Page 1 of 142
“ ABSITE EXAM MOST RECENT EXAM COMPLETE “
NEWEST UPDATED EXAM 2025 – 2026 SOLVED
QUESTIONS & ANSWERS VERIFIED 100% GRADED A+
(LATEST VERSION)
ABSITE EXAM Most Recent exam COMPLETE (2026) EXAM Questions and Answers
(Verified Answers) (Latest Update 2025) UPDATE!!
A 28yr old male presents with a dragging/aching chronic pain within the
scrotum. Upon palpation of the scrotum, a non-tender, twisted mass along the
left spermatic cord is felt. U/S shows dilatation of the vessels of the
pampiniform plexus. Without treatment, this patient is at risk to develop?
a.) Testicular cancer
b.) UTI
c.) Infertility
d.) Undiagnosed intrabdominal malignancy
(c)
remember L gonadal vein drains to L renal vein (may be obstructed by renal cell CA)
however unlikely source in this patient. A small prospective study (n=322) however,
suggests that varicocele correction aimed at restoring fertility appears to be most
appropriate for men whose infertility extends beyond 2 years
During the initial trauma evaluation of a 24-year-old male involved in a motor
vehicle accident, blood is discovered at the urethral meatus, and there is
concern for a pelvic fracture. Which of the following diagnostic modalities
should be used to evaluate a possible urethral injury?
a.) Helical abdominal CT scan with intravenous and oral contrast.
b.) Retrograde urethrogram.
c.) Focused assessment with sonography in trauma (FAST) scan.
d.) IVP.
(b)
1.) suspect with blood at meatus
2.) scrotal/penile injury
, Page 2 of 142
3.) high-riding prostate
Dx with retrograde urethrogram (RUG), do not place foley needs suprapubic cath
Describe management of extraperitoneal vs. intraperitoneal bladder injury.
Extraperitoneal: when with pelvic fx; generally need foley drainage only.
Intraperitoneal: Usually no pelvic fx, usually dome rupture (full bladder in MVA);
needs OR, 3 layer closure, keep foley
Which of the following is correct with respect to prostate cancer?
a.) compared with men under the age of 65 years, prostate cancer in the
elderly is very rarely an aggressive cancer
b.) most patients diagnosed with prostate cancer present with lower urinary
tract symptoms
c.) 80% of men presenting with an elevated serum prostate specific antigen
(PSA) have prostate cancer
d.) approximately 95% of prostate cancer patients have a durable response
(>36 months) to androgen suppression therapy
e.) the obturator, internal iliac and presacral lymph nodes are commonly
involved in prostate cancer metastases
(e)
Mets are osteoblastic, radio-dense
Infrarenal aortic cross clamping during abdominal aortic surgery may be
expected to produce:
a.) Decreased PCWP in patients with compromised left ventricular function.
b.) Increased PCWP in patients with normal left ventricular function with opioid
anesthetics.
c.) Increased PCWP in patients with poor left ventricular function.
d.) Increased PCWP in patients with normal left ventricular function with
inhalational anesthetics.
e.) Decreased PCWP in patients with normal left ventricular function.
(c)
Proteus infection (urease producing) produces what type of stone?
a.) Stuvite
b.) Oxalate
c.) Uric acid
d.) Calcium
(a)
> struvite stones, "staghorn"
Oxalate stones most common (especially after small bowel resection); Mg Am Ph
15%, urate 8%
Renal cell carcinoma
a.) Arises from the distal convoluted tubule of the kidney
b.) Presents with hematuria, groin pain and a mass in 90% of patients
c.) Do not have polycythemia
, Page 3 of 142
d.) Spread occurs into renal vein and inferior vena cava in 10% patients
e.) Should be treated with a nephrouretectomy
(d)
Gross or microscopic hematuria
Flank pain or mass in some patients 10%
Systemic symptoms such as fever, weight loss may be prominent
Solid renal mass on imaging
A 32yr old unrestrained driver in has gross hematuria. His workup reveals a
fracture of
the superior & inferior pelvic rami on the right and a bladder injury is
suspected. Which of the following is NOT true regarding traumatic bladder
injuries?
a.) the majority of bladder injuries are extraperitoneal
b.) retrograde CT cystography has a high sensitivity and specificity for bladder
injury in blunt trauma
c.) extraperitoneal bladder injuries can be treated with urinary catheter
drainage
d.) if a patient undergoes laparotomy for another abdominal injury,
extraperitoneal bladder injuries should be repaired in the stable patient
e.) Most intraperitoneal bladder perforations occur in the trigone
(e)
What are increased levels of calcitonin from parafollicular cells (C cells)
derived from?
a.) Thyroid (follicular ca)
b.) Thyroid (papillary ca)
c.) Thyroid (medullary ca)
d.) Thyroid (anaplastic ca)
e.) Parathyroid
(c)
neural crest cells (they make calcitonin)
The coronary artery bypass graft conduit with the highest patency after 5 and
10 years is:
a.) left internal thoracic artery
b.) right internal thoracic artery
c.) left radial artery
d.) right radial artery
e.) left or right long saphenous vein
(a)
What is the mechanism of action of propylthiouracil?
a.) inhibits reduction & coupling of iodine
b.) inhibits oxidation, coupling, and decreases conversion of T4 → T3
c.) decrease the formation of stored thyroid hormone
d.) none of the above
, Page 4 of 142
(b)
PTU inhibits the enzyme thyroperoxidase, which normally acts in thyroid hormone
synthesis by oxidizing the anion iodide (I-) to iodine (I0), facilitating iodine's addition
to tyrosine residues on the hormone precursor thyroglobulin. This is one of the
essential steps in the formation of thyroxine (T4). It also decreases conversion of T4
→ T3
Methylthiouracil: blocks pump, inhibits oxidation and coupling
The most important effect of Lugol's iodine administration prior to thyroid
surgery is
a.) a reduced incidence of thyroid storm
b.) a reduced incidence of vocal cord palsy
c.) an increased chance of preservation of the parathyroid glands
d.) increased pigmentation to assist in gland identification
e.) reduced vascularity of the gland
(a)
The Wolff-Chaikoff effect is a reduction in thyroid hormone levels caused by
ingestion of a large amount of iodine. The high I-doses inhibit TSH, useful in thyroid
storm
A 46yr old has a palpable neck mass. FNA reveals papillary cells. At neck
exploration, she has a 4cm tall cell variant papillary cancer with no lymphatic
invasion, but with lymphocytic thyroiditis. Total thyroidectomy is performed.
Which of the following gives her a more unfavorable prognosis?
A. gender
B. age
C. primary tumor size
D. tall cell variant
E. lymphocytic thyroiditis
(d)
Papillary Thyroid CA:
a.) It comprises 85% of all thyroid cancer
b.) 80% of kids and 20% of adults present with a palpable lymph node
c.) It metastasizes to lungs or bones
d.) It's growth rate is stimulated by TSH
e.) All of the above
(e)
Most common (85%, P for Popular), Lymphatic spread but nodes don't predict
survival. 20% of adults, 80% of children present node positive. Psammoma bodies
on path, represents deposited calcium.
Hx of exposure to radiation ↑ risk.
MACIS criteria: Mets, Age (M>50, F>40 is worse), Completeness of resection,
Invasiveness and Size (>1.5cm generally means total thyroidectomy needed)
Follicular Thyroid CA:
a.) is the most common thyroid cancer
“ ABSITE EXAM MOST RECENT EXAM COMPLETE “
NEWEST UPDATED EXAM 2025 – 2026 SOLVED
QUESTIONS & ANSWERS VERIFIED 100% GRADED A+
(LATEST VERSION)
ABSITE EXAM Most Recent exam COMPLETE (2026) EXAM Questions and Answers
(Verified Answers) (Latest Update 2025) UPDATE!!
A 28yr old male presents with a dragging/aching chronic pain within the
scrotum. Upon palpation of the scrotum, a non-tender, twisted mass along the
left spermatic cord is felt. U/S shows dilatation of the vessels of the
pampiniform plexus. Without treatment, this patient is at risk to develop?
a.) Testicular cancer
b.) UTI
c.) Infertility
d.) Undiagnosed intrabdominal malignancy
(c)
remember L gonadal vein drains to L renal vein (may be obstructed by renal cell CA)
however unlikely source in this patient. A small prospective study (n=322) however,
suggests that varicocele correction aimed at restoring fertility appears to be most
appropriate for men whose infertility extends beyond 2 years
During the initial trauma evaluation of a 24-year-old male involved in a motor
vehicle accident, blood is discovered at the urethral meatus, and there is
concern for a pelvic fracture. Which of the following diagnostic modalities
should be used to evaluate a possible urethral injury?
a.) Helical abdominal CT scan with intravenous and oral contrast.
b.) Retrograde urethrogram.
c.) Focused assessment with sonography in trauma (FAST) scan.
d.) IVP.
(b)
1.) suspect with blood at meatus
2.) scrotal/penile injury
, Page 2 of 142
3.) high-riding prostate
Dx with retrograde urethrogram (RUG), do not place foley needs suprapubic cath
Describe management of extraperitoneal vs. intraperitoneal bladder injury.
Extraperitoneal: when with pelvic fx; generally need foley drainage only.
Intraperitoneal: Usually no pelvic fx, usually dome rupture (full bladder in MVA);
needs OR, 3 layer closure, keep foley
Which of the following is correct with respect to prostate cancer?
a.) compared with men under the age of 65 years, prostate cancer in the
elderly is very rarely an aggressive cancer
b.) most patients diagnosed with prostate cancer present with lower urinary
tract symptoms
c.) 80% of men presenting with an elevated serum prostate specific antigen
(PSA) have prostate cancer
d.) approximately 95% of prostate cancer patients have a durable response
(>36 months) to androgen suppression therapy
e.) the obturator, internal iliac and presacral lymph nodes are commonly
involved in prostate cancer metastases
(e)
Mets are osteoblastic, radio-dense
Infrarenal aortic cross clamping during abdominal aortic surgery may be
expected to produce:
a.) Decreased PCWP in patients with compromised left ventricular function.
b.) Increased PCWP in patients with normal left ventricular function with opioid
anesthetics.
c.) Increased PCWP in patients with poor left ventricular function.
d.) Increased PCWP in patients with normal left ventricular function with
inhalational anesthetics.
e.) Decreased PCWP in patients with normal left ventricular function.
(c)
Proteus infection (urease producing) produces what type of stone?
a.) Stuvite
b.) Oxalate
c.) Uric acid
d.) Calcium
(a)
> struvite stones, "staghorn"
Oxalate stones most common (especially after small bowel resection); Mg Am Ph
15%, urate 8%
Renal cell carcinoma
a.) Arises from the distal convoluted tubule of the kidney
b.) Presents with hematuria, groin pain and a mass in 90% of patients
c.) Do not have polycythemia
, Page 3 of 142
d.) Spread occurs into renal vein and inferior vena cava in 10% patients
e.) Should be treated with a nephrouretectomy
(d)
Gross or microscopic hematuria
Flank pain or mass in some patients 10%
Systemic symptoms such as fever, weight loss may be prominent
Solid renal mass on imaging
A 32yr old unrestrained driver in has gross hematuria. His workup reveals a
fracture of
the superior & inferior pelvic rami on the right and a bladder injury is
suspected. Which of the following is NOT true regarding traumatic bladder
injuries?
a.) the majority of bladder injuries are extraperitoneal
b.) retrograde CT cystography has a high sensitivity and specificity for bladder
injury in blunt trauma
c.) extraperitoneal bladder injuries can be treated with urinary catheter
drainage
d.) if a patient undergoes laparotomy for another abdominal injury,
extraperitoneal bladder injuries should be repaired in the stable patient
e.) Most intraperitoneal bladder perforations occur in the trigone
(e)
What are increased levels of calcitonin from parafollicular cells (C cells)
derived from?
a.) Thyroid (follicular ca)
b.) Thyroid (papillary ca)
c.) Thyroid (medullary ca)
d.) Thyroid (anaplastic ca)
e.) Parathyroid
(c)
neural crest cells (they make calcitonin)
The coronary artery bypass graft conduit with the highest patency after 5 and
10 years is:
a.) left internal thoracic artery
b.) right internal thoracic artery
c.) left radial artery
d.) right radial artery
e.) left or right long saphenous vein
(a)
What is the mechanism of action of propylthiouracil?
a.) inhibits reduction & coupling of iodine
b.) inhibits oxidation, coupling, and decreases conversion of T4 → T3
c.) decrease the formation of stored thyroid hormone
d.) none of the above
, Page 4 of 142
(b)
PTU inhibits the enzyme thyroperoxidase, which normally acts in thyroid hormone
synthesis by oxidizing the anion iodide (I-) to iodine (I0), facilitating iodine's addition
to tyrosine residues on the hormone precursor thyroglobulin. This is one of the
essential steps in the formation of thyroxine (T4). It also decreases conversion of T4
→ T3
Methylthiouracil: blocks pump, inhibits oxidation and coupling
The most important effect of Lugol's iodine administration prior to thyroid
surgery is
a.) a reduced incidence of thyroid storm
b.) a reduced incidence of vocal cord palsy
c.) an increased chance of preservation of the parathyroid glands
d.) increased pigmentation to assist in gland identification
e.) reduced vascularity of the gland
(a)
The Wolff-Chaikoff effect is a reduction in thyroid hormone levels caused by
ingestion of a large amount of iodine. The high I-doses inhibit TSH, useful in thyroid
storm
A 46yr old has a palpable neck mass. FNA reveals papillary cells. At neck
exploration, she has a 4cm tall cell variant papillary cancer with no lymphatic
invasion, but with lymphocytic thyroiditis. Total thyroidectomy is performed.
Which of the following gives her a more unfavorable prognosis?
A. gender
B. age
C. primary tumor size
D. tall cell variant
E. lymphocytic thyroiditis
(d)
Papillary Thyroid CA:
a.) It comprises 85% of all thyroid cancer
b.) 80% of kids and 20% of adults present with a palpable lymph node
c.) It metastasizes to lungs or bones
d.) It's growth rate is stimulated by TSH
e.) All of the above
(e)
Most common (85%, P for Popular), Lymphatic spread but nodes don't predict
survival. 20% of adults, 80% of children present node positive. Psammoma bodies
on path, represents deposited calcium.
Hx of exposure to radiation ↑ risk.
MACIS criteria: Mets, Age (M>50, F>40 is worse), Completeness of resection,
Invasiveness and Size (>1.5cm generally means total thyroidectomy needed)
Follicular Thyroid CA:
a.) is the most common thyroid cancer
