy for UC is which of the following?
a.) Uveitis
b.) Iritis
c.) Sclerosing cholangitis
d.) Erythema nodosum
e.) Pyoderma gangrenosum - ANSWER-(c)
In Ulcerative Colitis, proctocolectomy does not help sclerosing cholangitis, may
help skin, anemia; rarely helps arthritis. HLA B27 associated with sacroiliitis
After formation of an ileo-anal pouch for Crohn's disease a patient presents with
urgency and pain. Treatment for suspected pouchitis would include:
a.) EUA & biopsy
b.) Vanco enemas
c.) Short chain fatty acid enemas
d.) Short chain fatty acid enemas & Flagyl
e.) IV Flagyl alone - ANSWER-(d)
3|Page
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For suspected pouchitis (infectious or stump) Rx with flagyl or short chain fatty
acid enemas
A 32yr old patient presents with pruritus over the past 2 weeks. He has a history
of UC for the past 7 years, which has remained well controlled on sulfasalazine
and cortisone enemas. His exam is remarkable for diffuse excoriations on his
extremities & trunk. Laboratory studies reveal an iron deficiency anemia & normal
electrolytes. LFTs are normal, except for an alkaline phosphatase of 322 U/L
(normal, <110 U/L). Which of the following is the most likely explanation for his
symptoms?
a.) Erythema nodosum
b.) Hepatitis C
c.) Primary biliary cirrhosis
d.) Primary sclerosing cholangitis
e.) Pyoderma gangrenosum - ANSWER-(e)
Dapsone and/or steroids (topical or systemic)
Anal fissure is characterised by the following EXCEPT:
a.) severe anal pain during & immediately after
defecation
b.) bleeding on defecation
c.) a sentinel anal skin tag
4|Page
ABSITE EXAM TEST BANK NEWEST 2025/2026 WITH COMPLETE
500 QUESTIONS AND CORRECT ANSWERS |ALREADY GRADED
A+||BRAND NEW VERSION!
At an operation for small bowel obstruction, a cecal volvulus is also found. The
cecum appears viable. The procedure of choice is which of the following?
a.) Cecopexy
b.) Tube cecostomy
c.) Right hemicolectomy
d.) Resection, ileostomy and mucus fistula - ANSWER-(c)
Cecal volvulus is unlikely to decompress so they must be taken to the OR. Most
recommend R hemicolectomy with ileo-transverse anastomosis if cecum is viable.
Cecopexy is alternative with tube, but both are likely to fail.
What is appropriate management of a 1cm mid-appendiceal carcinoid?
a.) Observation
b.) No further surgery after appendectomy
c.) Right hemicolectomy
d.) Chemotherapy - ANSWER-(b)
Carcinoid of appendix: 2 cm or larger or if involving base = do R hemicolectomy,
otherwise appendectomy only
1|Page
, Absite Exam Test Bank
In a patient with Crohn's disease who presents with intractable small bowel
obstruction and is found to have strictures during ex-lap, stricturoplasty should
NOT be considered when?
a.) Several semi-evenly spaced strictures are present in a 10cm segment
b.) Diffuse small disease with a short fibrotic stricture is found
c.) The patient has rapid symptomatic recurrence within 12 months of a previous
resection
d.) A > 100cm resection was performed
e.) There is evidence of short gut already - ANSWER-(a)
This should only be considered if there is not much gut left or there is a short
segment of fibrotic stirctures present.
According to Goodsall's rule the site of the internal opening of a fistula in ano can
be predicted by
a.) The position of the external opening
b.) The distance of the external opening from the anal verge
c.) The absence of in-duration
d.) None of the above - ANSWER-(a)
Goodsall's rule relates the external opening of an anal fistula to its internal
opening. It states that the external opening situated behind the transverse anal
2|Page
, Absite Exam Test Bank
line will open into the anal canal in the midline posteriorly. An anterior opening is
usually associated with a radial tract
The extraintestinal manifestation LEAST likely to improve after total
proctocolectomy for UC is which of the following?
a.) Uveitis
b.) Iritis
c.) Sclerosing cholangitis
d.) Erythema nodosum
e.) Pyoderma gangrenosum - ANSWER-(c)
In Ulcerative Colitis, proctocolectomy does not help sclerosing cholangitis, may
help skin, anemia; rarely helps arthritis. HLA B27 associated with sacroiliitis
After formation of an ileo-anal pouch for Crohn's disease a patient presents with
urgency and pain. Treatment for suspected pouchitis would include:
a.) EUA & biopsy
b.) Vanco enemas
c.) Short chain fatty acid enemas
d.) Short chain fatty acid enemas & Flagyl
e.) IV Flagyl alone - ANSWER-(d)
3|Page
, Absite Exam Test Bank
For suspected pouchitis (infectious or stump) Rx with flagyl or short chain fatty
acid enemas
A 32yr old patient presents with pruritus over the past 2 weeks. He has a history
of UC for the past 7 years, which has remained well controlled on sulfasalazine
and cortisone enemas. His exam is remarkable for diffuse excoriations on his
extremities & trunk. Laboratory studies reveal an iron deficiency anemia & normal
electrolytes. LFTs are normal, except for an alkaline phosphatase of 322 U/L
(normal, <110 U/L). Which of the following is the most likely explanation for his
symptoms?
a.) Erythema nodosum
b.) Hepatitis C
c.) Primary biliary cirrhosis
d.) Primary sclerosing cholangitis
e.) Pyoderma gangrenosum - ANSWER-(e)
Dapsone and/or steroids (topical or systemic)
Anal fissure is characterised by the following EXCEPT:
a.) severe anal pain during & immediately after
defecation
b.) bleeding on defecation
c.) a sentinel anal skin tag
4|Page
